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Dietary supplement

NiaCel 400 Ingredients & Drug Interactions

by Thorne

Capsule Category: Other Combinations
Most serious interaction: Minor
The interaction bottom line Most serious interaction: Minor

NiaCel 400 is a dietary supplement by Thorne with 2 active ingredients. Its ingredients are commonly taken for healthy aging, boosting cellular energy, supporting metabolism.Based on those ingredients, 172 medications have a known interaction with it, the most serious rated minor. The ingredients most likely to interact are Nicotinamide Riboside Hydrogen Malate. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.

HelloPharmacist Scorecard of NiaCel 400 by Thorne

Our pharmacy team’s full take, with four database checks built into the cards below — a summary of what is known, not a grade of the product itself.

From our pharmacy team — supplement deep dive

What’s inside

Full disclosure
Ingredient Transparency · database check
Full

Every active ingredient lists its own amount on the label.

Why this rating?
  • The label discloses an exact amount for 2 of its 2 active ingredients.
  • No proprietary blends here — you can verify the dose of every single component.

NiaCel 400 contains two active ingredients: nicotinamide riboside hydrogen malate and betaine anhydrous. Nicotinamide riboside is a form of vitamin B3 that your cells convert into NAD, a molecule involved in energy production and cellular repair.

Betaine is an amino acid compound that supports methylation reactions in your body — processes that affect everything from heart health to liver function. The capsule also contains inactive ingredients (hypromellose, calcium laurate, microcrystalline cellulose, and silicon dioxide) that help deliver the actives.

Does it work?

Strong evidence
Evidence for Intended Use · database check
By FDA rules, dietary supplements can’t claim to treat, cure, or prevent disease — so labels speak in careful marketing language. We discern each product’s intended use from its name, label claims, and label statements, then grade the clinical evidence for that use. How these ratings are computed
Strong

Clinical evidence supports at least one of this product's ingredients for its stated purpose.

Why this rating?
  • The label markets this product for: Brain health, healthy aging, and metabolism.
  • We looked for evidence on: Alzheimer disease, Parkinson disease, Age-related macular degeneration (AMD), Athletic performance, Physical performance, Metabolic Syndrome — and 4 related terms.
  • The strongest evidence on file: Betaine Anhydrous is rated "Effective" for Homocystinuria (Natural Medicines).
  • Also on file: Betaine Anhydrous is rated "Possibly Effective" for Hyperhomocysteinemia.
  • Also on file: Betaine Anhydrous is rated "Insufficient Reliable Evidence To Rate" for Athletic performance, Nonalcoholic steatohepatitis (NASH), Metabolic Syndrome.

The evidence for nicotinamide riboside in this product is still developing. We don't have reliable data to rate it for age-related macular degeneration, Alzheimer's disease, athletic performance, nonalcoholic fatty liver disease, or heart failure.

Betaine anhydrous is effective for homocystinuria (a rare genetic disorder affecting amino acid metabolism) and possibly effective for high homocysteine levels. For other uses like nonalcoholic fatty liver disease, depression, or acid reflux, the evidence is insufficient to rate.

The evidence, ingredient by ingredient Nicotinamide Riboside Betaine Anhydrous

How safe is it?

Well-documented data
Safety Information · database check
Well characterized

Adverse-effect, pregnancy, and general safety data are on file for most of these ingredients.

Why this rating?
  • We hold adverse-effect (side-effect) data for 2 of the 2 matched ingredients.
  • Pregnancy & breastfeeding safety ratings cover 2 of 2.
  • General safety write-ups exist for 2 of 2.
  • Remember: this measures how much safety information exists. Thin data is not the same as being safe.

Nicotinamide riboside is generally well tolerated in short-term studies, but we don't know its long-term safety profile yet. The most common side effects are bloating, muscle pain, nausea, itching, sweating, and changes in bowel habits.

One patient reported leg cramps. The data advises against use in pregnancy and while breastfeeding.

Betaine anhydrous is generally well tolerated at studied doses, though it can cause body odor, diarrhea, nausea, vomiting, and gastrointestinal upset. A rare serious effect (cerebral swelling) has been reported.

There's no safety data on file for pregnancy or lactation, so talk with your doctor or pharmacist before taking it during either.

Side effects, ingredient by ingredient Nicotinamide Riboside Betaine Anhydrous

Meds to double-check

Minor interactions only
Known Interaction Concern · database check
Minor only

Only Minor-severity interactions are documented for these ingredients.

Why this rating?
  • 1 of the 2 matched ingredients can interact with medications — Nicotinamide Riboside.
  • The most serious interaction on file is rated Minor.
  • For scale: 172 individual medications appear in the full list. A big number alone doesn't make a product dangerous — what matters is whether YOUR medication is on it, so run yours through the interaction checker on this page.

