Evidence supporting the use of: N-acetyl-cysteine (NAC)
For the health condition: Parkinson's Disease

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Synopsis

Source of validity: Scientific
Rating (out of 5): 2

N-acetyl-cysteine (NAC) is used to support/treat Parkinson’s Disease (PD) primarily based on scientific rationale rather than tradition. NAC is a precursor to glutathione, a major endogenous antioxidant, and is thought to cross the blood-brain barrier, potentially increasing brain glutathione levels. Oxidative stress and glutathione depletion are well-documented features in the pathology of PD, and this underpins NAC’s theoretical benefits.

Several preclinical studies in animal models of PD have shown that NAC can reduce oxidative damage and protect dopaminergic neurons. Human evidence is limited but growing: a small open-label pilot study published in 2016 (Monti et al., PLOS ONE) enrolled PD patients who received intravenous plus oral NAC. The results showed increased dopamine transporter binding on SPECT imaging and modest improvements in clinical symptoms, suggesting a potential neuroprotective effect. However, these findings are preliminary, and the study had significant limitations including its small sample size, lack of blinding, and short duration.

As of now, there are no large-scale, randomized, placebo-controlled trials definitively demonstrating clinical benefit of NAC in PD. Nevertheless, the mechanistic rationale and early clinical signals justify further research. The overall evidence is rated as 2 out of 5, indicating weak but biologically plausible support. NAC is not part of standard PD treatment, but may be used as an adjunct in research or integrative settings.

More about N-acetyl-cysteine (NAC)
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brahmi
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butyrate triglyceride
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cannabidiol
carnosic acid
catalpol
catechins
citicoline
coenzyme Q10 (CoQ10)
creatine
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decarboxylase
DHA (docosahexaenoic acid)
eicosapentaenoic acid
EPA (eicosapentaenoic acid)
epigallocatechin gallate (EGCG)
ergothioneine
fava bean
ferulic acid
fisetin
fish oil
fo-ti
gastrodin
ginkgo biloba
Ginsenosides
Glucoraphanin
Glycosphingolipids
gotu kola
green tea
Gypenoside
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hericium mushroom
Honokiol
icariin
inosine
isoliquiritigenin
Jatamansi
Kaempferol
L-carnosine
L-glutathione
lingzhi
lion's mane
luteolin
magnolol
mangiferin
medium chain triglycerides (MCT)
Melatonin
Myricetin
N-acetyl-cysteine (NAC)
NADH
nicotinamide riboside
Nobiletin
Oleuropein
omega-3 fatty acids
paeoniflorin
Palmitoylethanolamide (PEA)
phosphatidylserine
Phosphocreatine
phytocannabinoids
Puerain
Puerarin
pyrroloquinoline quinone
quercetin
resveratrol
Salidroside
Salvianolic acid
SAMe (S-adenosyl-L-methionine disulfate p-toluensulfate)
Shilajit
specialized pro-resolving mediators (SPMs)
spirulina
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Tanshinone
Trehalose
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ubiquinol
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vitamin D
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