Dietary supplement and medication
Pharmaceutical compound
Nicotinamide (INN ,BAN UK[ 2] ) orniacinamide ( USAN US) is a form of vitamin B3 found in food and used as adietary supplement and medication.[ 3] [ 4] [ 5] As a supplement, it is usedorally (swallowed by mouth) to prevent and treatpellagra (niacin deficiency).[ 4] Whilenicotinic acid (niacin) may be used for this purpose, nicotinamide has the benefit of not causingskin flushing .[ 4] As a cream, it is used to treatacne , and has been observed in clinical studies to improve the appearance of aging skin by reducinghyperpigmentation and redness.[ 5] [ 6] It is awater-soluble vitamin .
Side effects are minimal.[ 7] [ 8] At high doses,liver problems may occur.[ 7] Normal amounts are safe for use duringpregnancy .[ 9] Nicotinamide is in thevitamin B family of medications, specifically thevitamin B3 complex .[ 10] [ 11] It is anamide of nicotinic acid.[ 7] Foods that contain nicotinamide includeyeast ,meat , milk, andgreen vegetables .[ 12]
Nicotinamide was discovered between 1935 and 1937.[ 13] [ 14] It is on theWorld Health Organization's List of Essential Medicines .[ 15] [ 16] Nicotinamide is available as ageneric medication andover the counter .[ 10] Commercially, nicotinamide is made from eithernicotinic acid (niacin) ornicotinonitrile .[ 14] [ 17] In some countries,grains have nicotinamide added to them.[ 14]
Extra-terrestrial nicotinamide has been found incarbonaceous chondrite meteorites.[ 18]
Nicotinamide is the preferred treatment forpellagra , caused by niacin deficiency.[ 4]
Nicotinamidecream is used as a treatment foracne .[ 5] It has anti-inflammatory actions, which may benefit people with inflammatory skin conditions.[ 19]
Nicotinamide increases the biosynthesis ofceramides in humankeratinocytes in vitro and improves the epidermal permeability barrier in vivo.[ 20] The application of 2% topical nicotinamide for 2 and 4 weeks has been found to be effective in lowering thesebum excretion rate.[ 21] Nicotinamide has been shown to preventCutibacterium acnes -induced activation oftoll-like receptor 2 , which ultimately results in the down-regulation of pro-inflammatoryinterleukin-8 production.[ 22]
Nicotinamide at doses of 500 to 1000 mg a day decreases the risk ofskin cancers , other thanmelanoma , in those at high risk.[ 23]
Nicotinamide has minimal side effects.[ 7] [ 8] At very high doses above 3 g per day acuteliver toxicity has been documented in at least one case.[ 7] Normal doses are safe duringpregnancy .[ 9]
The structure of nicotinamide consists of apyridine ring to which aprimary amide group is attached in themeta position. It is anamide ofnicotinic acid .[ 7] As anaromatic compound , it undergoeselectrophilic substitution reactions and transformations of its twofunctional groups . Examples of these reactions reported inOrganic Syntheses include the preparation of2-chloronicotinonitrile by a two-step process via theN -oxide ,[ 24] [ 25]
fromnicotinonitrile by reaction withphosphorus pentoxide ,[ 26] and from3-aminopyridine by reaction with a solution ofsodium hypobromite , preparedin situ frombromine andsodium hydroxide .[ 27]
NAD+ , the oxidized form ofNADH , contains the nicotinamidemoiety (highlighted in red) Industrial production [ edit ] The hydrolysis ofnicotinonitrile is catalysed by the enzymenitrile hydratase fromRhodococcus rhodochrous J1,[ 28] [ 29] [ 17] producing 3500 tons per annum of nicotinamide for use in animal feed.[ 30] The enzyme allows for a more selective synthesis as further hydrolysis of the amide tonicotinic acid is avoided.[ 31] [ 32] Nicotinamide can also be made from nicotinic acid. According toUllmann's Encyclopedia of Industrial Chemistry , worldwide 31,000 tons of nicotinamide were sold in 2014.[ 14]
