Sulbutiamine

A synthetic fat-soluble derivative of thiamine (vitamin B1) developed in Japan to treat chronic fatigue and asthenia. Unlike regular thiamine, sulbutiamine crosses the blood-brain barrier and significantly increases thiamine levels in the brain. It modulates dopaminergic, glutamatergic, and cholinergic systems, providing mild stimulation, improved memory, and reduced mental fatigue.

Dosage

Standard: 200-600 mg daily in 1-2 doses. Take with food (fat-soluble). Tolerance can develop with daily use — best cycled or used intermittently.

Dosages shown are for research reference only. Always consult a qualified healthcare provider.

Half-Life

5 hours

Administration

Oral (capsules, tablets). Fat-soluble — take with food.

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Mechanism of Action

Sulbutiamine consists of two thiamine (vitamin B1) molecules connected by a disulfide bridge, conferring lipophilicity and efficient blood-brain barrier penetration via passive diffusion. In the brain, it is hydrolyzed to thiamine and increases thiamine diphosphate (TDP) levels—the cofactor for pyruvate dehydrogenase, alpha-ketoglutarate dehydrogenase, and transketolase, enzymes critical for glucose metabolism and the Krebs cycle. Sulbutiamine upregulates D1 dopamine receptors in the prefrontal cortex, possibly through reduced receptor internalization or increased expression. It modulates glutamatergic transmission (affecting NMDA/AMPA receptor function) and enhances cholinergic transmission. The anti-fatigue and memory-enhancing effects likely stem from improved neuronal glucose oxidation, increased ATP production, and enhanced dopaminergic and cholinergic tone in cognitive circuits.

Regulatory Status

OTC supplement in most countries. Prescription medication in Japan (Arcalion) for chronic fatigue and asthenia.

Risks & Safety

Common

Headache, insomnia, irritability, nausea. Tolerance develops with daily use.

Serious

No serious adverse effects documented.

Rare

Skin rash, mood instability, agitation.

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Research Papers

10
Role of the Synthetic B1 Vitamin Sulbutiamine on Health.

Published: April 19, 2020

AI Summary

Indeed, new mechanisms of action have been found, mainly associated with its derivatives. Nevertheless, and although the research on sulbutiamine started 50 years ago, only a limited number of studies were conducted during this time frame.

Chronic administration of sulbutiamine improves long term memory formation in mice: possible cholinergic mediation.

Published: July 31, 1985

AI Summary

Parallel neurochemical investigations showed that the treatment induced a slight (+ 10%) but significant increase in hippocampal sodium-dependent high affinity choline uptake. The present findings and previous results suggest that sulbutiamine improves memory formation and that this behavioral effect could be mediated by an increase in hippocamp...

[Effects of the association of sulbutiamine with an acetylcholinesterase inhibitor in early stage and moderate Alzheimer disease].

Published: August 6, 2007

AI Summary

Compared to entry results, episodic memory decreased in group D + P but improved in group S + D. Daylife activities only improved in group S + D.

[The use of enerion in the treatment of asthenic disorders in patients after mild cranio-cerebral trauma].

Published: April 1, 2007

AI Summary

The authors present the results of the complex study, which includes neuropsychological tests and scales. It was shown that enerion was more effective as compared with paracetam.

Sulbutiamine shows promising results in reducing fatigue in patients with multiple sclerosis.

Published: August 8, 2017

AI Summary

There are no available effective therapies for fatigue associated with MS, and it is unclear whether a successful therapy of MS leads to clinical improvement. Whereas several clinical trials have demonstrated the beneficial effects of sulbutiamine in patients with asthenia, there have been no reports on the effects of sulbutiamine on fatigue in ...

Evidence for neuroprotective effect of sulbutiamine against oxygen-glucose deprivation in rat hippocampal CA1 pyramidal neurons.

Published: November 1, 2011

AI Summary

We find that exposure to OGD in the presence of sulbutiamine significantly increases neuronal viability and enhances electrophysiological properties such as excitatory synaptic transmissions and intrinsic neuronal membrane input resistance in a concentration-dependent manner.

[Effects of sulbutiamine (Arcalion 200) on psycho-behavioral inhibition in major depressive episodes].

Published: June 19, 2000

AI Summary

Psycho-behavioural inhibition is characteristic of major depressive disorder and frequently recedes after the other depressive symptoms. This may induce an important psychosocial impairment which could be a risk factor for relapse.

The scoop on brain health dietary supplement products containing huperzine A.

Published: October 27, 2020

AI Summary

We found these products were listed in Natural Medicines and Dietary Supplement Databases and being queried by Military Service Members for enhanced mental focus, alertness and energy. Only two supplements showed huperzine A content within 10% of the declared amount.

Sulbutiamine in sports.

Published: October 21, 2010

AI Summary

It was found that of ca. 16 000 samples analyzed in the Russian laboratory during 2009, about 100 samples contained sulbutiamine. This may indicate that sulbutiamine was intentionally administered for its ergogenic and mild stimulating properties.

Thiamine mimetics sulbutiamine and benfotiamine as a nutraceutical approach to anticancer therapy.

Published: January 24, 2020

AI Summary

HPLC analysis revealed that sulbutiamine and benfotiamine significantly increased intracellular thiamine and TPP concentrations in vitro, corresponding with reduced levels of PDH phosphorylation. Pharmacologic administration of benfotiamine, but not sulbutiamine, reduced tumor growth in a subcutaneous xenograft mouse model.

Frequently Asked Questions

What is Sulbutiamine used for?

A synthetic fat-soluble derivative of thiamine (vitamin B1) developed in Japan to treat chronic fatigue and asthenia. Unlike regular thiamine, sulbutiamine crosses the blood-brain barrier and significantly increases thiamine levels in the brain. It modulates dopaminergic, glutamatergic, and cholinergic systems, providing mild stimulation, improved memory, and reduced mental fatigue.

What are the side effects of Sulbutiamine?

Common: Headache, insomnia, irritability, nausea. Tolerance develops with daily use. Serious: No serious adverse effects documented. Rare: Skin rash, mood instability, agitation.

How is Sulbutiamine administered?

Sulbutiamine is administered via oral (capsules, tablets). fat-soluble — take with food..

What is the half-life of Sulbutiamine?

The half-life of Sulbutiamine is 5 hours.

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