Huperzine A is a natural compound that inhibits the enzyme acetylcholinesterase. It also acts as an NMDA receptor antagonist. It is extracted from a type of club moss (Huperzia serrata).
Huperzine A may increase secretions in the lungs, leading to congestion. It is also known to cause a slow heart rate, which can be dangerous in people with underlying health conditions or taking medications that affect heart rhythm.
Overview
Huperzine A is an active Lycopodium alkaloid extracted from traditional Chinese herbs and a potent acetylcholinesterase (AChE) inhibitor with neuroprotective properties. It has been found to protect against oxidative stress, and it is also known to prevent amyloid beta-amyloid plaque formation.
It is a popular nootropic, a substance that enhances mental function. It has been shown to improve memory in humans and animals. It is used as a supplement for Alzheimer’s disease and other forms of dementia. It may reduce symptoms in people with Alzheimer’s disease, including agitation, aggression, and depression. It may also increase a person’s ability to perform simple tasks. It may also slow the progression of the disease and help people live longer.
There are limited clinical trials of huperzine A. Most studies last less than 36 weeks and have few patients. The safety of huperzine A is unknown. It can cause nausea, dizziness, and blurred vision. There are also concerns that it may lower heart rate or worsen some epilepsy symptoms. More research is needed. It’s important to talk with your doctor before taking huperzine A, especially if you take other medications that affect the cholinesterase enzymes, such as donepezil (Aricept), rivastigmine (Exelon), or galantamine (Razadyne). Huperzine A might interact with these drugs and increase the risk of side effects.

Uses & Effectiveness
Huperzine A is a chemical that blocks the action of an enzyme called acetylcholinesterase (AChE). This keeps the neurotransmitter acetylcholine from breaking down too quickly, which allows nerve cells to communicate with each other. It also appears to protect nerve cells from damage caused by excessive oxidation, a process known as oxidative stress.
Some research suggests that huperzine A might improve memory in people with Alzheimer disease or other forms of mental impairment. It is also used to prevent muscle weakness in a condition called myasthenia gravis. It is conceivably effective for these uses because it acts as a cholinesterase inhibitor and has been shown to promote the formation of new brain connections that enhance learning and memory.
Huperzine A may increase the effect of cholinesterase inhibitors such as donepezil (Aricept), rivastigmine (Exelon) or galantamine (Razadyne). This can amplify their side effects, including confusion and gastrointestinal distress. It can also interact with anticholinergic medications, such as certain antihistamines, antidepressants or medications for overactive bladder. Therefore, it is important to talk to your healthcare provider before taking huperzine A with any other medication.
Possibly Effective
Huperzine A is an agent that blocks the activity of acetylcholinesterase in the brain. It increases levels of a chemical called acetylcholine and seems to improve memory and mental function in people with Alzheimer disease and other dementias, although more research is needed to rate how well it works. It may also prevent muscle weakness in a disease called myasthenia gravis. It can be taken by mouth or given in a shot.
Studies have shown that huperzine A has several additional effects beyond its inhibition of acetylcholinesterase, including modification of beta-amyloid peptide processing, reduction of oxidative stress and neuroprotection. More research is needed to evaluate these effects in randomized controlled trials with long-term follow-up.
Huperzine A is POSSIBLE SAFE for children when taken by mouth for a short time, but it can have side effects like slow heart rate and it can interact with certain other medicines. It’s not known if it is safe to use while pregnant or breastfeeding. Talk to your doctor before giving it to your child.
Side Effects
Huperzine A acts as an inhibitor of acetylcholinesterase, which is the enzyme that degrades a neurotransmitter called acetylcholine. This increases levels of acetylcholine and improves memory. It is available as a dietary supplement in the United States and as a prescription medication in China.
Studies have found that huperzine A is safe when taken for short periods of time. However, some gastrointestinal discomfort has been reported. It may also cause insomnia and other sleep problems. Headaches are another side effect that may be due to the drug’s impact on acetylcholine levels. Taking smaller doses and increasing the dosage slowly may help mitigate these effects.
