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Efficacy of Palmitoylethanolamide and Luteolin Association on Post-Covid Olfactory Dysfunction: A Systematic Review and Meta-Analysis of Clinical Studies

Capra AP, Ardizzone A, Crupi L, Calapai F, Campolo M, Cuzzocrea S, Esposito E. Biomedicines, 2023; 11(8):2189.

Meta-analysisHumansWith luteolin

This study tested palmitoylethanolamide together with luteolin. Its results cannot be assigned to palmitoylethanolamide alone. More combination studies.

Design
Meta-analysis
Subjects
5 studies with 441 patients in the review. 3 studies with 327 patients were pooled.
Dose used in the study
700 mg of palmitoylethanolamide with 70 mg of luteolin, once a day
Duration
30 to 90 days
What was measured
Recovery of the sense of smell on the Sniffin' Sticks test

What the authors reported

The meta-analysis found:

  • PEA plus luteolin, given with olfactory training, favoured recovery of smell over conventional therapy.
  • The pooled odds ratio was 3.07 (95% CI 2.22 to 3.92) in a fixed-effects model and 4.28 in a random-effects model, though that confidence interval crossed zero (-0.04 to 8.60).
  • Heterogeneity was high (I² = 89%).

Limits of this study

With heterogeneity this high, the random-effects result is the more cautious reading, and it was borderline. The authors note small samples, short follow-up, a lack of placebo control in some studies, and that all studies were Italian. The review received no external funding.

Source

PubMed 37626685 · doi:10.3390/biomedicines11082189

Entry checked against the full text at the publisher (MDPI) on 2026-09-21. The dose shown is the dose the researchers used. It is not a recommendation. How to read this page.