Safety context (older narrative source): a 2001 review characterized oral bromelain as generally well tolerated with a 'lack of undesired side effects,' but this qualitative characterization predates, and is contradicted in degree by, a 2023 systematic review/meta-analysis documenting specific oral adverse events (flatulence, nausea, headache); the newer meta-analysis should be treated as the primary safety boundary.
Due to its efficacy after oral administration, its safety and lack of undesired side effects, bromelain has earned growing acceptance and compliance among patients as a phytotherapeutical drug.
Bromelain: biochemistry, pharmacology and medical use.
Evidence scope. Dated (2001) narrative review, qualitative/unsystematic characterization, human clinical-use context implied but not quantified — superseded by newer systematic evidence.