Evigrade

Pyrroloquinoline quinone (PQQ)

Dietary supplements, redox cofactors (local classification)

ATC code: A11JA-PQQ

Brand names: Doctor's Best PQQ, BioPQQ, Life Extension PQQ Caps

Updated · Methodology

Marketing claims without evidence base

The drug is promoted for these uses outside international guidelines. Each entry below is analyzed against AEMPS, FDA, EMA, Cochrane and major RCTs.

D

Anti-aging and longevity

Not recommended

Pyrroloquinoline quinone (PQQ) is sold as a supplement to slow aging and extend lifespan, with promises of mitochondrial support and more cellular energy. No convincing benefit for this use has been shown in people, and there is no evidence base for anti-aging or longevity. What actually affects aging and lifespan is sleep, diet, physical activity and not smoking.

D

Chronic fatigue

Not recommended

Pyrroloquinoline quinone (PQQ) is a compound with antioxidant properties, sold as a supplement "for energy" and marketed as a way to relieve chronic fatigue. PQQ has not shown convincing benefit for this condition, and there is no good-quality evidence that it works here. With persistent fatigue, the first step is to find and treat the underlying cause (sleep, iron deficiency, thyroid problems, depression, chronic illness) together with a doctor. PQQ is safe in this use, but it does not replace treatments with proven benefit, and relying on it instead of proper workup and care delays real help.

ICD-10: R53 · ICD-11: MG22

D

Memory and concentration enhancement

Not recommended

Pyrroloquinoline quinone (PQQ) is sold as a supplement for memory and concentration. In people, no convincing benefit for this use has been shown – the evidence for it is missing. What actually helps memory and attention is sleep, physical activity, treating underlying causes (such as iron deficiency or thyroid problems) and managing vascular risk factors. Do not take PQQ instead of an approach with proven benefit, or you may miss the treatment you need.

How to read tiers A–F
  • AStrong evidence – first or second line in international guidelines
  • BRecommended in selected cases
  • CStudy data contradict each other
  • DBenefit not proven, no documented harm
  • FDocumented harm, or risk without benefit

Mechanism of action

Pyrroloquinoline quinone is a redox cofactor found in bacteria, fermented natto soy, parsley, and green peppers. Manufacturers claim mitochondrial biogenesis stimulation via PGC-1α, CREB, and NRF2 activation based on cellular and rodent data. In humans, published RCTs with mitochondrial density endpoints do not exist.

Safety

Contraindications

  • Pregnancy and breastfeeding
  • Age under 18
  • Hypersensitivity

Serious adverse effects

  • Long-term human safety data are unavailable

Common adverse effects

  • Headache
  • GI discomfort
  • Irritability, sleep disturbance (at high doses)

Pregnancy: can you take Pyrroloquinoline quinone (PQQ)?

Use in pregnancy has not been studied; supplement is not recommended.

Breastfeeding: can you take Pyrroloquinoline quinone (PQQ)?

Use during breastfeeding has not been studied; supplement is not recommended.

Reference information, not a clinical decision. Discuss feeding pauses or changes with your physician or an IBCLC.

Practical notes

Russian practice note

PQQ in Russia is sold as a dietary supplement and through foreign online retailers. Marketing doses are 10–40 mg/day, retail 2500–5000 ₽/month. Often combined with CoQ10 and NMN in one capsule for a «mitochondrial stack» marketing. Long-term human safety data (over 12 months) are unavailable. The compound may alter amino acid metabolism via lysine-oxidoreductase activity – the clinical significance of this interaction has not been studied.

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Frequently asked

What is Pyrroloquinoline quinone (PQQ) used for?

Pyrroloquinoline quinone (PQQ) is evaluated for the following indications with varying evidence strength: Anti-aging and longevity (evidence tier D), Memory and concentration enhancement (evidence tier D), Chronic fatigue (evidence tier D). See the full indication matrix with dosing and citations above on this page.

What are the side effects of Pyrroloquinoline quinone (PQQ)?

Common side effects of Pyrroloquinoline quinone (PQQ) (≥ 1 in 100): Headache, GI discomfort, Irritability, sleep disturbance (at high doses). See the Safety section for uncommon and serious reactions.

Is Pyrroloquinoline quinone (PQQ) safe during pregnancy?

Use in pregnancy has not been studied; supplement is not recommended.

Is Pyrroloquinoline quinone (PQQ) compatible with breastfeeding?

Use during breastfeeding has not been studied; supplement is not recommended.

Who should not take Pyrroloquinoline quinone (PQQ)?

Pyrroloquinoline quinone (PQQ) is contraindicated in: Pregnancy and breastfeeding; Age under 18; Hypersensitivity. Full list in the Safety section.

Other drugs in this group

Propolis (bee product), Pterostilbene (dimethyl resveratrol analogue), Pumpkin seed oil (Cucurbita pepo, Cucurbita maxima), Pycnogenol (French maritime pine bark extract, Pinus pinaster), Sea buckthorn, Andrographis paniculata, Choline (umbrella: bitartrate, phosphatidylcholine, lecithin), Lutein