Which Is Better: Prevagen or Neuriva?

Mahshid Moghei, PhD Medically reviewed by Mahshid M. on

Choosing the Right Brain Supplement

The debate over which cognitive supplement is superior—Prevagen or Neuriva—has gained traction among consumers seeking improved brain health. While both products claim to support cognitive function, their formulations, clinical support, and effectiveness differ significantly. Neuriva features ingredients with more credible scientific backing, whereas Prevagen relies on less robust research. As individuals consider their options, understanding the differences between these two supplements becomes essential. What truly sets them apart—and which might be the more effective choice?

Key Takeaways

  • Neuriva demonstrates a 57.4% reduction in tau tangles, compared to Prevagen’s 12.9% reduction in fibrils.

  • Neuriva includes Phosphatidylserine, known to support cognitive performance and nerve cell function, while Prevagen uses apoaequorin, a jellyfish-derived protein.

  • Neuriva is typically more affordable, priced between $28 and $34.99 for 28 capsules, versus Prevagen’s $40 for 30 capsules.

  • User reviews suggest Neuriva may offer more noticeable improvements in alertness and focus, whereas Prevagen receives mixed feedback.

  • Both are considered generally safe, but may cause mild side effects. Consulting a healthcare provider before use is advised.

Key Ingredients of Neuriva and Prevagen

What sets Neuriva apart from Prevagen at the ingredient level? Neuriva includes:

  • 100 mg of Coffee Fruit Extract, believed to increase levels of brain-derived neurotrophic factor (BDNF), which supports neuron growth and function.

  • 100 mg of Phosphatidylserine, a phospholipid critical for nerve cell communication and cognitive performance.

  • Vitamins B6, B9, and B12, essential for neurological health.

In contrast, Prevagen’s formula centers on:

  • Apoaequorin, a jellyfish-derived protein intended to support brain cell health, though scientific validation remains limited.

  • Vitamin D, which may aid in cognitive function but is not unique to Prevagen.

While Neuriva’s ingredients have preliminary research suggesting cognitive benefits, Prevagen’s primary component lacks strong, peer-reviewed evidence. Both supplements use relatively low dosages, which may limit their overall effectiveness.

Efficacy and Clinical Studies

Neuriva and Prevagen have both been involved in research, though with markedly different levels of scientific credibility.

  • Neuriva: One study noted a 57.4% reduction in tau tangles, which are associated with neurodegenerative diseases. A 42-day trial showed modest improvements in cognitive performance.

  • Prevagen: Shows only a 12.9% reduction in fibrils and no measurable impact on tau tangles. Its main study is not peer-reviewed and has faced scrutiny over scientific rigor.

Phosphatidylserine in Neuriva is widely recognized for its neuroprotective benefits, while apoaequorin lacks substantial, independent validation. Overall, Neuriva has stronger clinical backing, though neither supplement has been proven to prevent or reverse cognitive decline.

Safety and Side Effects

Both supplements are generally considered safe but may cause mild side effects:

Supplement

Common Side Effects

Prevagen

Headaches, dizziness, nausea

Neuriva

Upset stomach, diarrhea, occasional allergic reactions

Some users of Neuriva have reported gastrointestinal discomfort, while Prevagen users note dizziness or nausea. Allergic reactions, though rare, can occur. Those with existing medical conditions or who are taking other medications should consult a healthcare provider before use. Additionally, the limited evidence for both supplements underscores the importance of cautious and informed use.

Cost Comparison

Cost is a significant factor when choosing between Prevagen and Neuriva:

  • Neuriva: $28–$34.99 for 28 capsules

  • Prevagen: ~$40 for 30 capsules

Neuriva has a lower cost per capsule and is often perceived as offering better value, especially given its inclusion of more widely supported ingredients. Prevagen’s higher price point is likely due to the proprietary nature of apoaequorin, despite its limited scientific support. Consumers seeking both affordability and efficacy may find better options elsewhere with more comprehensive formulas.

