PEA (Palmitoylethanolamide)

Also known as: palmitoylethanolamide, pea, palmidrol

Grade B — Moderate Evidenceendocannabinoidanti-inflammatorymood
3001200 mgWith food; split into 2-3 doses for higher amounts

Endogenous fatty acid amide that modulates pain and inflammation via the endocannabinoid system (PPAR-alpha). Strong evidence for chronic pain relief. Exceptionally safe with no known drug interactions of concern. Micronized forms preferred.

Last reviewed: 2026-03-12

Quick Facts

Evidence

Grade B

Studies

1

Interactions

1

Forms

1

Evidence Rating: Grade B — Moderate Evidence

Some RCTs with positive results, or strong observational evidence. More research may refine our understanding.

Interaction Warnings

NSAIDsLow

PEA may complement NSAID effects — generally considered synergistic rather than problematic.

Important Notes

  • Endogenous compound — body naturally produces PEA
  • Micronized or ultra-micronized forms have better absorption
  • Very safe profile — no serious adverse events reported in clinical trials
  • Works via PPAR-alpha receptor, not directly on cannabinoid receptors

Clinical Evidence (1 study)

Palmitoylethanolamide for pain: a meta-analysis and review of clinical evidence

Lang-Illievich K et al. (2023) — J Clin Med

PEA significantly reduced chronic pain intensity across multiple conditions with excellent tolerability

View on PubMed

Alternatives to Consider

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