If you take blood pressure medications (antihypertensives), double-check this product with your pharmacist or doctor first — nicotinamide riboside may add to their effect and lower your blood pressure further. No other medication interactions are documented for the ingredients we could check.

Check your own medication Run your meds through the checker above

The bottom line

Scorecard at a glanceFully disclosed formula with clinical evidence supporting its stated purpose. Only minor medication interactions are documented, and safety information is well characterized.

NiaCel 400 is best suited for people interested in NAD support and methylation health who don't take blood pressure medication. If you're on antihypertensives, check with us first — nicotinamide riboside may enhance their effect.

Neither ingredient is recommended during pregnancy or breastfeeding without a doctor's OK. Talk to your pharmacist before starting, especially if you're taking any medications.

Educational only — not medical advice; always confirm with your pharmacist. Our editorial policy · How we use AI

Assessment coverage: 2 of 2 active ingredients matched to our full ingredient reviews (monographs). Based on the product label dated Jan 23, 2025.

This Scorecard evaluates available label information, ingredient evidence, and known medication-safety considerations. It does not independently verify product identity, purity, potency, contamination, or manufacturing quality. How these ratings are computed

At a glance

General information

Key facts about NiaCel 400, straight from the product label.

Brand Thorne
Barcode (UPC) 693749012085
Net contents 60 Capsule(s)
Market status On market
Date entered into DSLD Jan 23, 2025
DSLD ID 323125
Product type Other Combinations
Supplement form Capsule
Dietary claims / uses All Other, Structure/Function
Intended target group(s) Adult (18 - 50 Years), Gluten Free
From the label
Everything in this section is reproduced from the manufacturer’s own product label — it’s the label speaking, not HelloPharmacist. We show it so you can see exactly what the maker states; we don’t verify or endorse those statements.

Supplement Facts

The label details for NiaCel 400 by Thorne, sourced from the NIH Dietary Supplement Label Database.

Supplement Facts

Daily Value (DV) Target Group(s):
Adults and children 4 or more years of age
Minimum serving Sizes:
1 Capsule(s)
Maximum serving Sizes:
1 Capsule(s)
Servings per container
60
UPC/BARCODE
693749012085
IngredientAmount% DV
Nicotinamide Riboside Hydrogen Malate415 mg--
Betaine Anhydrous85 mg--

Other ingredients: Hypromellose, Calcium Laurate, Microcrystalline Cellulose, Silicon Dioxide

Tap any ingredient to jump to its full detail below.

Label statements
These statements are the manufacturer’s wording, reproduced from the product label — the label is saying it, not HelloPharmacist. We don’t verify or endorse them.
Formulation

Brain/Nerves Healthy Aging Metabolism

Gluten free

Suggested/Recommended/Usage/Directions

Suggested use: Take 1 capsule daily or as recommended by your health-care practitioner.

Precautions

Tamper Evident: Use only if bottle is sealed.

If pregnant, consult your health-care practitioner before using this product.

Storage

Store tightly sealed in a cool, dry place.

Seals/Symbols

NSF Certified Sport

General Statements

T Exclusive

Formula

Nicotinamide Riboside

FDA Statement of Identity

Dietary Supplement

FDA Disclaimer Statement

This statement has not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease.

See for yourself

NiaCel 400 by Thorne label

The label scan from the NIH Dietary Supplement Label Database. Tap to enlarge.

What’s inside

The Ingredients in NiaCel 400 by Thorne

These are the 2 active ingredients this product is made of. Select any to open its full monograph.

Serving size1 Capsule(s) Dosage formCapsule Servings per container60 Amounts shown are per serving.

Most supplement products combine several ingredients, and a medication can interact with the product through any one of them. Each ingredient below shows whether it has known drug interactions.

Nicotinamide Riboside Hydrogen Malate

Interacts with
172 drugs
415 mg per serving

Nicotinamide riboside (NR) is a form of vitamin B3 that the body converts into NAD+, a molecule involved in cellular energy and repair. Early human st...

Nicotinamide Riboside Hydrogen Malate monograph & interactions

Betaine Anhydrous

No known
interactions
85 mg per serving Form: Trimethylglycine

Betaine anhydrous (also called trimethylglycine) is a compound found in foods like beets, spinach, and whole grains, and is sold as a supplement and a...

Betaine Anhydrous monograph & interactions

Other (inactive) ingredients: Hypromellose, Calcium Laurate, Microcrystalline Cellulose, Silicon Dioxide. These complete the product’s ingredient list but are not active constituents.

