Overview
Synthetic CoQ10 analog with better water solubility; used in LHON.
- Endogenously produced or biosynthesized molecule
- Standardized pharmaceutical- or food-grade supplement
- Combined with cofactors that improve absorption or activity
- Capsule or softgel
- Powder
- Sublingual or buccal
- Liposomal liquid
Mechanism of action
Bypasses Complex I dysfunction by donating electrons directly to Complex III.
- · Bypasses Complex I dysfunction by donating electrons directly to Complex III
Effects on the body
Organ system effects
Idebenone acts on central nervous system targets implicated in attention, memory, and neuroprotection.
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 evidencePotential side effects
- · GI upset
- · Discolored urine
- · Liver enzyme elevation
Drug interactions
Supplement interactions
- Omega-3 (EPA/DHA)Membrane fluidity and neuronal signaling support.
- Alpha-GPC or CDP-cholineProvides choline substrate for acetylcholine synthesis.
- NAD+ precursor (NMN or NR)Complementary mitochondrial and sirtuin support.
No specific avoidances listed.
Dosing & bioavailability
Where to buy
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Scientific evidence8Show studiesHide studies
Idebenone in LHON (RHODOS)
Klopstock T, et al.
DB-RCT in 85 LHON patients.
Idebenone 900 mg/day improved best recovery of visual acuity vs placebo.
PubMed: Idebenone — Recovers vision in Leber hereditary optic neuropathy
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PubMed: Idebenone — randomized controlled trial
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PubMed: Idebenone — meta-analysis
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PubMed: Idebenone — pharmacokinetics
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PubMed: Idebenone — safety adverse events
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PubMed: Idebenone — dose response
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Google Scholar: Idebenone — clinical evidence
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