Safety · Supplement

Niacin (B3): side effects, safety & interactions

Nicotinic acid causes prostaglandin-mediated flushing and, at high doses, liver stress and glucose elevation. Do not sel

Overall grade
Grade B
Last revised
0
graded outcomes
0
references listed

Assembled by the app from other entries in this library. It adds no evidence of its own — follow the links to the entries it draws on.

The evidence in words

Safety profile

Nicotinic acid causes prostaglandin-mediated flushing and, at high doses, liver stress and glucose elevation. Do not self-prescribe gram doses.

Interactions to respect

No major interactions are on record for Niacin (B3) at typical doses, but tell your clinician about everything you take.

What Niacin (B3) is

Niacin is the B-vitamin precursor to NAD/NADP, the central redox coenzymes of metabolism. Pharmacologic doses of nicotinic acid were once a mainstay lipid drug; nicotinamide is the non-flushing amide form used for skin and NAD-precursor purposes.

The honest bottom line

You need milligrams to avoid deficiency and get them from food. The high-dose 'raise your HDL' era is over — it improved the panel without improving outcomes. Leave pharmacologic niacin to physicians.

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Sources

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Last revised . A grade is this entry's reading of the evidence, not medical advice.