Tier A

CoQ10 (Ubiquinone / Ubiquinol)

Also known as: Coenzyme Q10 · Ubiquinone-10 · Ubidecarenone · Ubiquinol (reduced form)

42 PMID anchor · CARDIO · MITO · METABOLISM · REPRO · Last reviewed 2026-05-29

Mechanism of action

  • Mitochondrial electron transport chain (Complex I-III shuttle)
  • Lipid-phase antioxidant
  • ATP biosynthesis cofactor
  • Statin-induced CoQ10 depletion rescue

Molecular + tissue targets

  • Mitochondrial bioenergetics
  • Cardiac myocyte ATP
  • Endothelial function

Dosage range

100-300 mg/day ubiquinone; 100-200 mg/day ubiquinol (better absorbed >50yo); Q-SYMBIO HF 100 mg t.i.d.

Safety notes

Generally well tolerated; theoretical warfarin interaction (vitamin K-like quinone structure); take with fat for absorption

Cross-market regulatory status

🇺🇸 FDA

GRAS · DSHEA dietary supplement; structure/function claims permitted

🇪🇺 EFSA

No authorized health claim (claims rejected 2010); permitted as food supplement

🇧🇷 ANVISA

RDC 243/2018 dietary supplement · IN 28/2018 alegação funcional not authorized

Common use cases

  • statin-associated muscle symptoms (research context)
  • heart failure adjunct (Q-SYMBIO 2014)
  • mitochondrial support
  • fertility (research context)
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