Rankings / Cognitive

Oxiracetam

Cognitive · Racetam

Tier B

nootropiccholinergicprescription
6.4 / 10
Tier B
Ev 4.5 Bn 5 Sf 9

Bottom line

Read Off Label grades Oxiracetam as B (6.4/10) based on weak-moderate evidence, variable benefit magnitude, and a low-risk safety profile.

Italian/Chinese clinical use for multi-infarct dementia.

Typical use: 1200-2400 mg/day PO divided — Rx in Italy/China; research chem in US.

What this is

Italian/Chinese clinical use for multi-infarct dementia. Fewer side effects than piracetam reported. More stimulating profile — users sometimes dose only in the morning.

Mechanism

Structural analog of piracetam with additional hydroxyl group; enhances acetylcholine release; AMPA-positive modulation; described as mildly stimulating

Dose & route

1200-2400 mg/day PO divided

Common questions

Does Oxiracetam work?
Read Off Label rates the evidence for Oxiracetam as Weak-Moderate and the benefit magnitude as variable, producing an overall grade of B (6.4/10). Italian/Chinese clinical use for multi-infarct dementia.
Is Oxiracetam safe?
Oxiracetam has a low risk profile in published human data. Legal status: Rx in Italy/China; research chem in US. This is not medical advice — see the disclaimer.
What is the typical dose for Oxiracetam?
1200-2400 mg/day PO divided
How does Oxiracetam work?
Structural analog of piracetam with additional hydroxyl group; enhances acetylcholine release; AMPA-positive modulation; described as mildly stimulating

This is an independent synthesis of published research by a non-clinician. Scores are opinions supported by citations, not prescriptions. See the full disclaimer and methodology for how this score was produced and what it does and doesn't mean.