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Moderate evidenceBrain & cognition

Sarcosine (N-Methylglycine)

An amino acid that modulates NMDA receptor signalling, studied as an add-on to antipsychotics in schizophrenia. Meta-analysis shows a modest benefit there; it is not a general nootropic.

Evidence last reviewed: August 2026

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What the science says

  • Add-on treatment in schizophrenia Moderate evidence

    A systematic review and meta-analysis of randomized controlled trials found that sarcosine added to antipsychotic medication reduced total and negative symptom scores compared with placebo. The trials were small, short, and largely from a single research group, which limits confidence.

  • Compared with other glutamatergic add-ons Moderate evidence

    A network meta-analysis of glutamatergic augmentation strategies in schizophrenia ranked sarcosine among the more promising options for negative symptoms, while noting low certainty and few head-to-head comparisons.

  • Cognition or mood in healthy people Limited evidence

    No controlled trial has tested sarcosine for memory, focus or mood in people without a psychiatric diagnosis, so the nootropic marketing is an extrapolation.

Dosage & safety

Studied doseSchizophrenia trials used 1–2 g/day taken once daily, added to existing antipsychotic treatment for 6–12 weeks.
SafetyGenerally well tolerated in trials, with occasional gastrointestinal upset. Sarcosine should not replace antipsychotic medication and should only be added under psychiatric supervision; it may worsen symptoms in people treated with clozapine, where trials have been less favourable. Elevated sarcosine is also a marker in some inherited metabolic disorders. Safety in pregnancy and children is unknown.

Scientific references

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