The active Nicotinamide group on the molecule NAD+ undergoes oxidation in many metabolic pathways. Nicotinamide, as a part of the cofactornicotinamide adenine dinucleotide (NADH / NAD+ ) is crucial to life. In cells, nicotinamide is incorporated into NAD+ andnicotinamide adenine dinucleotide phosphate (NADP+ ). NAD+ and NADP+ arecofactors in a wide variety of enzymaticoxidation-reduction reactions, most notablyglycolysis , thecitric acid cycle , and theelectron transport chain .[ 33] If humans ingest nicotinamide, it will likely undergo a series of reactions that transform it into NAD, which can then undergo a transformation to form NADP+ . This method of creation of NAD+ is called asalvage pathway . However, the human body can produce NAD+ from the amino acidtryptophan and niacin without our ingestion of nicotinamide.[ 34]
NAD+ acts as an electron carrier that mediates the interconversion of energy between nutrients and the cell's energy currency,adenosine triphosphate (ATP). In oxidation-reduction reactions, the active part of the cofactor is the nicotinamide. In NAD+ , the nitrogen in the aromatic nicotinamide ring is covalently bonded to adenine dinucleotide. The formal charge on the nitrogen is stabilized by the shared electrons of the other carbon atoms in the aromatic ring. When a hydride atom is added onto NAD+ to form NADH, the molecule loses its aromaticity, and therefore a good amount of stability. This higher energy product later releases its energy with the release of a hydride, and in the case of the electron transport chain, it assists in formingadenosine triphosphate .[ 35]
When one mole of NADH is oxidized, 158.2 kJ of energy will be released.[ 35]
Nicotinamide occurs as a component of a variety of biological systems, including within thevitamin B family and specifically thevitamin B3 complex .[ 10] [ 11] It is also a critically important part of the structures ofNADH and NAD+ , where theN -substituted aromatic ring in the oxidised NAD+ form undergoes reduction with hydride attack to form NADH.[ 33] TheNADPH/NADP+ structures have the same ring, and are involved in similar biochemical reactions.
Nicotinamide can be methylated in the liver to biologically inactive1-Methylnicotinamide when there are sufficient methyl donors.
Nicotinamide occurs in trace amounts mainly in meat, fish, nuts, and mushrooms, as well as to a lesser extent in some vegetables.[ 36] It is commonly added to cereals and other foods. Many multivitamins contain 20–30 mg ofvitamin B3 and it is also available in higher doses.[ 37]
A 2015 trial found nicotinamide to reduce the rate of new nonmelanoma skin cancers and actinic keratoses in a group of people at high risk for the conditions.[ 40]
Nicotinamide has been investigated for many additional disorders, including treatment ofbullous pemphigoid and nonmelanoma skin cancers.[ 41]
Nicotinamide may be beneficial in treating psoriasis.[ 42]
There is tentative evidence for a potential role of nicotinamide in treating acne, rosacea, autoimmune blistering disorders, ageing skin, and atopic dermatitis.[ 41] Nicotinamide also inhibits poly(ADP-ribose)polymerases (PARP-1 ), enzymes involved in the rejoining of DNA strand breaks induced by radiation or chemotherapy.[ 43] ARCON (accelerated radiotherapy plus carbogen inhalation and nicotinamide) has been studied in cancer.[ 44]
Research has suggested nicotinamide may play a role in the treatment ofHIV .[ 45]
Extra-terrestrial occurrence [ edit ] Extra-terrestrial nicotinamide has been found in carbonaceous chondrite meteorites.
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"Niacinamide: A B vitamin that improves aging facial skin appearance".Dermatologic Surgery .31 (7 Pt 2):860– 5, discussion 865.doi :10.1111/j.1524-4725.2005.31732 .PMID 16029679 . ^a b c d e f Knip M, Douek IF, Moore WP, Gillmor HA, McLean AE, Bingley PJ, et al. (November 2000)."Safety of high-dose nicotinamide: a review" (PDF) .Diabetologia .43 (11):1337– 45.doi :10.1007/s001250051536 .PMID 11126400 .S2CID 24763480 .Archived (PDF) from the original on 22 September 2017. Retrieved20 April 2018 . ^a b MacKay D, Hathcock J, Guarneri E (June 2012)."Niacin: chemical forms, bioavailability, and health effects" .Nutrition Reviews .70 (6):357– 66.doi :10.1111/j.1753-4887.2012.00479.x .PMID 22646128 . ^a b "Niacinamide Use During Pregnancy" .Drugs.com .Archived from the original on 30 December 2016. Retrieved29 December 2016 .^a b c "Niacinamide: Indications, Side Effects, Warnings" .Drugs.com . 6 June 2017.Archived from the original on 5 August 2017. 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Weinheim:Wiley-VCH . pp. 1– 9.doi :10.1002/14356007.o27_o14.pub2 .ISBN 978-3-527-30385-4 . ^ World Health Organization (2019).World Health Organization model list of essential medicines: 21st list 2019 . Geneva: World Health Organization.hdl :10665/325771 . WHO/MVP/EMP/IAU/2019.06. License: CC BY-NC-SA 3.0 IGO.^ World Health Organization (2021).World Health Organization model list of essential medicines: 22nd list (2021) . Geneva: World Health Organization.hdl :10665/345533 . WHO/MHP/HPS/EML/2021.02.^a b Schmidberger JW, Hepworth LJ, Green AP, Flitsch SL (2015)."Enzymatic Synthesis of Amides" . In Faber K, Fessner WD, Turner NJ (eds.).Biocatalysis in Organic Synthesis 1 . Science of Synthesis.Georg Thieme Verlag . pp. 329– 372.ISBN 978-3-13-176611-3 .Archived from the original on 5 November 2017. ^a b c d e Oba Y, Takano Y, Furukawa Y, Koga T, Glavin DP, Dworkin JP, et al. (April 2022)."Identifying the wide diversity of extraterrestrial purine and pyrimidine nucleobases in carbonaceous meteorites" .Nature Communications .13 (1) 2008.Bibcode :2022NatCo..13.2008O .doi :10.1038/s41467-022-29612-x .PMC 9042847 .PMID 35473908 . ^ Niren NM (January 2006). "Pharmacologic doses of nicotinamide in the treatment of inflammatory skin conditions: a review".Cutis .77 (1 Suppl):11– 6.PMID 16871774 . ^ Tanno O, Ota Y, Kitamura N, Katsube T, Inoue S (September 2000). "Nicotinamide increases biosynthesis of ceramides as well as other stratum corneum lipids to improve the epidermal permeability barrier".The British Journal of Dermatology .143 (3):524– 31.doi :10.1111/j.1365-2133.2000.03705.x .PMID 10971324 .S2CID 21874670 . ^ Draelos ZD, Matsubara A, Smiles K (June 2006). "The effect of 2% niacinamide on facial sebum production".Journal of Cosmetic and Laser Therapy .8 (2):96– 101.doi :10.1080/14764170600717704 .PMID 16766489 .S2CID 36713665 . ^ Kim J, Ochoa MT, Krutzik SR, Takeuchi O, Uematsu S, Legaspi AJ, et al. (August 2002)."Activation of toll-like receptor 2 in acne triggers inflammatory cytokine responses" .Journal of Immunology .169 (3):1535– 41.doi :10.4049/jimmunol.169.3.1535 .PMC 4636337 .PMID 12133981 . ^ Snaidr VA, Damian DL, Halliday GM (February 2019)."Nicotinamide for photoprotection and skin cancer chemoprevention: A review of efficacy and safety" .Experimental Dermatology .28 (Suppl 1):15– 22.doi :10.1111/exd.13819 .PMID 30698874 . ^ Taylor EC, Crovetti AJ (1957)."Nicotinamide-1-oxide" .Organic Syntheses .37 : 63.doi :10.15227/orgsyn.037.0063 ;Collected Volumes , vol. 4, p. 704 .^ Taylor EC, Crovetti AJ (1957)."2-Chloronicitinonitrile" .Organic Syntheses .37 : 12.doi :10.15227/orgsyn.037.0012 ;Collected Volumes , vol. 4, p. 166 .^ Teague PC, Short WA (1953)."Nicotinonitrile" .Organic Syntheses .33 : 52.doi :10.15227/orgsyn.033.0052 ;Collected Volumes , vol. 4, p. 706 .^ Allen CF, Wolf CN (1950)."3-Aminopyridine" .Organic Syntheses .30 : 3.doi :10.15227/orgsyn.030.0003 ;Collected Volumes , vol. 4, p. 45 .^ Nagasawa T, Mathew CD, Mauger J, Yamada H (July 1988)."Nitrile Hydratase-Catalyzed Production of Nicotinamide from 3-Cyanopyridine in Rhodococcus rhodochrous J1" .Applied and Environmental Microbiology .54 (7):1766– 1769.Bibcode :1988ApEnM..54.1766N .doi :10.1128/AEM.54.7.1766-1769.1988 .PMC 202743 .PMID 16347686 . ^ Hilterhaus L, Liese A (2007)."Building Blocks" . In Ulber R, Sell D (eds.).White Biotechnology . Advances in Biochemical Engineering / Biotechnology. Vol. 105.Springer Science & Business Media . pp. 133– 173.doi :10.1007/10_033 .ISBN 978-3-540-45695-7 .PMID 17408083 .S2CID 34552222 .Archived from the original on 5 November 2017. ^ Asano Y (2015)."Hydrolysis of Nitriles to Amides" . In Faber K, Fessner WD, Turner NJ (eds.).Biocatalysis in Organic Synthesis 1 . Science of Synthesis.Georg Thieme Verlag . pp. 255– 276.ISBN 978-3-13-176611-3 .Archived from the original on 5 November 2017. ^ Petersen M, Kiener A (1999). "Biocatalysis".Green Chem. 1 (2):99– 106.doi :10.1039/A809538H . ^ Servi S, Tessaro D, Hollmann F (2015)."Historical Perspectives: Paving the Way for the Future" . In Faber NJ, Fessner WD, Turner K (eds.).Biocatalysis in Organic Synthesis 1 . Science of Synthesis.Georg Thieme Verlag . pp. 1– 39.ISBN 978-3-13-176611-3 .Archived from the original on 5 November 2017. ^a b Belenky P, Bogan KL, Brenner C (January 2007)."NAD+ metabolism in health and disease" (PDF) .Trends in Biochemical Sciences .32 (1):12– 9.doi :10.1016/j.tibs.2006.11.006 .PMID 17161604 .Archived (PDF) from the original on 27 September 2007. ^ Williams AC, Cartwright LS, Ramsden DB (March 2005)."Parkinson's disease: the first common neurological disease due to auto-intoxication?" .QJM .98 (3):215– 26.doi :10.1093/qjmed/hci027 .PMID 15728403 . ^a b Casiday R, Herman C, Frey R (5 September 2008)."Energy for the Body: Oxidative Phosphorylation" .www.chemistry.wustl.edu . Department of Chemistry,Washington University in St. Louis .Archived from the original on 22 November 2016. Retrieved14 March 2017 . ^ Rolfe HM (December 2014). "A review of nicotinamide: treatment of skin diseases and potential side effects".Journal of Cosmetic Dermatology .13 (4):324– 8.doi :10.1111/jocd.12119 .PMID 25399625 .S2CID 28160151 . ^ Ranaweera A (2017)."Nicotinamide" .DermNet New Zealand (www.dermnetnz.org) . DermNet New Zealand Trust.Archived from the original on 25 March 2017. Retrieved30 June 2017 . ^ British Pharmacopoeia Commission Secretariat (2009).Index, BP 2009 (PDF) . Archived fromthe original (PDF) on 22 July 2011. Retrieved4 February 2010 . ^ Japanese Pharmacopoeia (PDF) (15th ed.). 2006. Archived fromthe original (PDF) on 22 July 2011. Retrieved4 February 2010 .^ Minocha R, Damian DL, Halliday GM (January 2018)."Melanoma and nonmelanoma skin cancer chemoprevention: A role for nicotinamide?" .Photodermatology, Photoimmunology & Photomedicine .34 (1):5– 12.doi :10.1111/phpp.12328 .PMID 28681504 . ^a b Chen AC, Damian DL (August 2014). "Nicotinamide and the skin".The Australasian Journal of Dermatology .55 (3):169– 75.doi :10.1111/ajd.12163 .PMID 24635573 .S2CID 45745255 . ^ Namazi MR (August 2003)."Nicotinamide: a potential addition to the anti-psoriatic weaponry" .FASEB Journal .17 (11):1377– 9.doi :10.1096/fj.03-0002hyp .PMID 12890690 .S2CID 39752891 . ^ "Definition of niacinamide" .NCI Drug Dictionary .National Cancer Institute . 2 February 2011.Archived from the original on 28 April 2015. Retrieved30 June 2017 .^ Kaanders JH, Bussink J, van der Kogel AJ (December 2002). "ARCON: a novel biology-based approach in radiotherapy".The Lancet. Oncology .3 (12):728– 37.doi :10.1016/s1470-2045(02)00929-4 .PMID 12473514 . ^ Mandavilli A (7 July 2020)."Patient Is Reported Free of H.I.V., but Scientists Urge Caution" .The New York Times .Archived from the original on 23 September 2020. Retrieved22 September 2020 . ^ Oba Y, Koga T, Takano Y, Ogawa NO, Ohkouchi N, Sasaki K, et al. 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Fat soluble
Water soluble
Combinations
ER Tooltip Estrogen receptor
Agonists Steroidal: 2-Hydroxyestradiol 2-Hydroxyestrone 3-Methyl-19-methyleneandrosta-3,5-dien-17β-ol 3α-Androstanediol 3α,5α-Dihydrolevonorgestrel 3β,5α-Dihydrolevonorgestrel 3α-Hydroxytibolone 3β-Hydroxytibolone 3β-Androstanediol 4-Androstenediol 4-Androstenedione 4-Fluoroestradiol 4-Hydroxyestradiol 4-Hydroxyestrone 4-Methoxyestradiol 4-Methoxyestrone 5-Androstenediol 7-Oxo-DHEA 7α-Hydroxy-DHEA 7α-Methylestradiol 7β-Hydroxyepiandrosterone 8,9-Dehydroestradiol 8,9-Dehydroestrone 8β-VE2 10β,17β-Dihydroxyestra-1,4-dien-3-one (DHED) 11β-Chloromethylestradiol 11β-Methoxyestradiol 15α-Hydroxyestradiol 16-Ketoestradiol 16-Ketoestrone 16α-Fluoroestradiol 16α-Hydroxy-DHEA 16α-Hydroxyestrone 16α-Iodoestradiol 16α-LE2 16β-Hydroxyestrone 16β,17α-Epiestriol (16β-hydroxy-17α-estradiol) 17α-Estradiol (alfatradiol )17α-Dihydroequilenin 17α-Dihydroequilin 17α-Epiestriol (16α-hydroxy-17α-estradiol) 17α-Ethynyl-3α-androstanediol 17α-Ethynyl-3β-androstanediol 17β-Dihydroequilenin 17β-Dihydroequilin 17β-Methyl-17α-dihydroequilenin Abiraterone Abiraterone acetate Alestramustine Almestrone Anabolic steroids (e.g.,testosterone andesters ,methyltestosterone ,metandienone (methandrostenolone) ,nandrolone andesters , many others; via estrogenic metabolites)Atrimustine Bolandiol Bolandiol dipropionate Butolame Clomestrone Cloxestradiol Conjugated estriol Conjugated estrogens Cyclodiol Cyclotriol DHEA DHEA-S ent -EstradiolEpiestriol (16β-epiestriol, 16β-hydroxy-17β-estradiol) Epimestrol Equilenin Equilin ERA-63 (ORG-37663) Esterified estrogens Estetrol Estradiol Estramustine Estramustine phosphate Estrapronicate Estrazinol Estriol