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Citicoline side effects

Across 681 first-hand reports, people mentioned a side effect 33 times (about 5 per 100 reports). The most common: depression, headache, anxiety. User reports show what people notice — they can't tell you whether Citicoline is safe for you.

Reported side effects

depression13
headache6
anxiety6
irritability3
suicidal ideation2
anger1
fish odor1
stimulation1

What got worse for some people

In their own words

“I started taking 250mg of CDP Choline with it as well. After a few days I remember it making me feel really down emotionally.”
MixedRead the discussion ↗
“I believe this had led to excessive accumulation of acetylcholine (ACh) and subsequent symptoms (depression, low mood, anxiety, etc).”
Didn't helpRead the discussion ↗
“Word of warning: Cognizin's (citicoline) half life is very long. It did not do well with sleep for me.”
MixedRead the discussion ↗
“I was referring to CDP choline but figured they might all have the same side effect in higher doses.”
MixedRead the discussion ↗
“I notice CDP-choline helps verbal fluency and social function, but doses of 1-1.2g cause overwhelming stressful feelings.”
MixedRead the discussion ↗

Is Citicoline safe? What the research covers

AResearch: Strong39 meta-analyses · 106 randomized trials on PubMed
Cochrane Database Syst Rev · 2015
Interventions for post-stroke fatigue

Conclusion: There was insufficient evidence on the efficacy of any intervention to treat or prevent fatigue after stroke. Trials to date have been small and heterogeneous, and some have had a high risk of bias. Some of the interventions described were feasible in people with stroke, but their efficacy should be investigated in RCTs with a more robust study design and adequate sample sizes.

BMJ Clin Evid · 2011
Stroke management

Conclusion: In this systematic review we present information relating to the effectiveness and safety of the following interventions: acute reduction in blood pressure, aspirin, evacuation (early surgical evacuation, or conservative treatment), decompressive hemicraniectomy, neuroprotective agents (calcium channel blockers, citicoline, gamma-aminobutyric acid agonists, glycine antagonists, lubeluzole, magnesium, N-methyl-D-aspartate antagonists), specialised stroke care, systemic anticoagulation (heparinoids, specific thrombin inhibitors, low molecular weight heparin, oral anticoagulants, unfractionated h

Citicoline side effects: what 681 users report — PlainPill