Ban on red yeast rice: what alternatives are there for cardiovascular health in 2026?

icon timerReading time: 8 minutes

Summary

Long regarded as a key ingredient in dietary supplements designed to manage cholesterol, red yeast rice (Monascus purpureus) is now subject to significant regulatory restrictions in Europe.

  • The health claim validated by the EFSA has been removed from Regulation (EU) No 432/2012 establishing a list of authorised health claims made on foods.
  • The European Commission has published a draft regulation aimed at outright banning monacolins derived from red yeast rice in food supplements.

 

Faced with these restrictions and bans, laboratories, formulators and manufacturers are seeking effective, safe and regulatory-compliant solutions for maintaining healthy cholesterol levels.

Among the most promising nutritional active ingredients, phytosterols stand out as the benchmark functional alternative.

What exactly is red yeast rice?

Red yeast rice is produced by the fermentation of a microscopic fungus, Monascus purpureus, grown on rice. Used for centuries in traditional Asian medicine, as well as a natural colouring agent and flavour enhancer, it has gradually been incorporated into dietary supplements for its cholesterol-regulating properties.

Levure de riz rouge 2026 (1)

Biochemical composition and role of monacolins

During the fermentation process, Monascus purpureus produces characteristic pigments, but above all secondary metabolites known as monacolins.

The most widely studied is monacolin K, a compound that is chemically and biologically identical to lovastatin, an active pharmaceutical ingredient used to regulate cholesterol.

Risks of adverse effects and the presence of citrinin

As monacolin K has the same chemical structure as statins, it offers the same benefits and, more importantly, the same drawbacks, and may cause side effects such as myalgia (muscle pain), rhabdomyolysis or liver damage, particularly in susceptible individuals or in the event of drug interactions.

Furthermore, depending on how well the fermentation process is controlled, Monascus purpureus can synthesise a nephrotoxic mycotoxin, citrinin, which necessitates very strict quality and purity controls during manufacture.

Why is its use now banned?

European regulations on red rice yeast have changed significantly.

  • Following authorisation with an EFSA health claim, the recommended daily intake of monacolins derived from red yeast rice has been limited to 3 mg per day, with mandatory labelling.

 

  • The historical claim authorised in Europe, which attributed the maintenance of normal cholesterol levels to a daily intake of 10 mg of monacolin K, has recently been removed from Regulation No 432/2012.

 

In order to ensure consumer safety and harmonise the regulatory status of food supplements and medicines, the European Commission has published a draft regulation aimed at imposing a total ban on red yeast rice in food supplements: SANTE/10862/2018-EN CIS

In light of these regulatory constraints, reformulating product ranges for cardiovascular health and cholesterol management is becoming a strategic priority for dietary supplement brands.

red rice yeast 2026

Phytosterols: the natural alternative for maintaining normal cholesterol levels.

Phytosterols occur naturally in vegetable oils. Because they are similar to cholesterol, they can inhibit its absorption in the gut.

Mechanism of action: competition for intestinal absorption

Unlike monacolin K or statins, which inhibit synthesis in the liver, phytosterols act exclusively within the intestinal lumen:

  1. Micellar displacement: Owing to their structural similarity, phytosterols displace cholesterol (from food and bile) at the site of mixed intestinal micelles.
  2. Inhibition of absorption: Cholesterol that is not incorporated into micelles cannot be taken up by enterocytes and is eliminated naturally via the digestive tract.
  3. Reduction in circulating cholesterol: This reduction in intestinal absorption leads to a measurable decrease in serum LDL cholesterol (‘bad cholesterol’) levels, without directly interfering with hepatic enzymatic pathways.
Cholestérol schéma (3)
Chiffres cholesterol2 (8)

Benefits of phytosterols in nutraceutical formulation

Phytosterols offer key benefits for nutraceutical brands:

  • Safety and tolerability: As phytosterols do not share the pharmacological mechanism of action of statins, they are very well tolerated at the recommended doses.
  • Health claims authorised in Europe: In accordance with Regulations (EC) No 1924/2006, (EU) No 432/2012 and (EC) No 983/2009, health claims are valid subject to the following dosages
    • Maintaining normal cholesterol levels: for a daily intake of at least 0.8 g (800 mg) of phytosterols/phytostanols.
    • Active reduction of blood cholesterol: for a daily intake of between 1.5 g and 3 g (as part of a balanced diet).
  • Formulation versatility: Phytosterols can be incorporated into a variety of forms (soft capsules, hard capsules, tablets, emulsions or functional lipids).

Novastell, your supplier of lipids for cardiovascular health

In light of the new restrictions on red yeast rice, phytosterols are emerging as a reliable alternative for maintaining normal cholesterol levels.

Drawing on its expertise in nutritional lipids and phospholipids, Novastell supports manufacturers in developing innovative, high-performance formulations that comply with regulatory requirements.

Are you looking to develop a new solution for cardiovascular health? Contact our teams to find out which Novastell solutions are best suited to your project.

Banniere CONTACT 5

References

– Schmidt K. et al, Clinical Nutrition ESPEN (20418) in press

– Manor I. et al, European Psychiatry 27 (2012) 335–342

– Hirayama S. et al, Journal of Human Nutrition and Dietetics 27 (2014) 284-291

– Merolli A. et al, Molecules 14 (2009) 5367–5381

– Wu Z. et al, The Journal of Immunology 184 (2010) 3191-3201

– Bjarnasson I. et al, Gastroenterology 154 (2018) 500-514

– Stremmel W. et al, Digestive Disease 30 (2012) 85-91

– Bond P., Nutrition & Metabolism 14 (2017) 12-2

Related products: