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Niacinamide

Published: July 26, 2026Updated: August 26, 2026

Niacinamide, a form of vitamin B3, treats and prevents niacin deficiency and is used in dermatology for various skin conditions.

Quick summary

Niacinamide is a vitamin B3 supplement used to treat deficiency and improve various skin conditions.

Medically reviewed by WellAlly Editorial TeamLast reviewed August 26, 2026Editorial policy

Key facts at a glance

ATC
A11HA01
RxNorm
7394
Generic
Niacinamide
Class
atc-a11
Brands
Hemocyte Plus, Multi-Delyn, Lactocal, NicAzel, Infuvite, Infuvite Pediatric, Tandem Plus, Nicomide, Dialyvite 800, Dialyvite 800 with Zinc, Rena-Vite, Dialyvite 800 with Iron, Ellis Tonic, Eldertonic, Integra F
Availability
otc
Pregnancy
A
Lactation
safe
Half-life (h)
0.75
Onset (min)
30
Duration (h)
6
Routes
oral, topical
Forms
tablet, capsule, cream, gel, lotion, solution, injection
Regions
United States, Canada, United Kingdom, Australia, European Union, Japan, India
Monitoring
liver function tests at high doses

This page is for informational purposes only.

Do not use this information to diagnose yourself or to replace a physician's advice. Always consult a qualified healthcare provider before starting, stopping, or changing any medication. If you believe you are experiencing a medical emergency, call your local emergency number immediately.

Dosage and administration

adult (standard)tablet
Usual dose
500mg twice daily
Maximum
consult physician
Frequency
every 12 hours
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard
pediatric (standard)tablet
Usual dose
250mg twice daily
Maximum
consult physician
Frequency
every 12 hours
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard
geriatric (standard)tablet
Usual dose
400mg daily
Maximum
consult physician
Frequency
once daily
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard

Overdose information

Important overdose information
Toxic dose: Single dose exceeding 10,000 mg may cause serious toxicity including severe flushing, liver damage, and gastrointestinal distress
Chronic overdose: Long-term daily doses exceeding 500-1000 mg may lead to cumulative toxicity, particularly hepatotoxicity with elevated liver enzymes
Immediate actions
Gastric lavage within 1-2 hours of ingestion if large amount consumed, activated charcoal administration, supportive care including IV fluids, monitoring of liver function and electrolytes
Antidote
No specific antidote exists; N-acetylcysteine may be considered for liver protection in severe cases(Supportive care is primary treatment; N-acetylcysteine may provide hepatoprotective benefits if administered early in cases of significant overdose)
Poison Control: 1-800-222-1222

Special Populations

12 groups
⚠

pregnancy

first trimester
caution
FDA Category
C
Dose Adjustment

use lowest effective dose

Key Recommendations

avoid high-dose supplementation during pregnancy unless medically indicated

Monitor

regular prenatal monitoring

Use with caution and monitor for adverse effects.

⚠

pregnancy

second trimester
caution
FDA Category
C
Dose Adjustment

use lowest effective dose

Key Recommendations

avoid high-dose supplementation during pregnancy unless medically indicated

Monitor

regular prenatal monitoring

Use with caution and monitor for adverse effects.

⚠

pregnancy

third trimester
caution
FDA Category
C
Dose Adjustment

use lowest effective dose

Key Recommendations

avoid high-dose supplementation during pregnancy unless medically indicated

Monitor

regular prenatal monitoring

Use with caution and monitor for adverse effects.

✓

lactation

breastfeeding
safe
FDA Category
N
Dose Adjustment

no adjustment needed at recommended doses

Key Recommendations

generally considered compatible with breastfeeding

Monitor

infant monitoring for unusual symptoms

⚠

pediatric_age

infants 0 12 months
caution
FDA Category
N
Dose Adjustment

use pediatric formulation only

Key Recommendations

consult pediatrician before use in infants

Monitor

growth and developmental monitoring

Use with caution and monitor for adverse effects.

✓

pediatric_age

children 1 12 years
safe
FDA Category
N
Dose Adjustment

use age-appropriate pediatric dosing

Key Recommendations

follow pediatric dosage guidelines

Monitor

regular pediatric check-ups

✓

geriatric

elderly 65 years and older
safe
FDA Category
N
Dose Adjustment

no routine adjustment needed

Key Recommendations

generally safe for elderly population

Monitor

routine health monitoring

✓

renal_impairment

mild renal impairment
safe
FDA Category
N
Dose Adjustment

no adjustment needed

Key Recommendations

standard dosing acceptable

Monitor

periodic renal function monitoring

⚠

renal_impairment

severe renal impairment
caution
FDA Category
N
Dose Adjustment

reduce dose and monitor closely

Key Recommendations

use with caution in end-stage renal disease

Monitor

close renal function monitoring

Use with caution and monitor for adverse effects.

⚠

hepatic_impairment

mild hepatic impairment
caution
FDA Category
N
Dose Adjustment

use with caution

Key Recommendations

monitor liver function

Monitor

regular liver function tests

Use with caution and monitor for adverse effects.

⚠

hepatic_impairment

severe hepatic impairment
caution
FDA Category
N
Dose Adjustment

avoid high doses

Key Recommendations

use only under medical supervision

Monitor

frequent liver function monitoring

Use with caution and monitor for adverse effects.

⚠

alcohol_users

chronic alcohol use
caution
FDA Category
N
Dose Adjustment

avoid excessive doses

Key Recommendations

monitor liver function in chronic alcohol users

Monitor

regular liver enzyme monitoring

Use with caution and monitor for adverse effects.

Statistics and clinical data

drug_classNIH
2023

Drug class

Value:Vitamin B3 (Niacin) supplement

Niacinamide is a form of vitamin B3 used as a dietary supplement

usageAmerican Academy of Dermatology
2023

Common uses

Value:Skin health, acne treatment, anti-aging skincare

Topical and oral applications for dermatological conditions

safetyFDA
2023

Safety status

Value:Generally Recognized as Safe (GRAS)

FDA classification for food safety

regulatoryFDA
2023

Availability

Value:Over-the-counter supplement

Regulatory classification as dietary supplement

Treatment and prevention of niacin deficiency (pellagra), management of acne and inflammatory skin conditions, reduction of hyperpigmentation, and support of skin barrier function. Sometimes used as a dietary supplement for general health.

Niacinamide is converted into nicotinamide adenine dinucleotide (NAD) and NADP, which are essential coenzymes involved in cellular energy metabolism, DNA repair, and redox reactions. In skin applications, it helps reduce inflammation, regulate sebum production, and strengthen the skin's protective barrier.

Generally well-tolerated when taken at recommended doses. May cause mild flushing, gastrointestinal upset, or liver irritation at high doses. Consult a healthcare provider before use if pregnant, breastfeeding, or taking other medications. Topical formulations may cause temporary redness or irritation in sensitive skin.

Contraindications

Conditions and patient states where this medication should be avoided or used with caution.

Do not use (1)

ABSOLUTEhypersensitivity

Known allergy to this medication or its components

Use caution (1)

RELATIVEpregnancy

Consult healthcare provider for benefits vs risks assessment

Official drug label

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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 26, 2026. · Read our editorial policy