Huperzine A: Benefits, Dosage, Contraindications
Other name(s)
Huperzia serrata
Scientific name(s)
Huperzine A
Family or group:
Phytochemicals
Indications
Rating methodology
EFSA approval.
Alzheimer's Disease ✪✪✪✪✪
Meta-analyses of clinical studies, mainly conducted in China where Huperzine A is approved for Alzheimer's disease treatment, show that Huperzine A administered at doses of 200 to 800 mcg divided into 2-3 daily intakes over 8 to 36 weeks improves cognitive function, measured by the Mini-Mental Exam (MMSE). However, results are inconsistent with other scales. Meta-analyses also indicate an improvement in overall behavior and daily activity performance compared to placebo. A clinical trial in the United States showed that Huperzine A at 200 mcg twice daily for at least 16 weeks does not enhance cognition as measured by the ADAS-Cog in patients with mild to moderate Alzheimer's disease but offers a modest benefit on the MMSE. A higher dose of 400 mcg twice daily shows a modest benefit on both scales. Long-term and large-scale clinical trials are needed to confirm these results.
Posologie
Huperzine a in the treatment of Alzheimer's disease and vascular dementia: a meta-analysis
A phase II trial of Huperzine A in mild to moderate Alzheimer disease
Huperzine A for Alzheimer's disease
The effect of anti-dementia drugs on Alzheimer disease-induced cognitive impairment: A network meta-analysis
Huperzine A for Alzheimer's disease: a systematic review and meta-analysis of randomized clinical trials
Cognitive Performance ✪✪✪✪✪
Huperzine A has shown promising results in enhancing cognitive functions through various clinical studies. In a study conducted on Chinese adolescents, the daily administration of 100 micrograms of Huperzine A for four weeks significantly improved memory quotient scores compared to a placebo. Another recent placebo-controlled Phase II study aimed to assess the effectiveness of Huperzine A in improving memory and learning in individuals who suffered a moderate to severe traumatic brain injury. Participants were randomly assigned to receive either Huperzine A or a placebo for 12 weeks and evaluated using the California Verbal Learning Test – 2nd Edition (CVLT-II). The results indicate no significant difference in memory performance between the Huperzine A and placebo groups after 12 weeks of treatment.
Posologie
Huperzine A for the treatment of cognitive, mood, and functional deficits after moderate and severe TBI (HUP-TBI): results of a Phase II randomized controlled pilot study: implications for understanding the placebo effect
Effect of Huperzine A on Cognitive Function and Perception of Effort during Exercise: A Randomized Double-Blind Crossover Trial
Properties
Neurological
Huperzine A is extensively studied for its benefits on cognitive and neurological functions. It primarily acts as an acetylcholinesterase inhibitor (AChE), an enzyme that breaks down acetylcholine, a crucial neurotransmitter for memory and information processing in the brain. By blocking this enzyme, Huperzine A increases the available levels of acetylcholine, which enhances neuron communication, notably in the frontal and parietal cortex, areas crucial for reflection and planning. Compared to other drugs such as tacrine (Cognex) or donepezil (Aricept), also used in Alzheimer's disease treatment, Huperzine A proves to be more specific for AChE and possesses a longer duration of action. Furthermore, Huperzine A is recognized for its neuroprotective effects. It helps protect nerve cells against oxidative stress and damage induced by beta-amyloid peptide, often associated with Alzheimer's disease. This protection is partly due to its antioxidant and anti-apoptotic action, downregulating genes that promote apoptosis or programmed cell death. Additionally, Huperzine A stimulates the production of nerve growth factors and their receptors, supporting neuronal survival and repair. These mechanisms provide Huperzine A with significant therapeutic potential, particularly in treating neurodegenerative diseases such as dementia and Alzheimer's disease.
Usages associés
Comparative studies of huperzine A, E2020, and tacrine on behavior and cholinesterase activities
Huperzine A and Its Neuroprotective Molecular Signaling in Alzheimer's Disease
Huperzine A attenuates apoptosis and mitochondria-dependent caspase-3 in rat cortical neurons
Safety dosage
Adult: 200 µg - 800 µg
Huperzine A has been used in clinical trials lasting up to 6 months.
Interactions
Médicaments
Anticholinesterases: weak interaction
Huperzine A has inhibitory effects on acetylcholinesterase. Theoretically, Huperzine A could reduce the effects of anticholinergic medications.
Cholinergics: moderate interaction
Theoretically, simultaneous use of Huperzine A and cholinergic medications may increase the side effects of these drugs.
Precautions
Pregnant women: avoid
Insufficient data, avoid as a precaution.
Nursing women: avoid
Insufficient data, avoid as a precaution.
Contraindications
Epilepsy: prohibited
Theoretically, Huperzine A might exacerbate seizure disorders.
Intestinal obstruction: prohibited
Theoretically, Huperzine A might exacerbate gastrointestinal obstruction due to its pro-secretory effects.
Gastric ulcer: prohibited
Theoretically, Huperzine A might exacerbate gastroduodenal ulcers due to its pro-secretory effects. Huperzine A inhibits acetylcholinesterase (AChE) and may cause cholinergic adverse effects due to increased gastric acid secretions.