Huperzine A Supplements Review
Choose the Best Huperzine A Supplement. CL Tests
Reveal the Best Huperzine A
Supplements for Memory.
Medically reviewed and
edited by Tod Cooperman, M.D.
Last Updated: 02/04/2020 | Initially Posted:
07/06/2012
What It Is:
Huperzine A is a chemical purified
from leaves of the Chinese toothed club moss (Huperzia
serrata (Thunb. ex Murray) Trevis) or synthetically manufactured.
What It Does:
Huperzine A is one of many dietary supplement ingredients that have been
used to help prevent or treat memory disorders. Other ingredients tested and
reviewed by ConsumerLab.com include ginkgo, acetyl-L-carnitine, ginseng, niacinamide, vitamin E and fish/marine oils.
Huperzine A is believed to work in a manner similar
to some prescription drugs for treating symptoms of Alzheimer's disease:
increasing the level of the neurotransmitter acetylcholine by blocking its
breakdown. It may also protect neurons from cell death caused by toxic levels
of glutamate and protect against some of the effects of chemical nerve agents
used in warfare (e.g. soman).
In limited studies, huperzine A has been shown to
improve memory, thinking, and behavioral function in people with Alzheimer's
disease, multi-infarct dementia, and senile dementia. (See ConsumerTips™ for
usage information).
However, huperzine A was not
shown to improve memory performance any better than a placebo in a 12-week
study of 14 people in the U.S. with moderate or severe traumatic brain
injuries. In that study, the dose of huperzine A was
increased every four days, starting at 100 mcg in the mornings, then 200 mcg in
the morning and 100 mcg at night, then 200 mcg twice daily, and finally 300 mcg
twice daily. Interestingly, those taking the placebo improved more than those
taking huperzine A, although the difference was not
statistically significant, suggesting a strong placebo effect in this
population and the possibility of a detrimental effect of huperzine
A (Zafonte, Brian Inj 2019).
Quality Concerns and
Tests Performed:
Neither
the U.S. government nor any other agency is responsible for routinely testing
dietary supplements for their contents or quality. In order to help consumers identify products of better quality,
ConsumerLab.com purchased and tested huperzine A
supplements for the quality of their ingredients and other relevant parameters
as described below. See Testing Method for
more details.
Only the (-) isomer of huperzine A is active.
However, if a product is made from synthetic huperzine
A, at least 50% of its huperzine A will be inactive,
and often products do not state the form of huperzine
A that they contain. The labeled amount of huperzine
A in a product should reflect only the active form. Huperzine
A is also a relatively expensive ingredient, creating an economic incentive for
making a product with less than the labeled amount. In fact, tests by
ConsumerLab.com in 2005 and 2008 detected no or little huperzine
in one product.
Lead contamination is also possible with huperzine A,
as found during testing by ConsumerLab.com in 2003. Lead is a potential
contaminant in natural products. In children, infants, and fetuses, even low
levels of lead can adversely affect neurobehavioral development and cognitive
function. In adults, lead at somewhat higher levels can cause elevated blood
pressure, anemia, and adversely affect the nervous and reproductive systems.
Lead is of particular concern during pregnancy as the mother can transfer it to
the fetus.
All products were tested for their amounts of huperzine
A in the (-) isomer form as well as for potential lead contamination. Any
product in tablet form (excluding chewable and time-release tablets) was also
tested for its ability to properly break apart (disintegrate) in solution —
which is necessary for ingredients to be absorbed.
Update: (2/4/20) An
analysis of supplements containing huperzine A sold
online in the U.S. found that most did not contain the amounts listed on their
labels and many included ingredients that were not listed, including
potentially dangerous ingredients (see Concerns and Cautions).
What CL Found:
Of the three huperzine A supplements ConsumerLab.com selected for
testing, only one could be considered CL Approved — Source Naturals Huperzine A. Two additional products, GNC
Herbal Plus Standardized Huperzine A and Swanson
Superior Herbs Maximum-Strength Huperzine A, were
also CL Approved, having passed the same tests through CL's Voluntary Certification
Program.
