Nicotinamide Riboside (NR)
NAD+ precursor supplement studied for cellular energy metabolism and potential anti-aging effects.
Human Trials
12
847 participants
Risk Level
Monthly Cost
Based on 250-500mg daily dosing
Quick Facts
- Category
- Supplement
- Research Field
- Supplements
- Evidence Grade
- B- – Promising
- Risk Level
- Low
- Monthly Cost
- $45 – $120
- Human Trials
- 12
Typical Dose
300–500 mg/day
Range
250–1000 mg/day
For informational purposes only – not medical advice. See disclaimer
Research Velocity
Mechanism of Action
Nicotinamide riboside functions as a precursor to nicotinamide adenine dinucleotide (NAD+), a critical coenzyme involved in cellular energy metabolism and DNA repair. Research indicates NR can effectively raise NAD+ levels in humans, potentially supporting mitochondrial function and activating sirtuins, proteins associated with longevity pathways. Studies suggest this mechanism may help counteract age-related decline in cellular NAD+ levels.
Overview
Nicotinamide riboside (NR) is a form of vitamin B3 that has gained significant attention as a potential anti-aging supplement. Research indicates that NR can effectively raise NAD+ levels in human tissues, which naturally decline with age. Studies suggest this elevation may support cellular energy production, DNA repair mechanisms, and the activation of sirtuins - proteins associated with longevity and stress resistance.
Human clinical trials have demonstrated that NR supplementation is generally well-tolerated and can successfully increase NAD+ levels in various tissues, including skeletal muscle. However, the translation of elevated NAD+ levels to meaningful health benefits remains under investigation. Some studies have shown modest improvements in markers of muscle health and inflammation, while others have found limited functional improvements despite biochemical changes.
While NR appears safe for most healthy adults, the long-term effects and optimal dosing strategies are still being researched. The supplement has received GRAS (Generally Recognized as Safe) status from the FDA, making it widely available as a dietary supplement. Current research continues to explore its potential applications in aging, metabolic health, and neurological conditions.
Known Interactions
- May interact with medications metabolized by PARPs
- Potential interactions with blood thinners due to effects on cellular metabolism
- Could theoretically interact with chemotherapy drugs affecting NAD+ pathways
Legal Status by Country
Your country (United States)
FDA GRAS status
Available without prescription in:
Australia, Canada, Germany, Israel, Mexico, Netherlands, Switzerland, United Kingdom, United States, Brazil, Colombia, India, Japan, Panama, Russia, South Korea, Thailand, Turkey, UAE
📍 = your selected country · ✈️ = medical tourism destination · Always verify current local regulations before travel.
Key Research
- 2018
First major human trial showing NAD+ elevation in muscle tissue
- 2020
Safety and efficacy in healthy aging adults
- 2021
Metabolic effects in insulin resistance
- 2020
Skin aging and UV damage research
Related Interventions
Niacin (Nicotinic Acid/NAD+ Precursor)
B-vitamin that serves as a precursor to NAD+ and may support cardiovascular health and cellular energy metabolism.
Nicotinamide Mononucleotide (NMN)
NAD+ precursor supplement that research suggests may support cellular energy metabolism and healthy aging pathways.
Acetyl-L-Carnitine (ALCAR)
Research suggests acetyl-L-carnitine may support mitochondrial function, cognitive performance, and cellular energy metabolism.
Alpha-Lipoic Acid
A potent antioxidant supplement that research indicates may improve insulin sensitivity and reduce oxidative stress.
Last verified: 2026-03-16