US: Unapproved "New Drug" (as defined by 21 U.S. Code § 321(p)(1)). Use in dietary supplements, food, or medicine is unlawful; otherwise uncontrolled.[1]
Picamilon (also known as N-nicotinoyl-GABA, pycamilon, and pikamilon) is a drug formed by a synthetic combination of niacin and γ-aminobutyric acid (GABA). It was developed in the Soviet Union in 1969[3] and further studied in both Russia[4] and Japan as a prodrug of GABA.[5]
In Russia, picamilon is sold as a prescription drug. The rights to the drug belong to the Russian pharmaceutical company NPK ECHO ("НПК ЭХО"). It is not approved for sale in the United States and has been deemed an adulterating agent in dietary supplements,[6] with five American companies required to remove their picamilon products from the market in November 2015.[7] However, as recently as 2020, picamilon has been found in pharmaceutical dosages in over-the-counter supplements in the US.[8]
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^Kopelevich VM, Gunar VI (April 1999). "Some approaches to the directed search for new drugs based on nicotinic acid". Pharmaceutical Chemistry Journal. 33 (4): 177–187. doi:10.1007/BF02509934. S2CID36930437.
^Mirzoian RS, Gan'shina TS (1989). "[The new cerebrovascular preparation pikamilon]". Farmakologiia i Toksikologiia (in Russian). 52 (1): 23–6. PMID2707413.