AREDS2 Vitamin Supplements for AMD
AREDS2 supplements can reduce the risk of intermediate age-related macular degeneration (AMD) progressing to an advanced stage by approximately 25%. According to ophthalmologist Dr. Kevin Keppel, while these supplements do not prevent the onset of early AMD, they serve as a long-term protective measure to help preserve vision and delay the development of severe forms of the disease, such as wet AMD or geographic atrophy.
Did You Know? The name “AREDS2” originates from the second Age-Related Eye Disease Study, a series of clinical trials that identified the specific benefits of adding lutein and zeaxanthin to a formula of antioxidants and zinc to better protect retinal health.
How AREDS2 Supplements Function
The AREDS2 formula is designed to protect the retina from damage that contributes to macular degeneration. Dr. Keppel notes that the supplement contains a precise blend of 500 milligrams of vitamin C, 400 international units of vitamin E, 80 milligrams of zinc, 2 milligrams of copper, 10 milligrams of lutein, and 2 milligrams of zeaxanthin. These components act primarily as antioxidants to support ongoing eye health.

The Shift from the Original Formula
Research indicates that the updated AREDS2 formula is more effective than the original version, showing an 18% lower risk of progression to late-stage AMD. The primary change involved replacing beta-carotene with lutein and zeaxanthin. Dr. Keppel warns that patients who smoke or have a history of smoking should avoid the original formula entirely, as it has been linked to an increased risk of lung cancer.
Potential Risks and Considerations
While generally considered safe, AREDS2 supplements may cause mild digestive issues such as nausea, stomach cramps, or changes in bowel movements. Dr. Keppel advises patients to consult their primary care physician before starting the regimen, particularly if they are taking blood thinners like warfarin (Coumadin® or Jantoven®), as high levels of vitamin E may increase bleeding risks.
What Happens Next
For individuals with intermediate AMD, the use of these supplements is a strategy to delay the progression to more severe, sight-threatening conditions. Because AMD often advances slowly, consistency is essential; stopping the supplements could allow the disease to worsen toward geographic atrophy or wet AMD. Dr. Keppel recommends that individuals over the age of 50 undergo annual eye exams to monitor for changes and determine if supplementation remains appropriate.
Frequently Asked Questions
Who should consider taking AREDS2?
According to Dr. Keppel, these supplements are intended for people with intermediate AMD in one or both eyes, or those who have advanced AMD in one eye.
Can AREDS2 reverse existing vision loss?
No. The supplement is designed as a preventive treatment to slow the progression of the disease and preserve remaining vision, rather than a cure for existing damage.
Is it safe to take AREDS2 if I am already taking other medications?
Patients should consult their primary care physician before use to ensure there are no negative interactions, especially if they are currently prescribed blood thinners.
Are you currently scheduling annual eye exams to stay proactive about your long-term retinal health?