Interaction report

NiaCel 400 by Thorne Drug Interactions

Want to check YOUR meds against NiaCel 400?

Ask about interactions with your drugs in plain English — “Can I take it with lisinopril?” — and we find you the answer in seconds, ingredient by ingredient.

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172Drugs
172 Minor

Ingredients driving the most interactions

Each ingredient & the kinds of drugs it affects

For each ingredient in NiaCel 400 with known interactions, here are the types of medications it can affect. Open any type for the detail — or search your exact drug in the checker above.

Nicotinamide Riboside Hydrogen Malate1 drug type · 172 drugs

Antihypertensive Drugs

Theoretically, nicotinamide riboside may have additive effects with antihypertensive drugs, potentially increasing the risk for hypotension.
One small clinical study suggests that nicotinamide riboside can modestly reduce blood pressure in hypertensive patients. However, other clinical research did not find a reduction in blood pressure when compared with control.

Likelihood Possible Evidence D
The maker

Brand information

Manufacturer and brand details for NiaCel 400, from the product label.

Thorne

See all Thorne products
Name
Thorne Research
Phone Number
1-800-228-1966
Pharmacist Counseling Corner

NiaCel 400 by Thorne: Common Questions

Does NiaCel 400 by Thorne interact with any medications?
Yes. Based on its ingredients, NiaCel 400 has a known interaction with 172 medications. Use the checker to see how it interacts with a specific drug.
How can one product interact with so many drugs?
NiaCel 400 contains 2 active ingredients, and an interaction can come from any of them. We check every ingredient, combine the results into one list per medication, and show which ingredient and mechanism is responsible.
Where does this information come from?
The product label data comes from the NIH Dietary Supplement Label Database (DSLD); the interaction data is built on the Natural Medicines database and reviewed by HelloPharmacist pharmacists.
Can I take NiaCel 400 if I'm pregnant or breastfeeding?
Nicotinamide riboside should be avoided in pregnancy and while breastfeeding due to insufficient safety data. There's no safety data on file for betaine anhydrous during pregnancy or lactation either. Talk with your doctor or pharmacist for personalized advice before using this product.
What side effects might I experience?
The most common are bloating, nausea, muscle pain, and changes in bowel habits from the nicotinamide riboside. Betaine can cause body odor, diarrhea, nausea, vomiting, and gastrointestinal discomfort. These tend to be mild, but if they persist or worsen, let your pharmacist know.
Is this safe for long-term use?
Nicotinamide riboside appears well tolerated in short-term studies, but we don't have solid data on its long-term safety yet. Betaine is generally well tolerated at studied doses. If you plan to take it long-term, check in with your healthcare provider first.
What is nicotinamide riboside used for in this product?
Nicotinamide riboside is a form of vitamin B3 your cells convert into NAD, a molecule that helps with energy production and cellular repair. The evidence for its benefits in macular degeneration, Alzheimer's, athletic performance, liver disease, and heart failure is still insufficient to rate.
What does betaine do?
Betaine supports methylation — chemical processes in your body that affect heart, liver, and overall health. It's proven effective for homocystinuria and possibly effective for high homocysteine levels, but evidence for other uses like liver disease or depression is not yet established.

Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy

Not sure if NiaCel 400 is safe with your meds?

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Ask a pharmacist

Label information is sourced from the NIH Dietary Supplement Label Database and reflects the product version on file; always read your actual product label. This page is for education only and is not a substitute for professional medical advice. Confirm with your pharmacist or doctor before combining supplements and medications.

NiaCel 400 label
Sources

Sources & How We Checked

NiaCel 400's label data comes from the NIH Dietary Supplement Label Database; the ingredient interaction data is from the Natural Medicines database, reviewed by our pharmacists.

Content is written and reviewed by licensed HelloPharmacist pharmacists. See our data sources and editorial standards for how this information is built and checked.

The 18 references behind this product’s interaction data

Every citation that drives the interaction findings for this product’s ingredients, from the evidence-graded Natural Medicines (TRC Healthcare) database. Open an ingredient to browse its citations — links open the study on PubMed or the publisher’s site.

