词条 | Nootropic |
释义 |
Nootropics ({{IPAc-en|n|oʊ|.|ə|ˈ|t|r|ɒ|p|ᵻ|k|s}} {{respell|noh|ə|TROP|iks}}) (colloquial: smart drugs and cognitive enhancers) are drugs, supplements, and other substances that may improve cognitive function, particularly executive functions, memory, creativity, or motivation, in healthy individuals.[1] While many substances are purported to improve cognition, research is at a preliminary stage as of 2019, and the effects of the majority of these agents are not fully determined. The use of cognition-enhancing drugs by healthy individuals in the absence of a medical indication spans numerous controversial issues, including the ethics and fairness of their use, concerns over adverse effects, and the diversion of prescription drugs for nonmedical uses, among others.[1][2] Nonetheless, the international sales of cognition-enhancing supplements has continued to grow over time, exceeding {{currency|1|US}} billion in 2015.[3] The word nootropic was coined in 1972 by a Romanian psychologist and chemist, Corneliu E. Giurgea,[4][5] from the Greek words νοῦς (nous), or "mind", and τρέπειν (trepein), meaning to bend or turn.[6] Availability and prevalenceIn 2008, the most commonly used class of drug was stimulants, such as caffeine.[7] Manufacturers' marketing claims for dietary supplements are usually not formally tested and verified by independent entities.[8] Use by studentsThe use of prescription stimulants is especially prevalent among students.[9] Surveys suggest that 0.7–4.5% of German students have used cognitive enhancers in their lifetimes.[10][11][12] Stimulants such as dimethylamylamine and methylphenidate are used on college campuses and by younger groups.[13] Based upon studies of self-reported illicit stimulant use, {{nowrap|5–35%}} of college students use diverted ADHD stimulants, which are primarily used for enhancement of academic performance rather than as recreational drugs.[14][15][16] Several factors positively and negatively influence an individual's willingness to use a drug for the purpose of enhancing cognitive performance. Among them are personal characteristics, drug characteristics, and characteristics of the social context.[10][11][17][18] Side effectsThe main concern with pharmaceutical drugs is adverse effects, which also apply to nootropics with undefined effects. Long-term safety evidence is typically unavailable for nootropics.[13] Racetams — piracetam and other compounds that are structurally related to piracetam — have few serious adverse effects and low toxicity, but there is little evidence that they enhance cognition in people having no cognitive impairments.[19] In the United States, dietary supplements may be marketed if the manufacturer can show that the supplement is generally recognized as safe, and if the manufacturer does not make any claims about using the supplement to treat or prevent any disease or condition; supplements that contain drugs or advertise health claims are illegal under US law.[20] DrugsCentral nervous system stimulants {{anchor|Xanthines|Stimulants}}{{See also|Yerkes–Dodson law}}Systematic reviews and meta-analyses of clinical human research using low doses of certain central nervous system stimulants found enhanced cognition in healthy people.[25][21][22] In particular, the classes of stimulants that demonstrate cognition-enhancing effects in humans act as direct agonists or indirect agonists of dopamine receptor D1, adrenoceptor A2, or both types of receptor in the prefrontal cortex.[23][21][24][25] Relatively high doses of stimulants cause cognitive deficits.[24][25]
Racetams{{Main|Racetams}}Racetams, such as piracetam, oxiracetam,phenylpiracetam, and aniracetam, which are often marketed as cognitive enhancers and sold over-the-counter. Racetams are often referred to as nootropics, but this property is not well established.[30] The racetams have poorly understood mechanisms, although piracetam and aniracetam are known to act as positive allosteric modulators of AMPA receptors and appear to modulate cholinergic systems.[31] According to the US Food and Drug Administration, "Piracetam is not a vitamin, mineral, amino acid, herb or other botanical, or dietary substance for use by humans to supplement the diet by increasing the total dietary intake. Further, piracetam is not a concentrate, metabolite, constituent, extract or combination of any such dietary ingredient. [...] Accordingly, these products are drugs, under section 201(g)(1)(C) of the Act, 21 U.S.C. § 321(g)(1)(C), because they are not foods and they are intended to affect the structure or any function of the body. Moreover, these products are new drugs as defined by section 201(p) of the Act, 21 U.S.C. § 321(p), because they are not generally recognized as safe and effective for use under the conditions prescribed, recommended, or suggested in their labeling."[32] Miscellaneous
Dietary supplements
Null findings in systematic reviews
See also
References1. ^1 {{cite journal | vauthors = Frati P, Kyriakou C, Del Rio A, Marinelli E, Vergallo GM, Zaami S, Busardò FP | title = Smart drugs and synthetic androgens for cognitive and physical enhancement: revolving doors of cosmetic neurology | journal = Curr Neuropharmacol | volume = 13 | issue = 1 | pages = 5–11 | date = January 2015 | pmid = 26074739 | pmc = 4462043 | doi = 10.2174/1570159X13666141210221750 }} 2. ^{{cite journal | vauthors = Albertson TE, Chenoweth JA, Colby DK, Sutter ME | title = The Changing Drug Culture: Use and Misuse of Cognition-Enhancing Drugs | journal = FP Essent | volume = 441 | issue = | pages = 25–9 | year = 2016 | pmid = 26881770 | doi = | url = }} 3. ^{{cite journal | vauthors = Chinthapalli K | title = The billion dollar business of being smart | journal = BMJ | volume = 351 | issue = | pages = h4829 | date = September 2015 | pmid = 26370589 | doi = 10.1136/bmj.h4829 }} 4. ^{{Cite book|author=Gazzaniga, Michael S. |title=The Ethical Brain: The Science of Our Moral Dilemmas (P.S.) |publisher=Harper Perennial |location=New York, N.Y |year=2006 |page=184 |isbn=978-0-06-088473-4 |oclc= |doi= |accessdate=}} 5. ^{{Cite journal|author=Giurgea C |title=[Pharmacology of integrative activity of the brain. 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Psychopharmacol. (Oxford) | volume = 29 | issue = 7 | pages = 753–63 | year = 2015 | pmid = 26040902 | doi = 10.1177/0269881115587958 | url = }} 45. ^1 2 3 4 {{cite journal | vauthors = Forbes SC, Holroyd-Leduc JM, Poulin MJ, Hogan DB | title = Effect of Nutrients, Dietary Supplements and Vitamins on Cognition: a Systematic Review and Meta-Analysis of Randomized Controlled Trials | journal = Can Geriatr J | volume = 18 | issue = 4 | pages = 231–45 | date = December 2015 | pmid = 26740832 | pmc = 4696451 | doi = 10.5770/cgj.18.189 }} External links
3 : Amphetamine|Nootropics|Words coined in the 1970s |
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