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Supplement

Huperzine A

Evidence

Limited
Evidence: 2 of 5 (Limited)

What the evidence says

An alkaloid from Huperzia serrata that reversibly inhibits acetylcholinesterase. Several small Chinese RCTs suggest cognitive benefit in Alzheimer's, but trial quality is low and a Cochrane review judged evidence inadequate.

Small low-quality RCTs; Cochrane judged evidence inadequate

Top Huperzine A supplements

About Huperzine A

An alkaloid from Huperzia serrata that reversibly inhibits acetylcholinesterase. Several small Chinese RCTs suggest cognitive benefit in Alzheimer's, but trial quality is low and a Cochrane review judged evidence inadequate. As a cholinesterase inhibitor it is pharmacologically active and not benign at high doses. ⚠️ Additive with prescription cholinesterase inhibitors (donepezil, rivastigmine, galantamine) and opposes anticholinergic drugs — do not combine.

What Huperzine A supports

  • Acetylcholinesterase inhibitor studied for memory

How much Huperzine A to take

The RDA prevents deficiency. The effective range is what clinical trials used to actually move the outcome.

Effective

50400

mcg

Cognitive trials used 50-200 mcg twice daily (up to 400 mcg/day total; the positive Phase II Alzheimer's arm used 400 mcg/day). Note: dosed in micrograms, not milligrams.

Clinical evidence

Limited clinical evidence. Small low-quality RCTs; Cochrane judged evidence inadequate

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