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Inosine is a purine ribonucleoside (a nitrogen-containing compound combined with D-ribose). Isoprinosine (brand: Imunovir) is its pharmaceutical equivalent (now largely replaced by inosine).

Inosine is a naturally occurring chemical in the body which leads to the production of uric acid, a potent free radical scavenger. As a basic component of cells, uric acid is involved in a number of physiological processes including carbohydrate metabolism, insulin regulation, and protein synthesis. (Uric acid levels are low in all inflammatory diseases.) Pharmaceutical forms of inosine (inosine pranobex, or isoprinosine) have been used as immune system modulators. Currently, inosine is being investigated as a possible treatment for Parkinson's disease.

As a supplement, inosine is primarily used to enhance athletic performance. Manufacturers claim that because inosine is a precursor to adenosine, it facilitates the production of ATP (adenosine triphosphate). As a consequence, inosine should theoretically increase energy and endurance. Although there does not appear to be any research to substantiate these claims, inosine is included in many sports supplements.

USES IN ME/CFS: Inosine, like its pharmaceutical counterpart, is supposed to modulate the immune system and act as an antiviral. However, inosine does not appear to possess the same antiviral properties as isoprinosine. The main function of inosine is as an antioxidant, which is linked to its ability to raise uric acid levels in the blood.


Treatment rating for Inosine

Rating keys:

1=LOW (I would not recommend this treatment)

5=HIGH (This treatment helped me a great deal)

Rating Side Effects Reason for Treatment Dosage / Duration Age Sex M/F # of years Ill Additional Comments Illness Severity Date Added
3 Small increase in liver enzymes For energy and immune support, to replace inosine pranobex (Imunovir) 2 month 1-4g daily in split doses 4X day 32 Male 18 Imunovir/inosine pranobex is far superior, because of its additional immune modulating effects (especially if you have viral symptoms) Moderate 12/17/17
5 I had to start super slow, like 1/8 of a tablet because it gave me heart palps. I seem to be ok on it now :) I tried Inosine because I have CFS. It boosted my Uric acid levels from a low level to a mid level and also raised my white bloods and neutrophils from below normal to within normal range. 3 month 500mg 2X day 42 Male 5 Moderate/Severe 06/15/20