Nootropic Stacks: The Evidence-Based Combinations That Work

Popular nootropic combinations ranked by evidence quality. What synergises, what cancels out, what's just placebo — and where to start if you're building your first stack.

Scientific laboratory with glassware and research equipment
Nootropic stacking is about complementary mechanisms — not just combining anything that affects the brain.

What makes a good stack

A nootropic stack is any combination of compounds taken together for cognitive purposes. The rationale for combining compounds is usually one of three things: complementary mechanisms (compounds working on different pathways), synergy (compounds amplifying each other's effects), or harm reduction (one compound buffering the side effects of another).

The most common mistake beginners make is stacking multiple compounds before establishing their individual responses. If you don't know how each compound affects you separately, you can't know what a combination is doing. The rule: test solo first, stack second.

How to rate evidence for stacks

Stack evidence is almost always weaker than individual compound evidence — clinical trials rarely test combinations. Ratings below reflect: High = replicated human trials; Moderate = limited trials or strong mechanistic basis; Low = mainly community reports and theoretical rationale.

Stack 1: Caffeine + L-Theanine

Evidence rating: High

This is the most replicated nootropic combination in the literature. Caffeine is an adenosine receptor antagonist — it promotes wakefulness by blocking the sleepiness signal. L-Theanine is an amino acid found in tea that promotes alpha-wave activity and mild anxiolysis without sedation.

When combined, the anxiogenic and jittery edge of caffeine is substantially blunted by L-Theanine, while L-Theanine's mild cognitive effect is amplified by caffeine's alertness. Multiple placebo-controlled trials have confirmed sustained attention, reaction time, and mood improvements superior to either compound alone.

Stack 2: Modafinil + L-Theanine

Evidence rating: Moderate

The logic is identical to caffeine + L-Theanine but applied to a more powerful wakefulness agent. Modafinil can produce mild anxiety and over-activation in some users, particularly at higher doses. L-Theanine's anxiolytic effect smooths this without reducing the core wakefulness and focus benefits.

There are no head-to-head clinical trials of this specific combination, but the mechanistic rationale is sound and community reports are strongly consistent. This is one of the most recommended combinations among regular modafinil users.

Stack 3: Piracetam + Alpha-GPC

Evidence rating: Moderate–High

This isn't optional — it's a dependency. Piracetam upregulates acetylcholine turnover and receptor sensitivity, which depletes choline if supply isn't maintained. Adding Alpha-GPC (the most bioavailable choline precursor) addresses this directly. The result: piracetam's cognitive effects without the characteristic racetam headache from choline depletion.

Some clinical trials have compared piracetam alone to piracetam + choline and found the combination superior for memory outcomes. The combination should be considered the baseline — piracetam without choline isn't the correct protocol.

Stack 4: Modafinil + Piracetam + Alpha-GPC

Evidence rating: Low (mechanistically sound)

Combining modafinil's wakefulness and attention effects with piracetam's memory and acetylcholine modulation creates a stack targeting different cognitive domains simultaneously. Modafinil handles sustained attention and decision-making; piracetam + Alpha-GPC handles memory consolidation and fluent thinking.

Users commonly report this combination feels "smoother" than modafinil alone — the piracetam appears to soften the sometimes tunnel-vision quality of modafinil and improve verbal fluency and associative thinking. There's no clinical trial for this specific combination, but the mechanistic logic is strong and the safety profiles of all three compounds are well-established.

Stack 5: Atomoxetine + Piracetam

Evidence rating: Low

Atomoxetine's norepinephrine-mediated executive function enhancement combined with piracetam's acetylcholine modulation targets two separate cognitive systems. Theoretically complementary — NE for executive function and attentional control, ACh for memory and learning — but there's no clinical research on this combination.

The practical concern: both compounds take weeks to build effect, making it harder to gauge contribution. Start with atomoxetine to steady state (4–6 weeks) before introducing piracetam.

What not to stack

Some combinations are counterproductive or genuinely risky:

CombinationProblemRisk Level
Modafinil + AdderallExcessive cardiovascular strain, no additional cognitive benefit over either aloneModerate
Modafinil + AlcoholModafinil masks perception of intoxication; actual impairment remains and worsensHigh
Atomoxetine + MAOIsDangerous hypertensive reactionSevere
Atomoxetine + fluoxetine/paroxetineCYP2D6 inhibition dramatically raises atomoxetine blood levelsModerate–High
Modafinil + hormonal contraceptivesModafinil induces CYP3A4, reducing contraceptive efficacyImportant to know
Multiple stimulantsAnxiety, elevated blood pressure, no additive cognitive benefitModerate

Building your first stack: a sensible sequence

If you're new to stacking, a graduated approach reduces risk and helps you understand what each compound does:

  1. Start with caffeine + L-Theanine for 2–4 weeks. This alone is underrated. Note your baseline cognitive performance.
  2. If you want wakefulness support, trial modafinil solo at 100mg before adding L-Theanine to the combination.
  3. If you want memory and learning enhancement, add piracetam + Alpha-GPC as a stack (never piracetam without choline).
  4. Combine once stable on each individual component — not before.

Keep a log

With multiple compounds and building-in timelines, memory of what changed when becomes unreliable fast. A simple daily note (mood, focus quality, sleep, side effects) over 6–8 weeks tells you more than introspection can.

Medical disclaimer

This article is for educational purposes only. Modafinil and atomoxetine are prescription medications in most countries. Consult a qualified healthcare professional before combining any substances, particularly if you take other medications.

Explore the individual guides

Deep dives on modafinil, atomoxetine, and piracetam — mechanisms, dosing, and safety profiles.

Browse all guides →