
A question I get asked frequently is about niacin and what forms to take. It does seem confusing, especially when using the correct chemical names. Let's start with what niacin really is.
The Composition of Niacin
Niacin (nicotinic acid) is actually vitamin B3 and is naturally found in avocados, whole grains, legumes, eggs, milk, fish, organ meats and peanuts. Niacin is involved in enzyme function across numerous metabolic reactions in the body.
It plays a role in the digestive system, bile secretion, sex hormone production, detoxification, nervous system maintenance, as well as heart health.
Other Common Forms of Niacin
What is the difference between niacin and niacinamide?
There are two other forms of niacin: niacinamide and inositol hexanicotinate (no-flush), which serve as sources of vitamin B3. This is why they can be referred to as "niacin." What many people don't realize, however, is that the difference between niacin and niacinamide is real: these forms do not work in the same way as niacin. So pick the right "niacin" for the right condition.
Niacin (Nicotinic Acid)
Niacin (nicotinic acid): Niacin is commonly used to help with high cholesterol. Nicotinic acid is the substance that, at doses higher than those needed for its vitamin effect, has been shown to have benefit in people with high cholesterol. Nicotinic acid is known to lower two types of "bad" cholesterol (LDL and VLDL), as well as increase levels of "good" cholesterol (HDL).
Nicotinic acid has been studied for its effects on raising HDL cholesterol. However, nicotinic acid is the substance that can cause flushing as a side effect. The flush normally begins as a deep red in the face and then spreads to the rest of the body. Intense warmth usually accompanies the flush, and sometimes itching, and this lasts for about 30 minutes.
Indeed, they do. While the vitamin-like benefit of niacin is seen at nutritional doses, the cholesterol effect has mostly been studied at high doses, typically 1,000 to 2,000 mg. Nicotinic acid works, in part, by way of a receptor that inhibits fat mobilization, which is associated with its effect on blood lipids. It’s also why the flush is more common at higher doses.
Niancinamide
Niacinamide: Niacinamide does not have the same vasodialating, or blood-vessel widening, effects that niacin has, so it does not lead to skin flushing. That makes it one of the better niacin alternatives for a Vitamin B3 Non-Flushing option when treating a niacin deficiency, or treating pellagra (a wasting disease you can suffer due to vitamin B-3 deficiency). However, it does not make it a great candidate for reducing cholesterol.
Niacin Flush vs. Non Flush Niacin
No-Flush Niacin (Inositol hexanicotinate): This "niacin" is a form of inositol (vitamin B8) and niacin (vitamin B3) that eliminates the “niacin flush.” Inositol hexanicotinate is a form of nicotinic acid that releases over a longer period of time than standard niacin supplements. No-flush niacin may help support brain and liver health, mood regulation, and nerve signaling.
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Before you take any niacin, please consult with a natural healthcare practitioner. Contact Village Green Apothecary for advice and consulting on your best possible nutrition plan.
Frequently Asked Questions
Does flush free niacin work the same?
No, not for cholesterol. What does flush free niacin mean? No-flush niacin, also known as inositol hexanicotinate, is a form of niacin that releases nicotinic acid slowly, so it doesn't cause the flush. But studies have found it's not effective at lowering cholesterol like regular nicotinic acid is. For example, a 2013 study comparing the two types of niacin in people with mild to moderate dyslipidemia found that wax-matrix extended-release niacin improved lipid levels, but no-flush niacin didn't. So if you're taking niacin for its cholesterol benefits, non-flush niacin isn't a direct replacement for those benefits.
Are niacin and niacinamide the same thing?
These two are both forms of vitamin B3, but you can’t use them interchangeably. The form used in the cholesterol study (and the one known for causing flushing) is called nicotinic acid, or just plain old “niacin.” Niacinamide doesn’t dilate the blood vessels, hence, no flush, but it is commonly prescribed for niacin deficiency and pellagra.
Are nicotinamide and niacinamide the same?
That's correct. One of the most common questions I get asked is: "is nicotinamide the same as niacin?" Well, nicotinamide and niacinamide are two names for the same thing, a type of vitamin B3. Sometimes you'll see them listed on a bottle of supplements or in scientific studies, but really they are just two ways of writing the same compound. And neither one of them will flush!
These statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease.
References
- PubMed - Niacin-a critical component to the management of atherosclerosis
- PubMed - Wax-matrix extended-release niacin vs inositol hexanicotinate
- PubMed - Mechanism of action of niacin
- PubMed - Niacin (2018)
- PubMed - Niacin (2016)
- PubMed - Comparative effects of lovastatin and niacin in primary hypercholesterolemia
- PubMed - The Promise of Niacin in Neurology
- PubMed - Niacin extended-release/simvastatin
- Exploring neuropsychiatric manifestations of vitamin B complex deficiencies (2025)
- LDL and HDL subfractions, dysfunctional HDL: treatment options (2014)
- Combined Metabolic Activators with Different NAD+ Precursors Improve Metabolic Functions in the Animal Models of Neurodegenerative Diseases (2024)
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