Although Metagenics Ceriva passed laboratory testing -- containing its
listed amount of huperzine A and lacking lead
contamination -- it could not be CL Approved as the product does not comply
with FDA labeling rules. To help consumers read labels, the FDA requires
ingredients be listed in descending order of weight. Ceriva contains
2,000 times more palm extract than huperzine A but
lists huperzine A above the palm extract. For
compounds, like huperzine A, which are extracted from
plants, the FDA also requires listing the part of the plant
from which it was obtained. Not listing the plant part on an herbal
supplement leaves open the possibility that an ingredient was made from
the wrong (and less expensive) part of the plant. Ceriva identifies
the plant but not the plant part --which should be the aerial (above-ground)
portion or leaf.
Solaray Hup A with 225 mg Eleuthero was
not Approved because it also failed to list ingredients in order of amount and
did not list the plant part from which the huperzine
A was obtained. In addition, the amount of huperzine
A could not be determined due to chemical interference during testing.
Cost comparison
The cost of huperzine A ranged widely among the
products. To obtain 100 mcg of huperzine A, the
lowest cost was just 8 cents from Source Naturals Huperzine
A, followed by 17 cents from Swanson Superior Herbs
Maximum-Strength Huperzine A. A similar amount of
huperzine A from Metagenics
Ceriva cost $1.39 -- seventeen times
as much as from Source Naturals, although Ceriva includes the additional ingredients
folate, palm extract, and a small amount of vitamin E. In addition
to being lowest in cost, Source Naturals was the only CL
Approved product which was vegetarian and gluten-free.
Test Results by Product:
Listed
alphabetically below are the test results for five huperzine
A supplements. ConsumerLab.com selected three products. Two other products
(each indicated with an asterisk) were tested at the request of their
manufacturers/distributors through CL's Voluntary Certification
Program and are included for having passed testing.
Shown for each product is the claimed amount and form of the tested ingredient
and the serving size recommended on the label. The full list of ingredients is
available for each product by clicking on the word "Ingredients" in
the first column. Products listed as "Approved" met their label
claims and ConsumerLab.com's quality criteria
(see Passing Score). Be aware
that suggested serving sizes on labels may not reflect an appropriate dosage
for your intended use, such as for memory and cognition enhancement.
Adjustments may be necessary. Be sure to compare the "Suggested Daily
Serving" in the second column to dose information provided in What to Consider When Using. Cost comparisons
appear in the last column.
CONSUMERLAB.COM RESULTS FOR HUPERZINE A SUPPLEMENTS |
||||||
Product Name, Unit
Type, and Suggested Daily Serving |
Amount of Huperzine A (- isomer) (mcg) Per Suggested Daily Serving
on Label |
--TEST RESULTS -- |
||||
OVERALL RESULTS: |
Contained Claimed
Amount of Huperzine A |
Broke Apart Properly |
Free of Unacceptable
Levels of Lead |
Cost for 100 mcg of Huperzine A1 |
||
Huperzine A Supplements: |
||||||
GNC Herbal Plus Standardized Huperzine A |
50 to 100 mcg |
APPROVED |
|
N/A |
|
$0.76 |
Metagenics® Ceriva™ |
100 mcg |
NOT APPROVED |
|
N/A |
|
$1.39 |
Solaray® Hup A with 225 mg Eleuthero |
50 to 200 mcg |
NOT APPROVED |
Unable to determine
due to interference |
N/A |
|
$0.47 |
Source Naturals® Huperzine
A |
200 to 400 mcg |
APPROVED |
|
|
|
$0.08 |
Swanson® Superior Herbs Maximum-Strength Huperzine A |
200 mcg |
APPROVED |
|
N/A |
|
$0.17 |
Not applicable: Only non-chewable, non-capsule,
non-enteric coated, and non-time release formulations are tested for
disintegration. |
||||||
Unless otherwise noted, information about the products
listed above is based on the samples purchased by ConsumerLab.com (CL) for this
Product Review. Manufacturers may change ingredients and label information at
any time, so be sure to check labels carefully when evaluating the products you use or buy. If a product's ingredients differ
from what is listed above, it may not necessarily be of the same quality as
what was tested. |
||||||
Copyright ConsumerLab.com, LLC, 2012 All rights reserved.
