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Nicotinamide (INN, BAN

(2025). 9780853699330, Pharmaceutical press. .
) or niacinamide (USAN ) is a form of vitamin B3 found in food and used as a dietary supplement and medication.
(2025). 9781139437738, Cambridge University Press. .
(2025). 9780857111562, British Medical Association.
As a supplement, it is used orally (swallowed by mouth) to prevent and treat (niacin deficiency). While (niacin) may be used for this purpose, nicotinamide has the benefit of not causing skin flushing.
(2025). 9789241547659, World Health Organization.
As a cream, it is used to treat , and has been observed in clinical studies to improve the appearance of aging skin by reducing hyperpigmentation and redness. It is a water-soluble vitamin.

Side effects are minimal. At high doses, may occur. Normal amounts are safe for use during . Nicotinamide is in the family of medications, specifically the vitamin B3 complex.

(2025). 9783642122644, Springer Science & Business Media. .
It is an of nicotinic acid. Foods that contain nicotinamide include , , milk, and .
(2025). 9781455759422, Elsevier Health Sciences. .

Nicotinamide was discovered between 1935 and 1937.

(2025). 9780470015520, John Wiley & Sons. .
It is on the World Health Organization's List of Essential Medicines. Nicotinamide is available as a generic medication and over the counter. Commercially, nicotinamide is made from either nicotinic acid (niacin) or . In some countries, have nicotinamide added to them.

Extra-terrestrial nicotinamide has been found in carbonaceous chondrite meteorites.


Medical uses

Niacin deficiency
Nicotinamide is the preferred treatment for , caused by niacin deficiency.


Acne
Nicotinamide cream is used as a treatment for . It has anti-inflammatory actions, which may benefit people with inflammatory skin conditions.

Nicotinamide increases the biosynthesis of in human in vitro and improves the epidermal permeability barrier in vivo. The application of 2% topical nicotinamide for 2 and 4 weeks has been found to be effective in lowering the excretion rate. Nicotinamide has been shown to prevent Cutibacterium acnes-induced activation of toll-like receptor 2, which ultimately results in the down-regulation of pro-inflammatory interleukin-8 production.


Skin cancer
Nicotinamide at doses of 500 to 1000mg a day decreases the risk of , other than , in those at high risk.


Side effects
Nicotinamide has minimal side effects. At very high doses above 3 g per day acute has been documented in at least one case. Normal doses are safe during .


Chemistry
The structure of nicotinamide consists of a ring to which a group is attached in the meta position. It is an of . As an aromatic compound, it undergoes electrophilic substitution reactions and transformations of its two . Examples of these reactions reported in Organic Syntheses include the preparation of 2-chloronicotinonitrile by a two-step process via the ,

from by reaction with phosphorus pentoxide, and from 3-aminopyridine by reaction with a solution of sodium hypobromite, prepared in situ from and .


Industrial production
The hydrolysis of is catalysed by the enzyme nitrile hydratase from Rhodococcus rhodochrous J1,
(2025). 9783540456957, Springer Science & Business Media.
(2025). 9783131766113, Georg Thieme Verlag.
producing 3500 tons per annum of nicotinamide for use in animal feed.
(2025). 9783131766113, Georg Thieme Verlag.
The enzyme allows for a more selective synthesis as further hydrolysis of the amide to is avoided.
(2025). 9783131766113, Georg Thieme Verlag.
Nicotinamide can also be made from nicotinic acid. According to Ullmann's Encyclopedia of Industrial Chemistry, worldwide 31,000 tons of nicotinamide were sold in 2014.


Biochemistry
Nicotinamide, as a part of the cofactor nicotinamide adenine dinucleotide (NADH / NAD+) is crucial to life. In cells, nicotinamide is incorporated into NAD+ and nicotinamide adenine dinucleotide phosphate (NADP+). NAD+ and NADP+ are cofactors in a wide variety of enzymatic reactions, most notably , the citric acid cycle, and the electron transport chain. 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 a . However, the human body can produce NAD+ from the amino acid and niacin without our ingestion of nicotinamide.

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 forming adenosine triphosphate.

When one mole of NADH is oxidized, 158.2kJ of energy will be released.


Biological role
Nicotinamide occurs as a component of a variety of biological systems, including within the family and specifically the vitamin B3 complex. It is also a critically important part of the structures of NADH and NAD+, where the N-substituted aromatic ring in the oxidised NAD+ form undergoes reduction with hydride attack to form NADH. The NADPH/NADP+ structures have the same ring, and are involved in similar biochemical reactions.

Nicotinamide can be methylated in the liver to biologically active 1-Methylnicotinamide when there are sufficient methyl donors.


Food sources
Nicotinamide occurs in trace amounts mainly in meat, fish, nuts, and mushrooms, as well as to a lesser extent in some vegetables. It is commonly added to cereals and other foods. Many multivitamins contain 20–30 mg of vitamin B3 and it is also available in higher doses.


Compendial status
  • British Pharmacopoeia
  • Japanese Pharmacopoeia


Research
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.

Nicotinamide has been investigated for many additional disorders, including treatment of bullous pemphigoid and nonmelanoma skin cancers.

Nicotinamide may be beneficial in treating psoriasis.

There is tentative evidence for a potential role of nicotinamide in treating acne, rosacea, autoimmune blistering disorders, ageing skin, and atopic dermatitis. Nicotinamide also inhibits poly(ADP-ribose) (PARP-1), enzymes involved in the rejoining of DNA strand breaks induced by radiation or chemotherapy. ARCON (accelerated radiotherapy plus carbogen inhalation and nicotinamide) has been studied in cancer.

Research has suggested nicotinamide may play a role in the treatment of .


Extra-terrestrial occurrence
Extra-terrestrial nicotinamide has been found in carbonaceous chondrite meteorites.

+ Vitamin B3 vitamers from extra-terrestrial sources
214 ppb
65 ppb
16 ppb
5 ppb

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