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Nicotinamide

NIACINAMIDE

What it isAmide form of vitamin B3, a NAD precursor; pellagra and skin cancer chemoprophylaxis.

Why this oneUnlike niacin it does not cause flushing, and it reduces non-melanoma skin cancer in high-risk patients.

What limits itIt does not lower lipids, which niacin does — the two are not interchangeable. Hepatotoxicity at very high doses.

FDA-approved for

Off-label

FDA label

FDA dosingPopulationStartTargetMax
Dietary supplementAdult1–2 tablets QD1–2 tablets QD

Renal Undefined

Hepatic Undefined

Instructions

Pregnancy Undefined

Lactation Undefined

NO BOXED WARNINGS

Principal riskIt has no lipid effect at all, unlike niacin — the two are often confused

Classes and tags

Clinical profile

Direct muscarinic antagonism0 / 4

Active metabolites

Mechanism of action: Nicotinamide ballicule

Nicotinamide ballicule: receptor binding, kinetics and half-life diagram

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