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Vitamins & vitamin-like compounds

Sulbutiamine

sulbutiamine / isobutyryl thiamine disulfide

Sulbutiamine is a synthetic lipophilic thiamine derivative, not an essential B1 vitamer. Small, older clinical studies do not establish a reliable focus or energy benefit in healthy adults, and routine nootropic dosing is not defined.

Mental EnergyFatigue ResistanceSyntheticClinical ResearchLimited Human EvidenceMixed EvidenceDose Dependent Evidence
Updated August 2026/4 min read/6 citations
Reviewed by the NootropicsIndex editorial team.Method: prioritize cited human research and official safety or regulatory sources; compare retailer-listed prices without endorsing products.Affiliate disclosure
01

What is it?

Identity

1

Sulbutiamine is a synthetic disulfide derivative of thiamine designed to be more lipophilic than ordinary vitamin B1 salts. It should not be interpreted using nutritional thiamin evidence alone.

What human evidence shows

2

Older studies in fatigue or asthenia populations provide limited, indirect evidence. They do not establish a dependable focus, memory, or wakefulness effect in healthy adults.

02

Names, aliases and forms

Common Namesulbutiamine
Chemical Nameisobutyryl thiamine disulfide
Molecular FormulaC32H46N8O6S2
Pubchem Cid3002120
03

Potential effects and evidence map

Human evidence is sparse, older, and population-specific. Fatigue or asthenia findings should not be generalized to healthy-user cognition, and long-term safety, medication interactions, pregnancy, and lactation remain insufficiently characterized.

Effect domainMagnitudeGrade
Mental energy / wakefulness2
CumulativeConfidence: Medium

Fatigue and asthenia studies provide the main human signal, but results are condition-specific and mixed rather than a broad energy guarantee.

Note Best framed as fatigue-context evidence, not routine stimulation.

1/5
D
Physical energy / endurance2
CumulativeConfidence: Low

A small multiple-sclerosis fatigue study reported improvement, but the population and design limit generalization.

Note Keep MS fatigue context separate from general supplement claims.

1/5
D
Focus / attention2
UnknownConfidence: Low

Direct focus or productivity benefits in healthy adults are not established.

Note Avoid legacy-style nootropic overstatement.

1/5
D
Memory / learning2
UnknownConfidence: Medium

Routine memory or learning enhancement claims are not supported by strong human evidence.

Note Do not infer memory benefit from mechanism or vitamin identity.

0/5
D
04

Typical dosages and timing

Selected clinical studies2400-600 mg/day

This is study context from limited clinical populations, not a routine healthy-user recommendation or established cycle.

05

Timing & effect horizon

Effect horizonUnknown
Unknown
Timing2

Acute onset, effect duration, and a reliable cycle have not been established. Study follow-up is not the same as same-day effect duration.

06

Safety, side effects and risk profile

Overstimulation / insomnia2
Confidence: Medium

Insomnia, restlessness, agitation, tremor, or late-day activation are plausible tolerability limits, especially when dose is increased or stacked with activating products.

Note Avoid late-day use and stacking.

2/5
C
Headache / dizziness2
Confidence: Medium

Headache and dizziness are practical stop-and-reassess signals in sulbutiamine trials and reviews.

Note Track dose timing and product amount.

1/5
C
GI discomfort2
Confidence: Medium

Nausea, diarrhea, abdominal discomfort, or appetite changes can occur and may set the upper practical dose limit.

Note GI effects are relevant when comparing 400 mg versus 600 mg contexts.

2/5
C
Evidence uncertainty2
Confidence: High

The evidence base is limited, older in places, and focused on fatigue or asthenia populations rather than healthy nootropic users.

Note This is the main claim-limiting risk.

2/5
B
Safety uncertainty2

Short studies reported mostly mild adverse events, while long-term safety remains insufficiently characterized. Medication interactions, pregnancy, and lactation also lack adequate evidence.

07

Interactions and cautions

Interactions and special populations2

Interaction data are limited. Avoid assuming compatibility with medicines or using general B1 guidance for pregnancy or lactation.

08

Practical buying and quality notes

  • Confirm sulbutiamine identity, amount per serving, independent purity testing, and total stimulant-like stack context. Do not compare it as ordinary thiamin.1
09

FAQ

Sulbutiamine versus vitamin B1

1

Sulbutiamine is a synthetic lipophilic thiamine derivative rather than an essential B1 vitamer or ordinary thiamin salt. Its clinical evidence, studied amounts, and safety uncertainties must therefore be evaluated separately from nutritional thiamin.

10

References

  1. PubChem Compound Summary for Sulbutiamine. National Center for Biotechnology Information.
  2. Starling-Soares B, Carrera-Bastos P, Bettendorff L. Role of the Synthetic B1 Vitamin Sulbutiamine on Health. Journal of Nutrition and Metabolism. 2020.
  3. Sevim S, Kaleagasi H, Tasdelen B. Sulbutiamine shows promising results in reducing fatigue in patients with multiple sclerosis. Multiple Sclerosis and Related Disorders. 2017.
  4. Tiev KP, Cabane J, Imbert JC. clinical use of chronic postinfectious fatigue: randomized double-blind study of two doses of sulbutiamine (400-600 mg/day) versus placebo. La Revue de Medecine Interne. 1999.
  5. Shah SN; Sulbutiamine Study Group. Adjuvant role of vitamin B analogue (sulbutiamine) with anti-infective clinical use in infection associated asthenia. Journal of the Association of Physicians of India. 2003.
  6. Van Reeth O. Pharmacologic and therapeutic features of sulbutiamine. Drugs of Today. 1999.
Note

This page is informational and summarizes available evidence. It is not medical advice, a recommendation, or a substitute for guidance from a qualified clinician.