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Niacinamide

vitamin

Also known as: Nicotinamide, Vitamin B3, Niacin amide

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About

Niacinamide is the amide form of vitamin B3 that supports NAD+/NADH coenzyme production, strengthens the epidermal lipid barrier by stimulating ceramide and fatty acid synthesis, and inhibits melanosome transfer from melanocytes to keratinocytes. The landmark ONTRAC trial found oral nicotinamide 500 mg twice daily reduced new nonmelanoma skin cancers by 23% in high-risk individuals.

How It Works

Amide form of vitamin B3 that supports NAD+/NADH coenzyme production; strengthens the epidermal lipid barrier by stimulating ceramide and fatty acid synthesis; inhibits melanosome transfer from melanocytes to keratinocytes (reducing hyperpigmentation); suppresses NF-kB-mediated inflammatory pathways in skin.

Evidence For Conditions

Condition Grade Studies Participants
Acne A 15 1200 View →
UV Protection (Internal Photoprotection) A 5 686 View →

Side Effects

  • Generally well-tolerated (no flushing unlike niacin)
  • Mild gastrointestinal discomfort at high doses
  • Rare hepatotoxicity at very high doses (> 3,000 mg/day)

Drug & Supplement Interactions

  • Anticonvulsants (carbamazepine — may increase niacinamide levels)
  • Hepatotoxic drugs (potential additive liver effect at high doses)
  • Isoniazid (competes for NAD+ pathways)

Always inform your healthcare provider about all supplements you take.

Related Ingredients

FDA Disclaimer: These statements have not been evaluated by the Food and Drug Administration. The products and information on this website are not intended to diagnose, treat, cure, or prevent any disease. The evidence grades presented are based on our analysis of published peer-reviewed research and do not constitute medical advice. Always consult your healthcare provider before starting any supplement regimen.