Estrofurate Estrogenic substances Estromustine Estrone Etamestrol (eptamestrol) Ethinylandrostenediol Ethinylestradiol Ethinylestriol Ethylestradiol Etynodiol Etynodiol diacetate Hexolame Hippulin Hydroxyestrone diacetate Lynestrenol Lynestrenol phenylpropionate Mestranol Methylestradiol Moxestrol Mytatrienediol Nilestriol Norethisterone Noretynodrel Orestrate Pentolame Prodiame Prolame Promestriene RU-16117 Quinestradol Quinestrol Tibolone Xenoestrogens: Anise -related (e.g.,anethole ,anol ,dianethole ,dianol ,photoanethole )Chalconoids (e.g.,isoliquiritigenin ,phloretin ,phlorizin (phloridzin) ,wedelolactone )Coumestans (e.g.,coumestrol ,psoralidin )Flavonoids (incl.7,8-DHF ,8-prenylnaringenin ,apigenin ,baicalein ,baicalin ,biochanin A ,calycosin ,catechin ,daidzein ,daidzin ,ECG ,EGCG ,epicatechin ,equol ,formononetin ,glabrene ,glabridin ,genistein ,genistin ,glycitein ,kaempferol ,liquiritigenin ,mirificin ,myricetin ,naringenin ,penduletin ,pinocembrin ,prunetin ,puerarin ,quercetin ,tectoridin ,tectorigenin )Lavender oil Lignans (e.g.,enterodiol ,enterolactone ,nyasol (cis -hinokiresinol) )Metalloestrogens (e.g.,cadmium )Pesticides (e.g.,alternariol ,dieldrin ,endosulfan ,fenarimol ,HPTE ,methiocarb ,methoxychlor ,triclocarban ,triclosan )Phytosteroids (e.g.,digitoxin (digitalis ),diosgenin ,guggulsterone )Phytosterols (e.g.,β-sitosterol ,campesterol ,stigmasterol )Resorcylic acid lactones (e.g.,zearalanone ,α-zearalenol ,β-zearalenol ,zearalenone ,zeranol (α-zearalanol) ,taleranol (teranol, β-zearalanol) )Steroid -like (e.g.,deoxymiroestrol ,miroestrol )Stilbenoids (e.g.,resveratrol ,rhaponticin )Synthetic xenoestrogens (e.g.,alkylphenols ,bisphenols (e.g.,BPA ,BPF ,BPS ),DDT ,parabens ,PBBs ,PHBA ,phthalates ,PCBs )Others (e.g.,agnuside ,rotundifuran ) Mixed (SERMs Tooltip Selective estrogen receptor modulators ) Antagonists Coregulator-binding modulators: ERX-11
GPER Tooltip G protein-coupled estrogen receptor
Agonists Antagonists Unknown
Alcohols Barbiturates Benzodiazepines Carbamates Flavonoids Imidazoles Kava constituentsMonoureides Neuroactive steroids Nonbenzodiazepines Phenols Piperidinediones Pyrazolopyridines Quinazolinones Volatiles /gases Others/unsorted 3-Hydroxybutanal α-EMTBL AA-29504 Alogabat Avermectins (e.g.,ivermectin )Bromide compounds (e.g.,lithium bromide ,potassium bromide ,sodium bromide )Carbamazepine Chloralose Chlormezanone Clomethiazole Darigabat DEABL Deuterated etifoxine Dihydroergolines (e.g.,dihydroergocryptine ,dihydroergosine ,dihydroergotamine ,ergoloid (dihydroergotoxine) )DS2 Efavirenz Etazepine Etifoxine Fenamates (e.g.,flufenamic acid ,mefenamic acid ,niflumic acid ,tolfenamic acid )Fluoxetine Flupirtine Hopantenic acid KRM-II-81 Lanthanum Lavender oil Lignans (e.g.,4-O-methylhonokiol ,honokiol ,magnolol ,obovatol )Loreclezole Menthyl isovalerate (validolum) Monastrol Nicotinic acid Nicotinamide Org 25,435 Phenytoin Propanidid Retigabine (ezogabine) Safranal Seproxetine Stiripentol Sulfonylalkanes (e.g.,sulfonmethane (sulfonal) ,tetronal ,trional )Terpenoids (e.g.,borneol )Topiramate Valerian constituents (e.g.,isovaleric acid ,isovaleramide ,valerenic acid ,valerenol )
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