Short answer: Neither is approved in the US. We found no FDA-approved product or DailyMed label for either.1 In a 2019 warning letter, FDA said one seller's piracetam and aniracetam products were not dietary supplements.2 Reviews of piracetam found no clear memory benefit; aniracetam's human data are mostly one open-label study.34 No study has compared them.
| Piracetam | Aniracetam | |
|---|---|---|
| US status | No FDA-approved product or DailyMed label1 | Not approved for human use in the US51 |
| FDA warning letter (2019) | Named; FDA said the seller's product was not a dietary supplement2 | Named; same finding2 |
| Best human evidence found | 2024 meta-analysis: 18 studies, 886 people with memory impairment3 | Open-label, non-randomized study of 276 people with cognitive disorders4 |
| Result | No clear difference from placebo on memory (p = 0.12)3 | Test scores held steady over 12 months on aniracetam; no placebo group4 |
| Older review | 2001 Cochrane review: effect on overall impression of change, but no benefit on specific measures6 | 2002 review: mostly rodent findings; no convincing evidence they carry over to people7 |
| Supplement testing | Not covered in the testing study cited here | Up to 502 mg per serving found; 9 of 12 declared amounts across products were wrong5 |
In a February 2019 warning letter to an online seller, FDA said the seller's products, including piracetam and aniracetam, were drugs because of the claims made for them, and that they were not dietary supplements or conventional foods.2 We found no approved application or DailyMed label for either.1
None of these studies was in healthy people looking for sharper focus. These are study protocols, not personalized advice; confirm any dosing with your prescriber.
Researchers bought 10 supplements labeled as containing racetams and tested them. They found aniracetam and other unapproved drugs, some not on the label, and some labeled drugs were missing. Of 12 declared amounts, 9 were wrong. One serving could contain up to 502 mg of aniracetam, and one product could expose a user to as many as 4 unapproved drugs.5
More detail: the Piracetam and Aniracetam guides.