User Testimonials and Experiences

User feedback helps paint a fuller picture of real-world effectiveness:

Supplement

Reported Effects

Side Effects

Prevagen

Minimal cognitive changes

Mild digestive issues

Neuriva

Subtle boost in alertness/focus

Headaches, stomach upset

Both

Mixed reviews, subjective results

Generally well-tolerated

Prevagen users often report little to no noticeable improvement. Neuriva users more frequently describe mild enhancements in concentration and mental clarity, although results vary. Most testimonials note that it can take several weeks of consistent use before any benefits become noticeable. Skepticism remains common for both products, especially given their modest formulations and price.

Conclusion

In the realm of cognitive support, Neuriva stands out for its clinically backed ingredients and better cost-effectiveness. While Prevagen markets a unique protein, its scientific foundation remains weak, leaving consumers skeptical. For those navigating the crowded supplement landscape, Neuriva offers a more compelling option—grounded in modest evidence, affordability, and real user experience. As with any supplement, it’s best used as part of a broader brain health strategy, including nutrition, sleep, and mental exercise.

Frequently Asked Questions

Does Prevagen Work Better Than Neuriva?

Current evidence suggests Neuriva is more effective due to better-supported ingredients like Phosphatidylserine. Prevagen’s efficacy remains questionable, with limited clinical support.

What Is the Number One Supplement for Memory?

Top-rated memory supplements often contain Bacopa Monnieri, Phosphatidylserine, and Lion’s Mane Mushroom. The best choice depends on individual needs, ingredient quality, and scientific backing.

What Are the Negative Side Effects of Neuriva?

Some users report digestive upset, headaches, or mild dizziness. These side effects are usually temporary and manageable but warrant caution for those with sensitivities.

Does Neuriva Really Work for Memory Loss?

While some users report benefits, clinical evidence does not strongly support Neuriva as a treatment for memory loss. Results are often mild and subjective.

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Sources

  1. Grossman S, Nathan JP, Siuzdak A, Liang J, Sprycha C. Prevagen: Analysis of Clinical Evidence and Its Designation as a "#1 Pharmacist Recommended Brand". Sr Care Pharm. 2022 Aug 1;37(8):335-338. doi: 10.4140/TCP.n.2022.335. PMID: 35879840.

  2. Hickson SV, Darnell LK. Enhancing Cognitive Function with Herbal Supplements. Nurs Clin North Am. 2021 Mar;56(1):59-67. doi: 10.1016/j.cnur.2020.10.005. Epub 2020 Dec 29. PMID: 33549286.

  3. Pescatore F. Comparison of Daiwa Brain Health (Hokkaido Scallop Oil Plasmalogen) and Prevagen (Apoaequorin) on Cognitive Function: An In-Office Pilot Study. Altern Ther Health Med. 2024 Oct;30(10):18-20. PMID: 39316546.

  4. Schiff Vitamins. 7 Reasons to Try Neuriva Today!. https://www.schiffvitamins.com/pages/neuriva-brain-health-supplement-research?srsltid=AfmBOor0iEcLhMD7vaVmF1Er5P4xcq2_jdG6fdDA8AwMs0l2FIWsIzgt. Accessed June 3, 2025.

  5. Doma KM, Lewis ED, Barracato JM, et al. A Randomized, Double-Blind, Placebo-Controlled, Parallel Study Investigating the Efficacy of a Whole Coffee Cherry Extract and Phosphatidylserine Formulation on Cognitive Performance of Healthy Adults with Self-Perceived Memory Problems. Neurol Ther. 2023 Jun;12(3):777-794. doi: 10.1007/s40120-023-00454-z. Epub 2023 Mar 16. PMID: 36929344; PMCID: PMC10195946.

  6. C. George, S. Discover Magazine. Does Neuriva Work and Can It Really Help the Brain? https://www.discovermagazine.com/health/what-are-the-side-effects-of-neuriva-does-it-really-help-the-brain. Accessed June 3, 2025.


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The content on this page is for informational and educational purposes only and does not constitute professional medical advice. Patients should not use the information presented on this page for diagnosing a health-related issue or disease. Before taking any medication or supplements, patients should always consult a physician or qualified healthcare professional for medical advice or information about whether a drug is safe, appropriate or effective.