Nicotinamide Riboside 7 references
  1. Martens CR, Denman BA, Mazzo MR, et al. Chronic nicotinamide riboside supplementation is well-tolerated and elevates NAD+ in healthy middle-aged and older adults. Nat Commun 2018;9(1):1286. PubMed
  2. Dollerup OL, Christensen B, Svart M, et al. A randomized placebo-controlled clinical trial of nicotinamide riboside in obese men: safety, insulin-sensitivity, and lipid-mobilizing effects. Am J Clin Nutr 2018;108(2):343-53. PubMed
  3. Dellinger RW, Santos SR, Morris M, et al. Repeat dose NRPT (nicotinamide riboside and pterostilbene) increases NAD+ levels in humans safety and sustainably: a randomized, double-blind, placebo-controlled study. NPJ J Aging Mech Dis 2017;3:17.
  4. Conze D, Brenner C, Kruger CL. Safety and metabolism of long-term administration of NIAGEN (nicotinamide riboside chloride) in a randomized, double-blind, placebo-controlled clinical trial of healthy overweight adults. Sci Rep 2019;9(1):9772. PubMed
  5. Remie CME, Roumans KHM, Moonen MPB, et al. Nicotinamide riboside supplementation alters body composition and skeletal muscle acetylcarnitine concentrations in healthy obese humans. Am J Clin Nutr. 2020;112(2):413-426. PubMed
  6. Turck D, Castenmiller J, de Henauw S, et al. Safety of nicotinamide riboside chloride as a novel food pursuant to Regulation (EU) 2015/2283 and bioavailability of nicotinamide from this source, in the context of Directive 2002/46/EC. EFSA J. 2019;17(8):e0
  7. EFSA Panel on Nutrition, Novel Foods and Food Allergens (NDA), Turck D, et al. Extension of use of nicotinamide riboside chloride as a novel food pursuant to Regulation (EU) 2015/2283. EFSA J 2021;19(11):e06843.

See these in context on the Nicotinamide Riboside monograph →

Betaine Anhydrous 11 references
  1. Cystadane (betaine anhydrous for oral solution) Package insert. Orphan Medical, Inc. Minnetonka, MN. November 2005.
  2. Abdelmalek MF, Angulo P, Jorgensen RA, et al. Betaine, a promising new agent for patients with nonalcoholic steatohepatitis: results of a pilot study. Am J Gastroenterol 2001;96:2711-7.. PubMed
  3. Schwab U, Torronen A, Toppinen L, et al. Betaine supplementation decreases plasma homocysteine concentrations but does not affect body weight, body composition, or resting energy expenditure in human subjects. Am J Clin Nutr 2002;76:961-7. PubMed
  4. McGregor DO, Dellow WJ, Robson RA, et al. Betaine supplementation decreases post-methionine hyperhomocysteinemia in chronic renal failure. Kidney Int 2002;61:1040-6. PubMed
  5. Olthof MR, van Vliet T, Verhoef P, et al. Effect of homocysteine-lowering nutrients on blood lipids: results from four randomised, placebo-controlled studies in healthy humans. PloS Med 2005;2:e135. PubMed
  6. Knopman, D. and Patterson, M. An open-label, 24-week pilot study of the methyl donor betaine in Alzheimer disease patients. Alzheimer Dis.Assoc.Disord. 2001;15(3):162-165. PubMed
  7. Moat, S. J., Madhavan, A., Taylor, S. Y., Payne, N., Allen, R. H., Stabler, S. P., Goodfellow, J., McDowell, I. F., Lewis, M. J., and Lang, D. High- but not low-dose folic acid improves endothelial function in coronary artery disease. Eur J Clin Invest 2 PubMed
  8. Abdelmalek, M. F., Sanderson, S. O., Angulo, P., Soldevila-Pico, C., Liu, C., Peter, J., Keach, J., Cave, M., Chen, T., McClain, C. J., and Lindor, K. D. Betaine for nonalcoholic fatty liver disease: results of a randomized placebo-controlled trial. Hepa PubMed
  9. Ashtary-Larky D, Bagheri R, Ghanavati M, et al. Effects of betaine supplementation on cardiovascular markers: a systematic review and meta-analysis. Crit Rev Food Sci Nutr. 2021 Mar 25:1-18. PubMed
  10. Zawieja EE, Zawieja B, Chmurzynska A. Betaine supplementation moderately increases total cholesterol levels: a systematic review and meta-analysis. J Diet Suppl. 2021;18(1):105-117. PubMed
  11. Imbard A, Toumazi A, Magréault S, et al. Efficacy and pharmacokinetics of betaine in CBS and cblC deficiencies: a cross-over randomized controlled trial. Orphanet J Rare Dis 2022;17(1):417. PubMed

See these in context on the Betaine Anhydrous monograph →

Parts of this content are provided by the Therapeutic Research Center, LLC.

DISCLAIMER: Currently this does not check for drug-drug interactions. This is not an all-inclusive comprehensive list of potential interactions and is for informational purposes only. Not all interactions are known or well-reported in the scientific literature, and new interactions are continually being reported. Input is needed from a qualified healthcare provider including a pharmacist before starting any therapy. Application of clinical judgment is necessary.

© 2021 Therapeutic Research Center, LLC

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