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Compounds / NAD+

NAD+

Full name
Nicotinamide Adenine Dinucleotide
Mechanism
Essential coenzyme central to redox reactions, mitochondrial energy production, and substrate for sirtuins and PARPs. Cellular levels decline with age; IV/SC supplementation aims to restore NAD+ pools.
Half-life
rapid turnover; clinical effect protocol-dependent
Administration
intravenous, subcutaneous, intranasal, oral precursors (NMN/NR)
Typical dosage*
low: 50-100mg SC · typical: IV 250-500mg infusion · high: IV 750mg+ (clinic-administered)
Researched for
energy/fatigue, cellular-aging research interest, addiction-recovery protocols (clinical IV)
Reported side effects
IV: flushing, chest tightness, nausea if infused too fast, injection-site discomfort
Interactions
limited interaction data
Commonly combined
NAD+ + NMN/NR precursors, NAD+ IV + glutathione (clinic protocols)
Scheduling
🇦🇺 AUNot ARTG-registered as a therapeutic; used in some clinics off-label
🇺🇸 USSold as supplement/IV therapy; not an FDA-approved drug
🇬🇧 UKNot licensed medicine
Regulatory status
Not an approved drug; offered as wellness IV therapy in some jurisdictions. Precursors (NMN/NR) sold as supplements (NMN status varies by country).

*Doses are commonly-reported figures from public sources, not a recommendation. Educational only.

25studies
9faqs
longevityenergy-metabolismcellular-health

Studies (25)

YearTitle / venueSource
2024Molecular mechanisms of aging and anti-aging strategies
Cell communication and signaling : CCS · preclinical
PMID 38790068
2024NAD metabolism: Role in senescence regulation and aging
Aging cell · preclinical
PMID 37424179
2024Role and Potential Mechanisms of Nicotinamide Mononucleotide in Aging
Aging and disease · preclinical
PMID 37548938
2024The therapeutic perspective of NAD(+) precursors in age-related diseases
Biochemical and biophysical research communications · preclinical
PMID 38340651
2023Nicotinamide Adenine Dinucleotide in Aging Biology: Potential Applications and Many Unknowns
Endocrine reviews · preclinical
PMID 37364580
2023Dietary Supplementation With NAD+-Boosting Compounds in Humans: Current Knowledge and Future Directions
The journals of gerontology. Series A, Biological sciences and medical sciences · preclinical
PMID 37068054
2023Sirtuin family in autoimmune diseases
Frontiers in immunology · preclinical
PMID 37483618
2022Nicotinamide mononucleotide (NMN) as an anti-aging health product - Promises and safety concerns
Journal of advanced research · preclinical
PMID 35499054
2022Molecular mechanisms of dietary restriction promoting health and longevity
Nature reviews. Molecular cell biology · preclinical
PMID 34518687
2022The role of nicotinamide mononucleotide (NMN) in anti-aging, longevity, and its potential for treating chronic conditions
Molecular biology reports · preclinical
PMID 35441939
2021NAD(+) metabolism and its roles in cellular processes during ageing
Nature reviews. Molecular cell biology · preclinical
PMID 33353981
2021NAD(+) supplementation reduces neuroinflammation and cell senescence in a transgenic mouse model of Alzheimer's disease via cGAS-STING
Proceedings of the National Academy of Sciences of the United States of America · preclinical
PMID 34497121
2021Role of NAD(+) in regulating cellular and metabolic signaling pathways
Molecular metabolism · preclinical
PMID 33609766
2020NAD(+) metabolism: pathophysiologic mechanisms and therapeutic potential
Signal transduction and targeted therapy · preclinical
PMID 33028824
2020The kynurenine pathway: a finger in every pie
Molecular psychiatry · preclinical
PMID 30980044
2020T cells with dysfunctional mitochondria induce multimorbidity and premature senescence
Science (New York, N.Y.) · preclinical
PMID 32439659
2020Nicotinamide Mononucleotide Supplementation Reverses the Declining Quality of Maternally Aged Oocytes
Cell reports · preclinical
PMID 32755581
2020NAD(+) homeostasis in health and disease
Nature metabolism · preclinical
PMID 32694684
2020Sarcopenia and Muscle Aging: A Brief Overview
Endocrinology and metabolism (Seoul, Korea) · preclinical
PMID 33397034
2020NAD+ therapy in age-related degenerative disorders: A benefit/risk analysis
Experimental gerontology · preclinical
PMID 31917996
2018Therapeutic Potential of NAD-Boosting Molecules: The In Vivo Evidence
Cell metabolism · preclinical
PMID 29514064
2018NAD(+) Intermediates: The Biology and Therapeutic Potential of NMN and NR
Cell metabolism · preclinical
PMID 29249689
2016CD38 Dictates Age-Related NAD Decline and Mitochondrial Dysfunction through an SIRT3-Dependent Mechanism
Cell metabolism · preclinical
PMID 27304511
2015NAD⁺ in aging, metabolism, and neurodegeneration
Science (New York, N.Y.) · preclinical
PMID 26785480
2014NAD+ and sirtuins in aging and disease
Trends in cell biology · preclinical
PMID 24786309

Questions (9)

What is NAD+?

NAD+ (Nicotinamide Adenine Dinucleotide). Essential coenzyme central to redox reactions, mitochondrial energy production, and substrate for sirtuins and PARPs. Cellular levels decline with age; IV/SC supplementation aims to restore NAD+ pools.

What is NAD+ used for?

Commonly discussed uses: energy/fatigue, cellular-aging research interest, addiction-recovery protocols (clinical IV). There is both human and animal/preclinical research, though the depth and quality vary by indication. Note: most uses are not approved indications.

How does NAD+ work?

Mechanism: Essential coenzyme central to redox reactions, mitochondrial energy production, and substrate for sirtuins and PARPs. Cellular levels decline with age; IV/SC supplementation aims to restore NAD+ pools.

Is NAD+ safe?

Reported considerations: IV: flushing, chest tightness, nausea if infused too fast, injection-site discomfort. There is both human and animal/preclinical research, though the depth and quality vary by indication. Not an approved drug; offered as wellness IV therapy in some jurisdictions. Precursors (NMN/NR) sold as supplements (NMN status varies by country). This is not a safety endorsement; safety data for unapproved compounds is incomplete.

What is the typical dose of NAD+?

Commonly cited ranges (educational reference, not a recommendation): low 50-100mg SC, typical IV 250-500mg infusion, high IV 750mg+ (clinic-administered). Administration: intravenous, subcutaneous, intranasal, oral precursors (NMN/NR). Half-life: rapid turnover; clinical effect protocol-dependent.

Is NAD+ legal in Australia?

Australian status: Not ARTG-registered as a therapeutic; used in some clinics off-label. Not an approved drug; offered as wellness IV therapy in some jurisdictions. Precursors (NMN/NR) sold as supplements (NMN status varies by country). General regulatory context: most active peptides are Schedule 4 and require a prescription; import via the Personal Importation Scheme requires a valid Australian prescription for prescription-only goods.

How do you store NAD+?

Reconstitution/storage reference: varies by formulation; storage: refrigerated; light-sensitive.

What is NAD+ commonly stacked with?

Commonly discussed combinations (anecdotal for unapproved compounds): NAD+ + NMN/NR precursors, NAD+ IV + glutathione (clinic protocols). Stacking increases interaction/safety uncertainty.