Huperzine A: benefits, dosage, contraindications
Other name(s)
Huperzia serrata
Scientific name(s)
Huperzine A
Family or group:
Phytochemicals
Indications
Scoring methodology
EFSA approval.
Alzheimer's disease ✪✪✪✪✪
The meta-analyses of clinical studies, mainly conducted in China where huperzine A is approved for the treatment of Alzheimer's disease, show that huperzine A administered at doses of 200 to 800 mcg divided into 2-3 daily doses over 8 to 36 weeks improves cognitive function, measured by the Mini-Mental State Examination (MMSE). However, the results are inconsistent with other scales. Meta-analyses also indicate an improvement in overall behavior and performance in activities of daily living compared with placebo. A clinical trial in the United States showed that huperzine A at 200 mcg twice daily for at least 16 weeks does not improve cognition measured by the ADAS-Cog in patients with mild to moderate Alzheimer's disease, but provides a modest benefit on the MMSE. A higher dose of 400 mcg twice daily shows a modest benefit on both scales. Long-term, 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's disease
Huperzine A for Alzheimer's disease
The effect of anti-dementia drugs on Alzheimer's 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 strengthening cognitive functions across various clinical studies. In a study conducted on Chinese adolescents, daily administration of 100 micrograms of Huperzine A for four weeks significantly improved memory quotient scores compared with placebo. Another, more recent, randomized, placebo-controlled Phase II study aimed to evaluate the efficacy of Huperzine A for improving memory and learning in individuals who had suffered moderate to severe traumatic brain injury. Participants were randomly assigned to receive either Huperzine A or placebo for 12 weeks, and were assessed using the California Verbal Learning Test – 2nd Edition (CVLT-II). The results indicate that there was 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 widely studied for its benefits on cognitive and neurological functions. It acts mainly as an acetylcholinesterase inhibitor (AChE), an enzyme that breaks down acetylcholine, a neurotransmitter essential for memory and information processing in the brain. By blocking this enzyme, Huperzine A increases the levels of available acetylcholine, which improves communication between neurons, particularly in the frontal and parietal cortices, areas crucial for thinking and planning.nnIn comparison with other drugs such as tacrine (Cognex) or donepezil (Aricept), also used in the treatment of Alzheimer's disease, Huperzine A proves to be more specific for AChE and has a longer duration of action. nnFurthermore, Huperzine A is recognized for its neuroprotective effects. It helps protect nerve cells against oxidative stress and damage induced by the 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. In addition, Huperzine A stimulates the production of nerve growth factor and its receptors, thereby supporting neuronal survival and repair. nnThese mechanisms of action give Huperzine A significant therapeutic potential, particularly in the treatment of neurodegenerative diseases such as dementia and Alzheimer's disease.nn
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
Safe dosage
Adult: 200 µg - 800 µg
Huperzine A has been used in clinical trials lasting up to 6 months.
Interactions
Médicaments
Anticholinesterases: minor interaction
Huperzine A has inhibitory effects on acetylcholinesterase. Theoretically, huperzine A could reduce the effects of anticholinergic drugs.
Cholinergics: moderate interaction
In theory, concurrent use of huperzine A and cholinergic drugs may increase the side effects of these medications.
Precautions
Pregnant women: avoid
Insufficient data, avoid as a precaution.
Breastfeeding women: avoid
Insufficient data, avoid as a precaution.nn
Contraindications
Epilepsy: contraindicated
In theory, huperzine A could exacerbate seizure disorders. nn
Intestinal obstruction: contraindicated
Theoretically, huperzine A could worsen gastrointestinal obstruction due to its pro-secretory effects.nn
Gastric ulcer: contraindicated
Theoretically, huperzine A could worsen gastroduodenal ulceration due to its pro-secretory effects. Huperzine A inhibits acetylcholinesterase (AChE) and may cause cholinergic adverse effects due to increased gastric acid secretions.nn
Oral
200 - 500 µg
6 months
