Longevity drugs · metabolic

Acarbose

A carb-blocking diabetes drug that robustly extends lifespan in male mice.

GRADE C· Early / mixed human dataRx$20–$60 / mo

Not medical advice — talk to a licensed clinician. Content is educational, reflects published literature, and is not a recommendation to start, stop or change any treatment.

What it is

An alpha-glucosidase inhibitor that slows carbohydrate digestion, approved for type 2 diabetes.

How it works, in plain English

Blocks enzymes in the gut that break down starches, flattening post-meal blood sugar spikes.

What the human evidence shows

ITP mouse studies show significant lifespan extension, stronger in males. Human diabetes trials (STOP-NIDDM) showed reduced progression to diabetes. No human longevity trials.

Regrowth grade C: Early / mixed human data.

Typical protocols in the literature

Typically taken with the first bite of carbohydrate-containing meals; doses discussed range 25–100 mg per meal.

Described for education, not as dosing advice.

Side effects & interactions

Side effects

  • Gas and bloating
  • Diarrhea
  • Rare liver enzyme elevation

Interactions

  • Digestive enzyme supplements
  • Can amplify hypoglycemia with insulin/sulfonylureas

Key studies

  • Harrison et al. — ITP acarbose results
  • STOP-NIDDM trial

Citations pending medical review