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Supplements/Compound

Idebenone

Synthetic CoQ10 analog with better water solubility; used in LHON.

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Overview

Synthetic CoQ10 analog with better water solubility; used in LHON.

Natural sources
  • Endogenously produced or biosynthesized molecule
  • Standardized pharmaceutical- or food-grade supplement
  • Combined with cofactors that improve absorption or activity
Common forms
  • Capsule or softgel
  • Powder
  • Sublingual or buccal
  • Liposomal liquid

Mechanism of action

Bypasses Complex I dysfunction by donating electrons directly to Complex III.

Pathways
  • · Bypasses Complex I dysfunction by donating electrons directly to Complex III

Effects on the body

Supports
Recovers vision in Leber hereditary optic neuropathy

Organ system effects

Brain & CNS

Idebenone acts on central nervous system targets implicated in attention, memory, and neuroprotection.

Eye

Idebenone concentrates in ocular tissues (macula, retina, lens) where it contributes to photoprotection or antioxidant defense.

Evidence-based benefits

Recovers vision in Leber hereditary optic neuropathy

Strong evidence

Potential side effects

Common
  • · GI upset
  • · Discolored urine
Rare
  • · Liver enzyme elevation
Serious

    Drug interactions

    Prescription medications (general)
    Always disclose Idebenone use to your prescriber — additive, antagonistic, or pharmacokinetic interactions are possible.
    minor

    Supplement interactions

    Pairs well with
    • Omega-3 (EPA/DHA)
      Membrane fluidity and neuronal signaling support.
    • Alpha-GPC or CDP-choline
      Provides choline substrate for acetylcholine synthesis.
    • NAD+ precursor (NMN or NR)
      Complementary mitochondrial and sirtuin support.
    Avoid combining with

    No specific avoidances listed.

    Dosing & bioavailability

    Typical dose
    270–900 mg (Rx for LHON)
    Best form
    Most evidence is based on the capsule or softgel form.
    Timing
    Consistent daily timing recommended; split larger doses if GI tolerance is a concern.
    With food?
    With meals

    Where to buy

    Affiliate links — we may earn a commission at no extra cost to you. Amazon code supplementsch-20 is auto-applied at checkout. We don't endorse specific brands; verify third-party testing (USP, NSF, Informed Sport) before purchase.

    Scientific evidence8Show studies
    RCTBrain · 2011

    Idebenone in LHON (RHODOS)

    Klopstock T, et al.

    DB-RCT in 85 LHON patients.

    Key findings

    Idebenone 900 mg/day improved best recovery of visual acuity vs placebo.

    Open study
    Systematic reviewPubMed (NLM) · 1970

    PubMed: Idebenone — Recovers vision in Leber hereditary optic neuropathy

    Live PubMed search

    Live results for "Idebenone Recovers vision in Leber hereditary optic neuropathy" across the PubMed/MEDLINE peer-reviewed index.

    Key findings

    Opens current human and preclinical literature matching Idebenone and "Recovers vision in Leber hereditary optic neuropathy". Filter by RCT, meta-analysis, or year on the results page.

    Open study
    Systematic reviewPubMed (NLM) · 1970

    PubMed: Idebenone — randomized controlled trial

    Live PubMed search

    Live results for "Idebenone randomized controlled trial" across the PubMed/MEDLINE peer-reviewed index.

    Key findings

    Opens current human and preclinical literature matching Idebenone and "randomized controlled trial". Filter by RCT, meta-analysis, or year on the results page.

    Open study
    Systematic reviewPubMed (NLM) · 1970

    PubMed: Idebenone — meta-analysis

    Live PubMed search

    Live results for "Idebenone meta-analysis" across the PubMed/MEDLINE peer-reviewed index.

    Key findings

    Opens current human and preclinical literature matching Idebenone and "meta-analysis". Filter by RCT, meta-analysis, or year on the results page.

    Open study
    Systematic reviewPubMed (NLM) · 1970

    PubMed: Idebenone — pharmacokinetics

    Live PubMed search

    Live results for "Idebenone pharmacokinetics" across the PubMed/MEDLINE peer-reviewed index.

    Key findings

    Opens current human and preclinical literature matching Idebenone and "pharmacokinetics". Filter by RCT, meta-analysis, or year on the results page.

    Open study
    Systematic reviewPubMed (NLM) · 1970

    PubMed: Idebenone — safety adverse events

    Live PubMed search

    Live results for "Idebenone safety adverse events" across the PubMed/MEDLINE peer-reviewed index.

    Key findings

    Opens current human and preclinical literature matching Idebenone and "safety adverse events". Filter by RCT, meta-analysis, or year on the results page.

    Open study
    Systematic reviewPubMed (NLM) · 1970

    PubMed: Idebenone — dose response

    Live PubMed search

    Live results for "Idebenone dose response" across the PubMed/MEDLINE peer-reviewed index.

    Key findings

    Opens current human and preclinical literature matching Idebenone and "dose response". Filter by RCT, meta-analysis, or year on the results page.

    Open study
    Systematic reviewGoogle Scholar · 1970

    Google Scholar: Idebenone — clinical evidence

    Live Scholar search

    Cross-database citation index for Idebenone as it relates to "clinical evidence".

    Key findings

    Includes preprints, theses, and journal articles. Useful for tracking citation counts and follow-on work.

    Open study
    Educational use only. This profile is not medical advice. Consult a qualified healthcare professional before starting any supplement, especially if you take prescription medication or have a chronic condition.

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