What are the notable side effects of nicotinamide riboside chloride (NRCl) supplementation?

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Last updated: June 11, 2025View editorial policy

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From the Research

Nicotinamide riboside chloride (NRCl) supplementation is generally well-tolerated, with no significant differences in adverse events reported between NR and placebo-treated groups, and no notable side effects were observed in the most recent and highest quality study 1.

Notable Side Effects

  • The most recent study published in 2025 did not report any notable side effects of NRCl supplementation 2.
  • Another recent study published in 2024 also did not report any significant side effects of NRCl supplementation 3.
  • A study published in 2019 reported that there were no reports of flushing and no significant differences in adverse events between the NR and placebo-treated groups 1.

Potential Interactions

  • NRCl may potentially interact with certain medications, particularly blood thinners and diabetes medications, by affecting blood glucose levels or enhancing the effects of anticoagulants.

Dosage and Administration

  • Typical dosages of NRCl supplementation range from 250-500mg daily.
  • Taking NRCl with food may help reduce gastrointestinal side effects.
  • It is advisable to start with a lower dose and gradually increase to assess tolerance.

Mechanism of Action

  • NRCl functions as a precursor to nicotinamide adenine dinucleotide (NAD+), a crucial molecule involved in cellular energy production and metabolic processes throughout the body.
  • The body's adjustment to increased NAD+ levels may trigger temporary reactions, such as gastrointestinal symptoms or sleep disturbances.

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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