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racetamEVIDENCEBUSUnscheduled

Nefiracetam

Fat-soluble racetam developed in Japan with GABAergic anxiolytic + cholinergic memory effects.

Dose range150–450mg
Half-life4h
Onsetmin
Safety3/5medium evidence base

Mechanism of action

Enhances NMDA and nicotinic ACh receptor function. Mild GABAergic potentiation. Increases long-term potentiation.

Benefits

  • Memory and learning

    EVIDENCEB

    Animal models; Japanese clinical trials.

  • Apathy in post-stroke patients

    EVIDENCEB

    Robinson 2009.

Side effects

  • Hepatotoxicity at high dose in animalsraremoderate

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