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DR. LAURA'S GUIDE | MAY 2026

INGREDIENT DEEP DIVE: NIACINAMIDE

This ingredients belongs in almost every routine. It's one of my most consistently-recommended ingredients alongside retinoids. It's not the most exciting ingredient, it doesn't have the cult status of retinol or the prestige of vitamin C. But in clinic, it's one of the most reliably useful things you can put on your skin, and it's significantly underestimated by a lot of people who think of it as a basic or entry-level ingredient.


It isn't. Here's why.

WHAT IS NIACINAMIDE?

Niacinamide is an antioxidant. It's a form of vitamin B3, a water-soluble vitamin that the skin uses in a number of important cellular processes.

It's been studied extensively in dermatology for decades, which means the evidence base behind it is really solid and well-established, which is something we always keep in mind at PHARE.


It works in several ways simultaneously, and we all love a multi-tasker. Most active ingredients do one thing well. Niacinamide does several things well at once, and the combination of those effects is what makes it so broadly useful across different skin concerns.

WHAT DOES NIACINAMIDE DO?

The reason I recommend niacinamide so often in clinic is that almost every patient has at least two or three of these concerns at once.


Acne-prone skin that's also sensitive. Pigmentation alongside redness.

A compromised barrier in someone who's also trying to use retinoids.

Niacinamide fits into almost all of those situations without conflict.

It's also low risk for irritation unlike Vitamin C, which can cause irritation in problematic skin.

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What concentration to look for

Most well-formulated niacinamide products sit between 2% and 10%.
The research suggests that 5% is effective for most of the benefits listed above, and that going higher doesn't necessarily produce better results, and for some people, concentrations above 10% can cause temporary flushing or irritation.

5% is a good target. Anything in the 2–10% range from a well-made product is worth using.

How it works alongside other actives

There's a persistent myth that niacinamide and vitamin C can't be used together, that they interact and reduce each other's efficacy, or cause flushing.

This was based on older research and has largely been debunked. At the concentrations used in modern skincare formulations, the two can be used together without significant issue. In practice, I'd still tend to use them at different times of day (vitamin C in the AM, niacinamide AM or PM) simply because that's how most routines are naturally structured, but it's not a hard rule.

Niacinamide and retinoids work very well together. Retinoids can cause dryness and irritation, particularly during the adjustment period, and niacinamide's barrier-supporting and anti-inflammatory properties help counteract both. I often recommend applying niacinamide before a retinoid for exactly this reason; it prepares the skin and reduces the likelihood of irritation without reducing the retinoid's efficacy.

With exfoliating acids (AHAs like glycolic and lactic, or BHAs like salicylic acid), niacinamide is generally compatible. It can actually be a useful buffer: the barrier support it provides helps the skin tolerate acids better, particularly for people who find their skin sensitive to exfoliation.

WHO SHOULD USE NIACINAMIDE?

Almost everyone. That's not an exaggeration!!

It's genuinely one of the few ingredients without a meaningful list of contraindications.
Oily skin, dry skin, sensitive skin, acne-prone skin, skin dealing with pigmentation, skin on prescription treatments, skin in perimenopause. It suits all of them.


The exceptions are very few. Some people experience mild flushing at higher concentrations, though this is uncommon at 5% and tends to resolve with continued use. If you have a known sensitivity to vitamin B3 — which is rare — it's worth starting slowly.

Otherwise, if niacinamide isn't in your routine already, it probably should be

The niacinamide products we reach for

INTRODUCE NIACINAMIDE TODAY

If you're not currently using an antioxidant, you should be! It's one of my Core Four skincare ingredients, and contributes to long-term skin health. Niacinamide is the easiest antioxidant to introduce to any routine.

Start today, thank yourself in 6 months.

The information in this article is intended for general educational purposes only. It is not a substitute for professional medical advice, diagnosis, or treatment. If you have concerns about your skin, please speak to your GP or a qualified medical professional. If you'd like to discuss your skin with us directly, we're happy to help.

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