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Supplement evidence

095 / 575Cognition

Citicoline (CDP-choline)

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The short answer

Raises choline metabolites and has condition-specific cognitive research, but broad nootropic benefit is unproven.

Evidence and scope
Conditional or population-specific

This status does not grade the ingredient for every goal, outcome, or person.

Important limitation
Benefit depends on the population, formulation, baseline status, and objective; results should not be generalized.
Before deciding
Key concern: Levodopa, blood-pressure medicines, pregnancy, bipolar symptoms, and insomnia require review.

01 / PRACTICAL GUIDE

Dose, absorption, and combinations

These are indication-specific reference or studied ranges—not a personalized prescription. Start with the objective, then check the form, label, medicines, and health conditions.

Reference range by objective
Cognitive-performance research250–1,000 mg/day in human studies

Reference or studied range—not a personalized prescription. The product label or a clinician may specify a different dose.

Dose source

More is not automatically better. A clinician or product label may specify a different amount.

Absorption / solubilityWater-soluble

Water-soluble or readily water-dispersible. This does not mean excess is always harmless.

How it is commonly taken

May be divided; take earlier if stimulating.

Do not combine casually

Levodopa, blood-pressure medicines, pregnancy, bipolar symptoms, and insomnia require review.

Dose and use source

Dose and use links lead to primary or official source material. Search links are discovery tools, not proof that every returned paper applies.

02 / EVIDENCE

What the research says

We keep supportive, mixed, negative, safety, and contextual findings together. The headline never replaces the underlying papers.

2research papers in this ledger
2unique primary studies represented
2,398unique participants represented

These are audited counts for this JIVANA collection, not search-result totals. Participants are counted once when multiple papers use the same cohort; review papers are not added again to participant totals.

Open the research timelineResearch timeline

Entries are ordered by publication year. A study period appears only when the source reports it.

2021
Mixed or qualifiedPMID 33978188 · NCT03369925

Citicoline and memory function in healthy older adults

Citicoline improved secondary episodic- and composite-memory outcomes after multiplicity correction. The trial did not establish prevention of cognitive decline or everyday functional benefit, and every author worked for the ingredient maker or its contract research organization.

Study design and methods
Design
Randomized, double-blind, placebo-controlled trial
Population
100 adults aged 50–85 with age-associated memory impairment; 99 completed
Intervention
Proprietary Cognizin citicoline 500 mg/day versus placebo
Outcome
Computerized memory tests and safety measures

Funding or conflict note: Authors were employees of Kyowa Hakko Bio/Kyowa Hakko USA or Biofortis Innovation Services.

Open research record
2012
Does not support the tested claimPMID 22691567 · NCT00331890

Citicoline in moderate-to-severe acute ischemic stroke

Global recovery and safety outcomes did not differ, and the trial stopped for futility. This hospital-treatment result does not directly answer supplement use for memory, but it prevents broad neuroprotection claims.

Study design and methods
Design
International randomized, masked, multicenter placebo-controlled trial stopped for futility
Population
2,298 adults with moderate-to-severe acute ischemic stroke
Intervention
Citicoline 1,000 mg every 12 hours intravenously for 3 days then orally to 6 weeks, versus placebo, alongside acute stroke care
Outcome
Combined neurological, disability, and activities-of-daily-living recovery at 90 days; safety

Funding or conflict note: Funded by Ferrer Grupo.

Open research record
Unscreened discovery appendix—not evidence55 candidate publicationsSearch run: Aug 21, 2026

Complete for the displayed PubMed query at the search timestamp—not for all databases or every possible synonym. Candidates can be irrelevant, duplicate the same study, or report negative findings. They are never summed as evidence or participants until screened.

03 / SOURCES

Start with the source material

The live search is for discovery only. Search-result counts change and are not included in the audited totals above.

Recent PubMed discovery recordsDirect links to the first 12 records returned by the reproducible search. These are discovery candidates—not reviewed summaries or a count of supportive findings.
  1. The Impact of Citicoline/Phosphatidylserine Supplementation on Cognitive Performance and Executive Functions in Mental Disorders: A Systematic Review of Controlled Trials.Kucuksahin NG, Kaya TT, Halac E et al. · 2026 · Human psychopharmacology · PMID 42538853Open on PubMed
  2. Citicoline-Amantadine Trial in Traumatic Brain Injury: A Prospective Randomized Study.Badre DSEM, Elbeialy MAK, Fathy M · 2026 · Journal of neurotrauma · PMID 41027417Open on PubMed
  3. Lifestyle-based interventions targeting neurocognition in bipolar disorders - a systematic review of randomized controlled trials.Balanzá-Martínez V, Galdámez-Huertas A, Sánchez-Ortí JV et al. · 2025 · Psychiatry research · PMID 40639301Open on PubMed
  4. Nutraceuticals and phytoceuticals in the treatment of schizophrenia: a systematic review and network meta-analysis "Nutra NMA SCZ".Fornaro M, Caiazza C, Billeci M et al. · 2025 · Molecular psychiatry · PMID 39026098Open on PubMed
  5. Novel Energy Drink Improves Cognitive Function and Mood, without Influencing Myocardial Oxygen Demand or Ventricular Repolarization in Adult Gamers: A Randomized, Double-Blind, Placebo-Controlled, Crossover Trial.Schwager LE, Helwig NJ, Rogers EM et al. · 2024 · Journal of the American Nutrition Association · PMID 37186677Open on PubMed
  6. An α7 nAChR approach for the baseline-dependent modulation of deviance detection in schizophrenia: A pilot study assessing the combined effect of CDP-choline and galantamine.Choueiry J, Blais CM, Shah D et al. · 2023 · Journal of psychopharmacology (Oxford, England) · PMID 36927273Open on PubMed
  7. Is Citicoline Effective in Preventing and Slowing Down Dementia?-A Systematic Review and a Meta-Analysis.Bonvicini M, Travaglini S, Lelli D et al. · 2023 · Nutrients · PMID 36678257Open on PubMed
  8. The acute dose and baseline amplitude-dependent effects of CDP-choline on deviance detection (MMN) in chronic schizophrenia: A pilot study.Aidelbaum R, Labelle A, Choueiry J et al. · 2022 · Experimental and clinical psychopharmacology · PMID 33630646Open on PubMed
  9. Effects of cytidine-5'-diphosphate choline on gray matter volumes in methamphetamine-dependent patients: A randomized, double-blind, placebo-controlled study.Jeong H, Yoon S, Sung YH et al. · 2021 · Journal of psychiatric research · PMID 34507102Open on PubMed
  10. Citicoline and Memory Function in Healthy Older Adults: A Randomized, Double-Blind, Placebo-Controlled Clinical Trial.Nakazaki E, Mah E, Sanoshy K et al. · 2021 · The Journal of nutrition · PMID 33978188Open on PubMed
  11. [The effect of the use of the drug recognan (citicoline) on the state of higher mental functions in patients with mild cognitive impairment].Nemkova SA, Semenov DV, Petrova EA et al. · 2021 · Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova · PMID 34693689Open on PubMed
  12. Citicoline as Adjuvant Therapy in Parkinson's Disease: A Systematic Review.Que DS, Jamora RDG · 2021 · Clinical therapeutics · PMID 33279231Open on PubMed

04 / EXPERT CONTEXT

Expert context—not evidence

Expert positions are dated context—not scientific evidence. They never raise the evidence status or become consensus by repetition.

No direct, source-verified endorsement is currently recorded. Research authorship or discussion alone is not treated as endorsement.

Educational information only—not medical advice. Product quality, dose, medicines, pregnancy, and kidney or liver disease can materially change safety.