Not to be reproduced, excerpted, or cited in any fashion without the express
written permission of ConsumerLab.com LLC |
ConsumerTips™:
What to
Consider When Buying:
The active form of huperzine A is the (-) isomer,
which is the form that occurs naturally in Chinese club moss. Synthetic huperzine will contain a mixture of huperzine
A in the active (-) isomer form and the inactive (+) isomer form. Consequently,
if a product does not claim to be natural, be sure that label states the amount
of huperzine specifically in the active (-) isomer
form.
What to Consider When Using:
Doses of 50 to 200 mcg (micrograms) twice daily have been used for Alzheimer's
disease and multi-infarct dementia, and a somewhat lower dose of 30 mcg twice
daily has been used for senile or pre-senile dementia. A dose of 100 mcg twice
daily has been used for memory improvement in adolescents. Some studies suggest
huperzine A may enhance the effects of prescription
drugs donepezil (Aricept®) or tacrine (Cognex®), permitting lower doses of
these drugs and fewer side effects from them.
Concerns and Cautions:
Alzheimer's
disease and other types of severe age-related mental impairment are too serious
to treat on your own and the symptoms of these diseases could be confused with
those of other serious conditions. It is advisable to see your doctor before
self-medicating for severe memory or cognitive problems. Because huperzine A increases acetylcholine levels, it may decrease
the effectiveness of anticholinergic drugs (such as atropine, benztropine
[Cogentin®], biperiden [Akineton®], and
trihexyphenidyl (Artane®) and its own effectiveness may be reduced if used with
such drugs. Conversely, it may increase the activity of other cholinergic drugs
and acetylcholinesterase inhibitors such as bethanechol (Urecholine®),
donepezil (Aricept®), echothiophate (Phospholine Iodine®), edrophonium (Reversol®),
neostigmine (Prostigmin®), physostigmine
, pyridostigmine (Mestinon®), succinylcholine
(Anecitne®, Quelicin®), and
tacrine (Cognex®). Consult a physician before using huperzine
A with any of these drugs. Huperzine A can
decrease heart rate and must be used with caution in patients with heart
problems. Theoretically, huperzine A may exacerbate
gastrointestinal and urinary obstruction, peptic ulcer disease, asthma, and
chronic obstructive pulmonary disease. Be
aware that supplements that list huperzine A may
contain more or less huperzine A than claimed on the
label, and/or potentially dangerous unlisted ingredients. An
analysis of 22 supplements (tablets, capsules and powders) listing huperzine A as an ingredient purchased online in the U.S.
found that only two of the products contained within 10% of the amount of huperzine A listed on their labels. Sixteen products (73%)
contained ingredients that were not listed on the label, and nine products
(41%) contained ingredients that are not approved for use in dietary
supplements or that may not be permitted, pending an FDA decision, including
stimulants such as demelverine, 1,5-dimethylhexylamine, vinpocetine, noopept, and
hordenine (which is on the FDA's Dietary Supplement Ingredients
Advisory List). One product that was labeled as
"decaffeinated" was found to contain caffeine. The brand names of the
products tested were not provided (Crawford, Clin Toxicol (Phila)
2020).
Information on this site
is provided for informational purposes only. It is not an endorsement of any
product nor is it meant to substitute for the advice provided by physicians or
other healthcare professionals. The information contained herein should not be
used for diagnosing or treating a health problem or disease. Consumers should
inform their healthcare providers of the dietary supplements they take.
Latest Clinical Research Updates for Huperzine
A Supplements
2/04/2020
A recent analysis of
supplements claiming to contain huperzine A (promoted
for memory enhancement) found problems with most products. For details see
the Concerns and Cautions section
of the Huperzine A
Supplements Review. Also learn what clinical studies have shown with huperzine A in the What It Does section
and see which huperzine
A supplements have been Approved by CL.
12/10/2019
Huperzine A is often touted as a
memory-enhancing supplement. Find out if it helped in a recent study of people
with traumatic brain injuries in the What It Does section
of the Huperzine A Supplements Review. Also see
our top choice for Huperzine
A.
Related CL Answers (3)