Mitochondrial biology
Conceptual educational illustration of NAD+ in a glass specimen jar, labelled MOLECULE PROFILE.

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AGENT PROFILE

NAD+

Nonpeptide agent

Redox coenzyme and substrate for NAD-consuming enzymes; cellular role does not establish infusion benefit.

Sources checked · October 16, 2026

Published for review · Scientific, medical, translation and citation review pending. Reported uses are not authorized indications. Frequency reflects mentions in supplied sources, not sales or global clinical prevalence.

Identity and synonyms

Identity follows the supplied name and synonyms; no additional identity description is supplied.

Synonyms: Nicotinamide adenine dinucleotide

Nonpeptide agent · Cofactor, nucleoside or nucleotide

Detailed molecular class: Non-peptide dinucleotide coenzyme

Supplied sequence or chemical reference

PubChem CID: 5892

Molecular formula: C21H27N7O14P2

IUPAC: [[(2R,3S,4R,5R)-5-(6-aminopurin-9-yl)-3,4-dihydroxyoxolan-2-yl]methoxy-hydroxyphosphoryl] [(2R,3S,4R,5R)-5-(3-carbamoylpyridin-1-ium-1-yl)-3,4-dihydroxyoxolan-2-yl]methyl phosphate

Source: PC-NAD

PubChem

Chemical structure reference

Database chemical reference; does not certify supplier vial, salt, isomer or formulation.

Mechanism

Redox coenzyme and substrate for NAD-consuming enzymes; cellular role does not establish infusion benefit.

Evidence and critical reading

Reported scientific and empirical uses

Mitochondrial research · Replacement and nutritional context

Nonpeptide cofactor commercially used in infusions and energy/longevity programs.

Human evidence

2019 metabolomic pilot and 2026 retrospective tolerability comparison do not prove rejuvenation, addiction treatment or cognitive benefit.

Preclinical evidence

NAD pathway experiments cannot establish equivalent effects of NAD, NR and NMN products.

Critical reading and limitations

A metabolic study and retrospective tolerability pilot do not demonstrate rejuvenation or validated addiction treatment.

Evidence applies to the exact molecule, formulation, route, population and endpoint studied. Supplier identity, purity and clinical equivalence are unverified.

Source-specific regimens

Descriptive source observations, not individual recommendations.

Regulatory product labeling

No numerical human dose is assigned: reviewed sources did not verify a regimen attributable to this material, route and indication. Other molecules’ doses, animal exposures, vial amounts and dietary requirements are not substituted.

Human-study exposure

No numerical human dose is assigned: reviewed sources did not verify a regimen attributable to this material, route and indication. Other molecules’ doses, animal exposures, vial amounts and dietary requirements are not substituted.

Empirical handbook

No numerical human dose is assigned: reviewed sources did not verify a regimen attributable to this material, route and indication. Other molecules’ doses, animal exposures, vial amounts and dietary requirements are not substituted.

Regulation and safety

Jurisdiction-specific regulatory context

No anti-aging medicinal authorization established in this review; supplement/product status is jurisdiction-specific.

Adverse effects and unknowns

2026 report describes GI symptoms, tachycardia and chest pressure during NAD infusions. Small observational design cannot establish population safety.

The comparative pilot reported chest pressure, GI symptoms and tachycardia; route/precursor differences matter.

Contraindications

See supported safety statements and exact product label; a complete contraindication set has not been established for this catalog material.

A complete list must match the exact authorized product. For experimental materials without verified human labeling, a complete contraindication set is not established here. No list does not mean safety.

Interactions

Only explicitly cited interactions may be asserted; unstudied combinations remain unknown, not interaction-free.

Separate documented interaction, pharmacologic plausibility and unknown interaction. Absence of a blend trial does not establish compatibility.

Studies and trials

Selected studies

No selected studies are attributed in this record.

Trials attributed in the package

No trials are attributed in this record.

Trial registration does not establish efficacy or validate commercial material.

Query candidates; attribution pending

NAD+ · 267 unfiltered query results, not authenticated trials

Query verification: October 16, 2026

Exact phrase intervention query; first three most recently updated records, not exhaustive. Aliases may be missed and heterogeneous products may appear. The total is the unfiltered registry query count, not authenticated trials. Source-integrity holds are excluded from ordinary listings.

View trial registry query

NCT07808333 · Nicotinamide for Retinal Protection in Primary Open-Angle Glaucoma (NADIR Trial)Registry status: Not yet recruitingLast update posted: October 13, 2026Query verification: October 16, 2026

NCT06726369 · A Phase 1 Study to Evaluate the Safety, Pharmacokinetics, and Preliminary Efficacy of MK-6204 (SKB535) for Injection in Participants With Advanced Solid TumorsRegistry status: RecruitingLast update posted: October 13, 2026Query verification: October 16, 2026

NCT07144527 · Nicotinamide Mononucleotide Supplementation for Exercise Tolerance Improvement in Healthy Older AdultsRegistry status: RecruitingLast update posted: October 7, 2026Query verification: October 16, 2026

Source issues and references

References include queries and bibliographic handbook attributions; not all are clinical studies. Human review remains pending.

  1. PC-NAD

    PubChem NAD+ (CID 5892)

    October 16, 2026

  2. PMID31572171

    A Pilot Study Investigating Changes in the Human Plasma and Urine NAD+ Metabolome During a 6 Hour Intravenous Infusion of NAD.

    Grant R, Berg J, Mestayer R, Braidy N, Bennett J, Broom S, Watson J.

    October 16, 2026

  3. PMID41704678

    Intravenous infusion of nicotinamide adenine dinucleotide (NAD<sup>+</sup>) versus nicotinamide riboside (NR): a retrospective tolerability pilot study in a real-world setting.

    Reyna K, Heinzen G, Patel N, Ritter M, Siojo A, Legere H, Pojednic R.

    October 16, 2026

  4. pdf01

    PEPNEXA 2.pdf

    October 16, 2026

  5. pdf02

    ELLA PEPTIDES.pdf

    October 16, 2026

  6. pdf03

    zlz list 26.8.5.pdf

    October 16, 2026

  7. pdf05

    PEPNEXA.pdf

    October 16, 2026

  8. pdf07

    US Peptide MangerCorp(1).pdf

    October 16, 2026

  9. pdf09

    PeptideFactory.pdf

    October 16, 2026

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