AICAR 50mg — Acadesine Nucleoside AMPK Activator by Dragon Pharma
AICAR (5-aminoimidazole-4-carboxamide ribonucleotide, Acadesine) is Dragon Pharma's formulation of the nucleoside analogue AMPK activator at 50mg per vial — a compound banned by WADA in 2011 precisely because its use in elite endurance sport was documented and its performance-enhancing mechanism is real. AICAR is not a peptide, not a SARM, and not a growth factor — it is a nucleoside analogue that enters cells and is phosphorylated to ZMP, which directly activates AMPK (AMP-activated protein kinase), the master cellular energy sensor that drives endurance adaptation, fat oxidation and mitochondrial biogenesis.
Also searched as: AICAR 50mg, Acadesine, AICAR AMPK, AICAR endurance, Acadesine Dragon Pharma.
What AICAR Is — Nucleoside Analogue, Not a Peptide
AICAR's chemical class is important for understanding how it works:
- AICAR (5-aminoimidazole-4-carboxamide-1-β-D-ribofuranoside) is a nucleoside analogue — a synthetic compound structurally related to adenosine, one of the four nucleoside building blocks of RNA and DNA
- It is not a peptide (no amino acid chain), not a steroid (no steroidal ring structure), not a SARM (no androgen receptor binding) and not a growth factor (no receptor for growth signalling)
- AICAR was originally developed as a cardioprotective agent for use during cardiac surgery — it was studied for its ability to protect heart tissue during ischemia (oxygen deprivation). Its AMPK-activating properties and metabolic effects were discovered as researchers explored its mechanism more deeply
- The compound gained attention in endurance sport when Bahr et al. and subsequent researchers demonstrated that AICAR administration in sedentary animals produced endurance adaptations similar to aerobic exercise training — without the training itself
The ZMP Mechanism — How AICAR Activates AMPK
The specific intracellular mechanism distinguishes AICAR from other AMPK activators:
- After injection, AICAR enters cells via adenosine transporters — the same membrane transporters that move adenosine across the cell membrane
- Inside the cell, AICAR is phosphorylated by adenosine kinase to form ZMP (5-aminoimidazole-4-carboxamide ribonucleotide monophosphate) — which accumulates intracellularly
- ZMP is a structural analogue of AMP (adenosine monophosphate) — it binds the AMP-sensing domain of AMPK and mimics the "low energy" signal that AMP itself sends when cellular energy charge is depleted (e.g. during intense exercise)
- This AMPK activation then triggers the full suite of downstream metabolic adaptations: increased fatty acid oxidation (more fat burned for energy), increased glucose uptake in muscle (GLUT-4 translocation), decreased gluconeogenesis in liver, mitochondrial biogenesis, and upregulation of genes involved in oxidative phosphorylation
- The key distinction from indirect AMPK activators: ZMP activates AMPK directly at the allosteric site — a more direct mechanism than compounds like metformin which activate AMPK indirectly through inhibition of Complex I of the mitochondrial electron transport chain
The WADA Ban — Why Elite Sport Banned AICAR in 2011
AICAR's anti-doping status reflects its documented real-world performance-enhancing use:
- WADA added AICAR (and GW501516/Cardarine) to the Prohibited List in 2011 under the category of "metabolic modulators" — a new category created specifically to address these non-hormonal performance-enhancing compounds
- The ban followed reports of AICAR use in professional cycling, where its endurance-enhancing effects without masking the hematological markers of EPO doping made it attractive to athletes wanting to avoid detection
- The documented competitive use provides a real-world validation of AICAR's endurance effects in trained humans — not just in sedentary rodents from laboratory studies
- AICAR is detectable in urine and blood tests through targeted metabolomic screening — its use in tested competition is not viable
The Landmark Animal Study — What Narkar et al. (Cell, 2008) Showed
The foundational AICAR exercise mimetic publication:
- Narkar et al. (Cell, 2008) — the same Salk Institute lab that investigated GW501516 — demonstrated that AICAR administration in sedentary mice increased running endurance by approximately 44% compared to controls, without any exercise training
- The endurance improvement was associated with increased expression of genes involved in fatty acid oxidation and mitochondrial biogenesis in skeletal muscle — confirming AMPK activation was driving transcriptional changes toward the trained phenotype
- The combination of AICAR + GW501516 (PPARδ agonist) produced an approximately 75% endurance improvement — demonstrating that AMPK and PPARδ pathways are synergistic, each amplifying the other's effects on oxidative metabolism genes
Effects and Benefits
- Direct AMPK activation via ZMP accumulation — the most pharmacologically direct AMPK activator available
- Endurance enhancement — approximately 44% improvement in sedentary animal models (Narkar et al.); documented use in elite human endurance sport
- Increased fatty acid oxidation — AMPK drives fat as the primary fuel source during sustained effort
- Mitochondrial biogenesis — AMPK activates PGC-1α, the master regulator of mitochondrial content
- Improved insulin sensitivity — AMPK drives GLUT-4 translocation in muscle independently of insulin
- No testosterone suppression — no PCT required
Dosage and Administration
| Protocol |
Dose |
Frequency |
Notes |
| Endurance / metabolic support |
50 mg/day |
Once daily injection |
Full vial per day; subcutaneous |
| Lower dose trial |
25 mg/day |
Once daily injection |
Half vial; assess response before full dose |
At 50mg per vial, full-dose protocols use one vial daily — a significant cost per day of use. Pre-workout injection 30-60 minutes before training is common practice to align AMPK activation with the exercise window. Reconstitute with bacteriostatic water. Store refrigerated at 2-8°C after reconstitution for up to 28 days. Cycle length is not firmly established — AICAR does not cause receptor desensitisation like beta-2 agonists, so continuous use is pharmacologically viable, though cost considerations typically drive cycling.