Osteoarthritis (OA) is one of the most prevalent musculoskeletal diseases cause of joint pain and disability in adults. Risk factors include genetics, female sex, past trauma, advancing age, and obesity. The principle symptom associated with OA is pain, which is typically exacerbated by activity and relieved by rest. The goals of management of patients with OA are to control joint pain and swelling, improving the quality of life, but there are no specific pharmacologic therapies that can prevent the progression of OA. The major pharmacologic modalities used in the treatment of OA, including analgesics, nonsteroidal anti inflammatory drugs (NSAIDs), intraarticular injection, joint irrigation and surgical approaches to the treatment of OA. Glucosamine sulfate / hydrochloride and Chondroitin are symptomatic slow-acting drugs for OA widely used in clinic. In recent years, many published clinical studies of glucosamine sulfate/hydrochloride and chondroitin on OA are reviewed within the context of evidence-based medicine. The high quality trials had shown little to no evidence of clinically meaningful benefit. Almost every included trial has found the safety of these compounds to be equal to placebo.m The aim of this review summarizes the evidence to assess the clinical effectiveness of glucosamine sulfate/hydrochloride and chondroitin in patients with knee OA.