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Phenylpiracetam

Last updated: May 4, 2025

Phenylpiracetam, also known as Fonturacetam, is a synthetic nootropic compound derived from piracetam, developed in Russia in 1983 primarily for cosmonauts facing high-stress conditions. It acts as a stimulant by inhibiting the reuptake of dopamine and norepinephrine in the brain and also interacts with nicotinic acetylcholine receptors, known for enhancing alertness, focus, and cognitive function. Studies, primarily from Russia and animal models, suggest Phenylpiracetam offers cognitive enhancement, neuroprotection, mood improvement, and increased stress tolerance, often showing greater potency than piracetam.

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Categories & Effectiveness

Cognition

Neuroprotection & Plasticity

4/10

Moderate evidence of effectiveness

Working & Long-term Memory

4/10

Moderate evidence of effectiveness

Energy

Wakefulness / Alertness (Stimulant)

7/10

Strong evidence of effectiveness

Mood

Anxiety / Stress Reduction

4/10

Moderate evidence of effectiveness

Mood Enhancement / Antidepressant Effect

4/10

Moderate evidence of effectiveness

Dosage & Side Effects

Recommended Dosage

The standard available form is 100 mg oral tablets, often used as a starting point for dosage.
While specific threshold and optimal limits require individual assessment, doses typically align with the available tablet strength, sometimes taken once or twice daily.
Its use is primarily documented in specific patient populations in Russia (e.g., cerebrovascular deficiency, post-brain injury) and cosmonauts; data on variations for other groups is limited.

Potential Side Effects

Common side effects can include insomnia or sleep disturbances and psychomotor agitation.
Less common effects may involve flushing, a feeling of warmth, or increased blood pressure, with potential for anorexic effects during extended use.
Individuals with a known intolerance should avoid it, and caution is advised due to its stimulant properties, particularly regarding blood pressure.

Bioavailability & Half-Life

Phenylpiracetam is readily absorbed when taken orally, reaching near 100% bioavailability with effects typically noticeable within an hour. It is unique in that it is not significantly metabolized by liver enzymes like the CYP system. Instead, it's primarily excreted unchanged, with about 40% eliminated through urine and the remaining 60% via bile and sweat, possessing an elimination half-life of approximately 3 to 5 hours in humans.

Interactions & Stacks

While specific synergistic stacks aren't well-documented in clinical research, users often explore combinations typical for racetams or stimulants.
Due to its stimulant nature as a dopamine and norepinephrine reuptake inhibitor, caution should be exercised when combining Phenylpiracetam with other stimulants or medications affecting these neurotransmitter systems.
User reports vary, but the stimulant effect is a consistent theme, suggesting careful consideration before stacking.

Benefits by Use Case

Enhanced Alertness & Focus

Acts as a potent stimulant, increasing wakefulness and concentration significantly. Effects typically last for the duration of its half-life, around 3-5 hours.

Cognitive Boost Under Stress

May improve mental performance, memory, and tolerance to stressors like extreme temperatures or demanding tasks. Developed initially for cosmonauts for this purpose.

Combating Fatigue & Apathy

Its dopamine-enhancing effects can increase motivation and reduce feelings of fatigue or apathy, as seen in Russian clinical use and animal studies. Long-term efficacy requires more research.

Neuroprotection & Recovery Support

Used in Russia to aid recovery from conditions like cerebrovascular deficiency or brain injury, potentially by improving blood flow and brain tissue resistance. Evidence mainly from specific patient groups.

Mechanism of Action

Phenylpiracetam primarily functions as an atypical dopamine reuptake inhibitor (DRI) and norepinephrine reuptake inhibitor (NDRI), particularly through its (R)-enantiomer, leading to increased levels of these stimulating neurotransmitters in the synaptic cleft. This action contributes significantly to its effects on alertness, motivation, and focus. Additionally, it binds to α4β2 nicotinic acetylcholine receptors in the brain cortex, potentially modulating cholinergic activity, and like some other racetams, it may act as a positive modulator of AMPA receptors, which are crucial for learning and memory processes.

Frequently Asked Questions

Summary & Expert Opinion

Phenylpiracetam is a potent synthetic nootropic and stimulant, known for enhancing alertness, focus, and stress resilience, primarily through dopamine and norepinephrine reuptake inhibition. Its strengths lie in its noticeable stimulant effects and potential cognitive benefits reported in Russian clinical use and animal studies, often surpassing piracetam in potency. However, limitations include a lack of extensive, high-quality human trials recognized in Western medicine, particularly in healthy populations, and its unapproved status in many countries, including the US. Individuals seeking significant boosts in mental energy, focus, or performance under stress might consider it, especially if other options have been insufficient. Those sensitive to stimulants, with cardiovascular issues (like high blood pressure), or subject to WADA anti-doping rules should avoid Phenylpiracetam.

Research Studies

[Pharmacological effects of fonturacetam (Actitropil) and prospects

anticonvulsant anxiolytic metabolism regulation +2 more

A Systematic Review and Meta-Analysis of the Efficacy of Piracetam

acute stroke ineffective neuroprotection

Cognitive effects of piracetam in adults with memory impairment: A systematic review and meta-analysis

Neuroprotective and anti-inflammatory activity of DAT inhibitor R-phenylpiracetam in experimental models of inflammation in male mice

anti-inflammatory anticonvulsant cognitive enhancement +4 more