Amino acid

Creatine Monohydrate

Also known as: creatine, CrM, PharmaPure Creatine Monohydrate

Overview

Creatine monohydrate is a well-researched dietary supplement that enhances short-duration, high-intensity exercise performance by increasing intramuscular phosphocreatine stores, thereby supporting rapid ATP regeneration during anaerobic activity [3][7]. It has been shown to improve muscle strength, power output, and lean mass gains when combined with resistance training, with benefits observed in both males and females [2][6]. Additional potential benefits include improved post-exercise recovery, injury prevention, and neuroprotective effects. Creatine monohydrate is the most bioavailable and cost-effective form of creatine, with no evidence supporting superior efficacy of alternative forms such as creatine ethyl ester [1]. Short- and long-term use is considered safe in healthy individuals, with minimal adverse effects [7][5].

Dosage Guide

Therapeutic Doses

For treatment of specific conditions

General athletic performance3-5 g/dayMaintenance dosing; can follow with 5-7 day loading phase of 20 g/day (split into 4 doses)
Loading phase (optional)0.3 g/kg/day for 5-7 daysTypically ~20 g/day in 4 divided doses, followed by maintenance
Low-dose alternative6 g/dayEffective over short periods (e.g., 6 days) to reduce fatigue in anaerobic exercise

Special Forms

Alternative forms for specific needs

Creatine monohydrate

Standard form with best evidence for efficacy, safety, and bioavailability

Creatine ethyl ester

No added benefit over creatine monohydrate; less stable and less effective

Clinical Notes

  • Transient water retention may occur during early supplementation, especially with loading doses.
  • No evidence of renal harm in healthy individuals; long-term studies show no clinically significant changes in kidney function [4][5].
  • Safe for use in females; no serious adverse events reported in female-specific studies [6].
  • Monitor renal function in individuals with pre-existing kidney disease; contraindicated in severe renal impairment.
  • Can be taken with carbohydrates or protein to enhance uptake, though not required for effectiveness.

Research

Key FindingsPubMed
1

Creatine monohydrate is the most effective and well-studied form; other forms are less bioavailable, less effective, or insufficiently studied.

Bioavailability, Efficacy, Safety, and Regulatory Status of Creatine and Related Compounds: A Critical Review.
Nutrients2022
2

Creatine supplementation (20g/day for 4 days) enhances high-intensity exercise performance in both males and females.

Creatine monohydrate supplementation enhances high-intensity exercise performance in males and females.
International journal of sport nutrition and exercise metabolism2000
3

Effective dosing includes loading at 0.3 g/kg/day for 5–7 days followed by 0.03 g/kg/day maintenance; loading is not required but accelerates saturation.

Creatine supplementation.
Current sports medicine reports2013
4

10 g/day of creatine for 3 months showed no adverse effects on renal function in healthy sedentary males undergoing exercise training.

Effects of creatine supplementation on renal function: a randomized, double-blind, placebo-controlled clinical trial.
European journal of applied physiology2008
5

No clinically significant changes in renal, hepatic, cardiac, or muscle function reported with creatine supplementation in short-term studies.

Safety of creatine supplementation.
Sub-cellular biochemistry2007
6

Systematic review in females found no serious adverse events with creatine monohydrate use; safety profile similar to males.

Risk of Adverse Outcomes in Females Taking Oral Creatine Monohydrate: A Systematic Review and Meta-Analysis.
Nutrients2020
7

Creatine is safe and well-tolerated in healthy individuals and various patient populations over short and long durations.

Creatine Supplementation: An Update.
Current sports medicine reports2021
8

Low-dose (6g/day) short-duration (6 days) creatine supplementation reduced fatigue rate during anaerobic exercise despite no change in peak power.

Effect of low-dose, short-duration creatine supplementation on anaerobic exercise performance.
Journal of strength and conditioning research2005

Products Containing Creatine Monohydrate(7 reports)

Sport, Creatine Monohydrate, Unflavored
Sport, Creatine Monohydrate, Unflavored
California Gold Nutrition
A
You get: 5 gGoal: 3-5 g

This product delivers 5 grams of creatine monohydrate per serving, a clinically validated dose shown to enhance short-duration, high-intensity exercise performance. Creatine monohydrate is the most researched and effective form of creatine, with strong evidence supporting its role in increasing muscle phosphocreatine stores and improving resistance exercise capacity.

Creatine
Creatine
Thorne
A
You get: 5 gGoal: 3-5 g

Thorne Creatine provides 5 g of creatine monohydrate per serving, a clinically effective dose supported by extensive research for enhancing high-intensity exercise performance, increasing lean muscle mass, and improving strength. This product contains only the most studied and bioavailable form of creatine, making it a reliable choice for athletes and active individuals.

Micronized Creatine Monohydrate, Paradise Punch
Micronized Creatine Monohydrate, Paradise Punch
NutraBio
A
You get: 5 gGoal: 3-5 g

This product delivers 5 grams of PharmaPure Creatine Monohydrate per serving, a clinically effective dose for enhancing high-intensity exercise performance, increasing lean muscle mass, and supporting ATP regeneration. Creatine monohydrate is the most researched and bioavailable form of creatine, with strong evidence supporting its efficacy and long-term safety.

Creatine5000®
Creatine5000®
EVLution Nutrition
A
You get: 5,000 mgGoal: 3,000-5,000 mg

Creatine5000® is a straightforward creatine monohydrate supplement delivering 5,000 mg per serving, a clinically effective dose for enhancing high-intensity exercise performance and increasing muscle phosphocreatine stores. As a single-ingredient formula, it focuses exclusively on delivering a proven, well-researched form of creatine without unnecessary additives.

Creatine Capsules
Creatine Capsules
Life Extension
A-
You get: 1000 mgGoal: 3000-5000 mg

This supplement delivers 1000 mg of creatine monohydrate per serving, the most extensively researched and effective form of creatine for enhancing high-intensity exercise performance, muscle strength, and lean mass gains. The addition of a small amount of vitamin C provides antioxidant support but does not significantly contribute to the primary performance-focused benefits.

Micronized Creatine Powder, Unflavored
Micronized Creatine Powder, Unflavored
Optimum Nutrition
A
You get: 5 gGoal: 3-5 g

This unflavored micronized creatine powder from Optimum Nutrition delivers 5 g of creatine monohydrate per serving, the most extensively researched and clinically effective form of creatine. It supports high-intensity exercise performance, muscle strength, and lean mass gains when combined with resistance training.

CREATINE X3
CREATINE X3
SIXSTAR
B+
You get: 3,000 mgGoal: 3,000-5,000 mg

CREATINE X3 is a performance-focused dietary supplement centered on creatine monohydrate, the most researched and effective form of creatine for enhancing high-intensity exercise capacity. With a clinically effective dose of 3,000 mg per serving, it supports increased strength, power output, and lean mass gains when combined with resistance training.