PlainPill

NAC vs Phenibut for anxiety

Short answer: For anxiety, users rate them about the same: 90% report improvement with NAC (301 reports) and 89% with Phenibut (419 reports).

NAC has 387 meta-analyses and 767 randomized trials on PubMed; Phenibut has 3 and 1.

Based on 2,058 reports about NAC and 1,030 about Phenibut. Not medical advice.

NAC
Supplement
Phenibut
Substance
Users say it helped54%helped947 reports · high confidence43%helped628 reports · high confidence
Verdict
Mixed
Mixed
ResearchAResearch: StrongBResearch: Moderate
Meta-analyses / RCTs387 / 7673 / 1
Mainly used for
Anxiety
% reporting improvement
90% (301)89% (419)
Mood
% reporting improvement
65% (323)90% (181)
Focus
% reporting improvement
81% (170)72% (47)
Sleep
% reporting improvement
71% (48)86% (90)
Energy
% reporting improvement
73% (91)79% (38)
Common side effectsanhedonia, stomach issues, depression, emotional bluntingwithdrawal, tolerance, addiction, dependence
Typical dose reported600 mg500 mg
NAC
Latest review conclusion

Taken together, these preliminary findings suggest that dietetic approaches might be included as part of BD treatment. Also considering the high risk of metabolic disorders in individuals with BD, they should be encouraged to choose healthy dietary lifestyles, including daily intake of fruits, vegetables, seafood and whole grains.

Nutr Neurosci, 2023 ↗
What a user said
“NAC has helped me stay calm and reduce anxiety as well as gives me loads of energy if I am sleep deprived.”
Full NAC profile →
Phenibut
Latest review conclusion

Phenibut withdrawal appears to have a range of severity. It is important to recognize that patients undergoing phenibut abstinence may have progressive symptom worsening during early withdrawal. All published cases of abrupt phenibut abstinence were admitted inpatients for symptom management. Benzodiazepines or barbiturates with adjunctive baclofen appear to be the most commonly used drugs for moderate to severe withdrawal. Outpatient management via slow phenibut tapers with or without adjunctive gamma-aminobutyric acid agonist therapy may be successful. However, there is no standard treatment

Clin Toxicol (Phila), 2023 ↗
What a user said
“Phenibut every 3 days. Hands down most effective I've tried. Plus you wake up feeling amazing.”
Full Phenibut profile →

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Percentages come from first-hand user reports and are not clinical outcomes. Talk to a doctor before starting, stopping or combining anything. How we rate