The evidence on whether huperzine A improves dementia is limited. More high-quality, randomized, placebo-controlled trials are needed to determine if it is effective. The safety of huperzine A is not fully understood, and long-term use is not recommended. There is some concern that huperzine A can make lung conditions such as asthma and emphysema worse. It also can increase mucous and fluid secretions in the lungs, causing congestion.
Special Precautions
Huperzine A is a natural compound extracted from a variety of club mosses and contains potent and selective acetylcholinesterase (AChE) inhibitory properties. It also has a number of neuroprotective effects, including antioxidant activity, modulation of neurotrophic factors, antagonism of NMDA receptors, and support of mitochondrial function.
Huperzine has been studied in many small clinical trials, but the long-term safety and effectiveness are unclear. Taking huperzine A can cause side effects such as dizziness, blurred vision, headaches, and nausea. However, these effects are generally mild and go away with continued use of the supplement.
A few studies have found that huperzine A might help improve memory and thinking skills in people with Alzheimer disease. However, there is not enough evidence that the drug works to prevent or slow the progression of Alzheimer disease.
It is important to talk with your doctor before taking huperzine A, especially if you have any health conditions or take prescription drugs. Huperzine A can interact with several medications, such as anticholinergics (e.g., donepezil (Aricept), rivastigmine (Exelon), and galantamine (Razadyne). Combining these medications can increase your risk of serious side effects.
Warnings
Huperzine A may interact with a number of other medications. It is important to talk to your doctor before taking huperzine A if you have any serious medical conditions or are taking any prescription medications.
Huperzine A is often used as a natural treatment for Alzheimer’s disease and to improve memory in older people who have memory problems. It is also used to treat a muscle disease called myasthenia gravis and to increase alertness. It may also protect against agents that damage the nerves, such as nerve gases.
Early research suggests that huperzine A might reduce the decline in mental function associated with Alzheimer’s disease when taken by mouth at doses of 0.2 to 0.4 mg daily. However, further study is needed to see if this is true for all patients. In small clinical trials, huperzine A was well-tolerated with few side effects. Most of the reported side effects are similar to those of other cholinergic inhibitors, such as muscular tremor, blurred vision, dry mouth, loss of appetite, nausea, vomiting, sweating, drooling, diarrhea, restlessness, contraction and twitching of muscles, increased salivation and urination, inability to control urination, high blood pressure, slowed heart rate, and anxiety.
Interactions
Huperzine A is an alkaloid from Chinese club moss (Huperzia serrata). It has been shown to have many neuroprotective effects, including modification of beta-amyloid precursor protein processing, protection against oxidative stress, and regulation of nerve growth factor secretion. It also may work by multiple mechanisms, including inhibition of acetylcholinesterase and modulation of the NMDA receptor.
There is limited evidence that huperzine A improves cognitive function in people with vascular dementia. But the quality of these trials was generally poor and more high-quality, randomized, controlled trials are needed to assess whether this drug can really help.
Huperzine A might increase the activity of a chemical in your body called acetylcholine. This might make medications that block acetylcholine, such as anticholinergic drugs, less effective. Talk to your doctor before taking huperzine A with any other medications. Huperzine A might cause side effects such as nausea, vomiting, sweating, blurred vision, loss of appetite, contraction and twitching of muscle fibers, inability to control urination, or high blood pressure. It also might slow your heart rate, which can be a problem for people with certain health problems.
Dosing
Huperzine A is potentially safe in doses of up to 200 mcg taken by mouth daily for up to 6 months. Talk with your doctor about the right dosage for you.
Huperzine A can increase a chemical in the body called acetylcholine. Some medications used to treat glaucoma, Alzheimer disease, and other conditions also increase acetylcholine. Taking huperzine A with these medications might increase your chances of side effects.
There’s a concern that huperzine A might make lung conditions such as asthma or emphysema worse. This is because huperzine A might increase mucous and fluid secretions in the lungs, causing congestion. It might also make blockage of the urinary tract or reproductive system (such as in a hernia) worse.