NAD+
Coenzyme therapy
This page provides general safety information about NAD+ (nicotinamide adenine dinucleotide), a coenzyme found in all living cells. It is sometimes offered through compounding pharmacies as an injectable or infusion in wellness and longevity settings.
This is not for emergencies. If you have severe symptoms — trouble breathing, chest pain, severe abdominal pain, a severe allergic reaction (swelling of the face, lips, or throat), or thoughts of harming yourself — call 911 or go to the nearest emergency room immediately.
Important context
NAD+ products used this way are typically compounded and are not FDA-approved to prevent, treat, or cure any disease. The clinical evidence for many marketed benefits is limited and still developing. Discuss the current evidence, benefits, and risks with your Stateside provider before starting.
Who should be cautious
NAD+ may not be appropriate during pregnancy or breastfeeding, or for people with certain medical conditions. Tell your provider about all conditions, allergies, and medications before starting.
Common reactions
Reactions reported with NAD+ infusions or injections include flushing, warmth, nausea, lightheadedness, headache, chest tightness or pressure, and a racing heartbeat — these are more likely when an infusion is given too quickly. Injection-site reactions such as redness, swelling, or soreness can also occur.
When to seek care
Slow or stop the infusion and tell your provider if you feel unwell. Seek emergency care for signs of a serious allergic reaction (swelling of the face, lips, or throat; difficulty breathing) or for severe chest pain.
Using your treatment
Follow your provider’s instructions on dose and administration exactly. For self-administered products, use proper technique and safe needle disposal as instructed.
This page is general information and does not list every possible side effect, interaction, or precaution. It is not a substitute for the official prescribing information or the advice of your treating clinician and pharmacist. You can report side effects to the FDA at 1-800-FDA-1088 or www.fda.gov/medwatch.
Glutathione
Antioxidant therapy
This page provides general safety information about glutathione, an antioxidant produced naturally by the body. It is sometimes offered through compounding pharmacies as an injectable in wellness and longevity settings. It is intended to help you have an informed conversation with your Stateside provider — it does not replace their guidance, your pharmacist’s counseling, or the official prescribing information.
This is not for emergencies. If you have severe symptoms — trouble breathing, chest pain, severe abdominal pain, a severe allergic reaction (swelling of the face, lips, or throat), or thoughts of harming yourself — call 911 or go to the nearest emergency room immediately.
Important context
Injectable glutathione products used this way are typically compounded and are not FDA-approved to prevent, treat, or cure any disease, and are not approved for skin lightening. The clinical evidence for many marketed benefits is limited and still developing. Discuss the current evidence, benefits, and risks with your Stateside provider before starting.
Who should be cautious
Glutathione may not be appropriate during pregnancy or breastfeeding, for people with asthma (it may trigger or worsen breathing symptoms in some people), or for those with a sulfa or sulfite sensitivity or certain other conditions. Tell your provider about all conditions, allergies, and medications before starting.
Common reactions
Reactions reported with glutathione injections or infusions include injection-site reactions such as redness, swelling, or soreness, along with flushing, lightheadedness, nausea, headache, and, less commonly, cramping or a rash. Reactions may be more likely when an infusion is given too quickly.
When to seek care
Slow or stop the infusion and tell your provider if you feel unwell. Seek emergency care for signs of a serious allergic reaction (swelling of the face, lips, or throat; difficulty breathing), or for new or worsening wheezing or shortness of breath, especially if you have asthma.
Using your treatment
Follow your provider’s instructions on dose and administration exactly. For self-administered products, use proper technique and safe needle disposal as instructed.
This page is general information and does not list every possible side effect, interaction, or precaution. It is not a substitute for the official prescribing information or the advice of your treating clinician and pharmacist. You can report side effects to the FDA at 1-800-FDA-1088 or www.fda.gov/medwatch.