Dark spots
Good evidenceProven to fade spots at 4–5% — modest but real
Randomized, vehicle-controlled trials found niacinamide fades spots: 5% lightened hyperpigmentation over 8 weeks in a split-face trial, and 4% (paired with N-acetyl glucosamine) reduced spot area over 10 weeks. The effect is modest — gradual evening of tone, not spot removal — and the key trials were industry-funded.
The receipts
14 trials/reviews indexed · showing most cited- Randomized trialBr J Dermatol· 2002· cited 240×
The effect of niacinamide on reducing cutaneous pigmentation and suppression of melanosome transfer.
- Randomized trialExp Dermatol· 2005· cited 59×
Effective inhibition of melanosome transfer to keratinocytes by lectins and niacinamide is reversible.
- Randomized trialBr J Dermatol· 2010· cited 43×
Reduction in the appearance of facial hyperpigmentation after use of moisturizers with a combination of topical niacinamide and N-acetyl glucosamine: results of a randomized, double-blind, vehicle-controlled trial.
- Meta-analysisCochrane Database Syst Rev· 2020· cited 23×
Topical azelaic acid, salicylic acid, nicotinamide, sulphur, zinc and fruit acid (alpha-hydroxy acid) for acne.
- Randomized trialSkin Res Technol· 2014· cited 22×
Reduction in facial hyperpigmentation after treatment with a combination of topical niacinamide and tranexamic acid: a randomized, double-blind, vehicle-controlled trial.
- Randomized trialBiomed Res Int· 2019· cited 19×
DNA Methyltransferases in Malar Melasma and Their Modification by Sunscreen in Combination with 4% Niacinamide, 0.05% Retinoic Acid, or Placebo.