Creatine can protect brain function during severe sleep loss, but only for complex tasks and only after 36 hours awake.
Participants took 5 g of creatine monohydrate four times a day for 7 days before undergoing 18-, 24- and 36-h sleep deprivation combined with moderate intermittent exercise.
At 36 h without sleep, the creatine group performed significantly better on central executive tasks than the placebo group.
The limit: it showed zero benefit for short-term memory, choice reaction time, balance, mood, cortisol, or melatonin. The cognitive buffer was restricted strictly to complex executive tasks under extreme exhaustion.
Randomized controlled trial. Physiology & behavior 2007, PMID 17046034