Galantamine Protocol: The Better Donepezil?

Galantamine is a potent nootropic originally developed for cognitive support, particularly in neurodegenerative conditions. Interestingly, many users report that Galantamine feels more powerful than Donepezil, another well-known acetylcholinesterase inhibitor.

⚠️ Disclaimer: Before starting any nootropic — especially prescription compounds like Galantamine or Donepezil — consult with your doctor or psychiatrist. This is not medical advice and is for informational purposes only.


Form Matters: IR vs. ER

Galantamine comes in Immediate Release (IR) and Extended Release (ER) forms:

  • IR is typically dosed twice daily

  • ER is usually dosed once daily

For simplicity, the following dosing guidelines refer to total daily dosage, regardless of form.


Dosing Protocol

Level Total Daily Dose
Test Dose 4mg/day (optional; many skip to 8mg)
Beginner 8mg/day
Intermediate 16mg/day
Advanced 24mg+/day

Titration Strategy

  • Increase dosage every 4–6 weeks as tolerated.

  • Monitor for signs of cholinergic overload (nausea, brain fog, sleep disturbance).

  • Consider taking with a choline source like Alpha GPC or CDP-Choline to support acetylcholine production.