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    CoQ10

    Also known as: Coenzyme Q10, Ubiquinone, Ubiquinol

    Endogenous lipid-soluble ubiquinone/ubiquinol that shuttles electrons in the mitochondrial respiratory chain and acts as a membrane antioxidant.

    Last reviewed: 2026-06-23 · 1 indexed study

    Evidence Score
    78/100
    Mitochondrial functionCardiovascular healthEnergyStatin supportFertility
    Data Completeness3/4 · 75%
    Evidence ScoreDosageSafetyLinked Studies

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    Overview

    Coenzyme Q10 (ubiquinone) is a mitochondrial electron carrier and lipophilic antioxidant; supplementation supports energy production, heart health, and counters statin-induced depletion.

    Mechanism & Function

    Mechanism of Action

    Supports oxidative phosphorylation, ATP production, and membrane antioxidant defence; declines with age and statin use.

    Physiological Role

    Multiple RCTs in heart failure, statin myalgia, migraine prevention, and fertility; ergogenic effects in athletes are modest.

    Primary Pathways

    Mitochondrial electron transportATP synthesisLipid-membrane antioxidantEndothelial NO support

    Performance / Health Relevance

    Robust evidence in heart failure (Q-SYMBIO trial), statin myalgia, and migraine; mitochondrial support broadly.

    Evidence Review

    Overall78/100
    Human Clinical85/100
    Meta-AnalysisN/A

    No meta-analyses or systematic reviews indexed for this ingredient yet.

    Mechanistic92/100
    Real-World75/100
    Safety92/100

    Dimensions marked N/A have no indexed evidence of that class. They are shown as unavailable rather than scored.

    Practical Use & Dosage

    Minimum Effective Dose
    100 mg/day
    Optimal Range
    100–200 mg/day (ubiquinol preferred for older adults)
    Upper / Caution Level
    ~600 mg/day in clinical use
    Timing
    With fat-containing meal
    Best Format
    Softgel (oil-based) or solubilised
    Bioavailability
    Highly lipophilic — fat co-ingestion essential; ubiquinol ~2–3× more bioavailable than ubiquinone.
    Absorption Considerations
    Lymphatic absorption; Tmax ~6 h.

    Safety & Interactions

    Side Effects

    • •Mild GI upset
    • •Insomnia if taken late
    • •Rare rash

    Contraindications

    • None established

    Drug Interactions

    • •Warfarin (mild interaction)
    • •Statins (CoQ10 depletes)
    • •Antihypertensives

    Who Should Avoid

    • •Pregnancy at high doses

    Monitoring

    INR if on warfarin.

    Frequently Asked Questions

    Auto-generated from indexed evidence — dosage, safety, interactions, and more.

    When is CoQ10 typically used or indicated?

    CoQ10 is most commonly used for: Mitochondrial function, Cardiovascular health, Energy, Statin support, Fertility. Multiple RCTs in heart failure, statin myalgia, migraine prevention, and fertility; ergogenic effects in athletes are modest.

    How does CoQ10 work?

    Supports oxidative phosphorylation, ATP production, and membrane antioxidant defence; declines with age and statin use.

    What is the recommended dose of CoQ10?

    The optimal range is 100–200 mg/day (ubiquinol preferred for older adults). with a minimum effective dose of 100 mg/day. Best taken: With fat-containing meal. Upper / caution level: ~600 mg/day in clinical use.

    What are the side effects of CoQ10?

    Reported side effects include: Mild GI upset; Insomnia if taken late; and Rare rash. Monitoring: INR if on warfarin.

    Does CoQ10 interact with medications?

    Known or theoretical interactions: Warfarin (mild interaction); Statins (CoQ10 depletes); and Antihypertensives. Always check with a clinician before combining with prescription medication.

    Who should avoid CoQ10?

    CoQ10 is generally not recommended for: Pregnancy at high doses; and None established.

    How strong is the evidence for CoQ10?

    Evidence level: Strong (overall score 78/100), based on 1 indexed study on SuppIndex.

    Research & References (1)

    CoQ10 in heart failure: Q-SYMBIO trial

    RCT2014Strong
    PubMed

    42% reduction in MACE vs placebo in chronic heart failure.

    Trademark Ingredients

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    Research Overview

    Strong Evidence
    1Total Studies
    1Human Trials
    0Meta-Analyses
    2014Latest Study
    0Animal / In Vitro
    0Athlete Studies
    Primary data sourceClinical Patients
    Pooled evidence (meta-analysis / systematic review)No

    Cite this ingredient

    One-click citation export in APA, MLA, Chicago, BibTeX, or HTML. The URL below is stable and safe to link.

    Stable URL

    https://thesuppindex.com/ingredients/coq10

    SuppIndex. (2026). CoQ10: Evidence summary, dosage and clinical studies. Retrieved October 16, 2026, from https://thesuppindex.com/ingredients/coq10

    Based on 1 indexed studies · Evidence level: Strong.

    Goal Ratings

    General Health
    Endurance
    Recovery
    Focus

    Stack Compatibility

    Pair with omega-3, magnesium; essential adjunct for statin users.