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SPECIALTY TOPICS · GUIDE

Cognitive Enhancement Substances: Where the Guides Live

A directory to the guides on supplements and "nootropics" marketed for memory and focus, with a short evidence summary and a note on prescription stimulants in healthy people.

Content last updated . This page has not been medically reviewed.

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What this page is

Substances marketed for memory, focus or "brain performance" are not profiled here. Ingredient and supplement profiles live in the Supplements section, so each topic has one canonical page. This page explains how to read the claims and points you to the right guide.

Evidence labels used: approved medicine, promising but limited, mixed, insufficient evidence, no good evidence of benefit, marketing claim. See How We Label Evidence in Biohacking.

Where the guides live

TopicGuide
What "nootropic" means and an overview
Which ingredients have evidence for which outcome
Safety and how to check claims
Caffeine and L-theanine formulas
Creatine and the brain
Plant and mushroom products
Memory supplement marketing
Wellness-side overview

What the evidence looks like overall

Supplements. The National Institute on Aging says no vitamin or supplement is currently recommended for preventing Alzheimer's or other cognitive decline. [1] For one widely sold herb, the National Center for Complementary and Integrative Health says there is no conclusive evidence that ginkgo is helpful for any health condition, and that it has been promoted for cognitive performance in healthy people. [2] A systematic review of ginkgo trials in healthy people under 60 found no convincing evidence for a robust positive effect on any aspect of cognitive function. [3]

Prescription stimulants in healthy people. These are approved medicines for specific conditions, with risks, and are legally restricted. A meta-analysis of modafinil, methylphenidate and d-amphetamine given once to healthy, non-sleep-deprived adults found small effects in specific areas of thinking, in experiments that do not reflect real-world use, and no effect for d-amphetamine. The authors wrote that the user perception that these drugs are effective cognitive enhancers is not supported by the evidence so far. [4] This page does not describe use of any prescription medicine outside prescriber supervision.

Regulation. In the US, FDA says it does not approve dietary supplements or their labeling, and that a supplement marketed to treat, prevent or cure a specific disease meets the definition of a drug. [5] That means "supports memory" language on a label is not an approval, and a disease claim is a red flag. See Clinical Devices vs Wellness Gadgets.

Reading a "cognitive" claim

  • Was it tested in people like you, over a meaningful time, with a placebo group?
  • Did the outcome matter in daily life, or only on a lab task?
  • Is the evidence about healthy people or about people with a condition? The two are not interchangeable.
  • Is the product tested by an independent lab, and what does it contain?

More tools: How to Read Health Product Marketing Claims, Brain Optimization Claims and Focus and Memory.

Frequently asked questions

Are nootropics proven?

Not as a group. Evidence is specific to each ingredient and outcome. [1][2]

Do prescription stimulants make healthy people smarter?

A meta-analysis found small effects in specific skills and concluded perceived benefits are not supported so far. [4]

Does FDA approve supplements?

No. FDA says it does not approve dietary supplements or their labeling. [5]

Why are the ingredient guides not here?

Supplement and ingredient profiles are kept in the Supplements section so each has one reliable page.

Where do I look for a specific product?

Start with Nootropic Safety and Claim Checks; this site does not rank or recommend brands.

More details: evidence, limits and cautions

The details behind this page: cautions, limits of the evidence and where sources disagree. Open any note to read it.

Safety first
Do not take prescription stimulants or other prescription medicines that were not prescribed to you. If a child or adult swallows an unknown amount of any product, call Poison Help at 1-800-222-1222 in the US, or 911 if the person is unwell; see Poison Help by Country. Supplements can interact with medicines; see How Interactions Work.
When to see a clinician
New or worsening memory loss, confusion or attention problems need medical assessment, not a product. See Memory Changes: When to Get Help.
References
Education, not medical advice. This page is for general information. It does not diagnose or treat any condition and is not a substitute for care from a qualified health professional. Natural does not automatically mean safe. Ask a clinician or pharmacist before changing your care, especially if you take medication, are pregnant or breastfeeding, or have a health condition.