Glutathione
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Route(s): Subcutaneous, Intramuscular
Typical vial sizes: 1000, 1500 mg
Dosing window: Anytime
Receptor / target: Antioxidant
Properties: Not stated
Pre-mixed: No
Unverified protocol notes
Standard Protocol
| Timeframe | Dose | Notes |
|---|---|---|
| Weeks 1-4 | 100mg 1x daily | Standard / Gradual Approach (2 mL = 300 mg/mL). Six days per week. |
Unverified protocol note; not label dosing unless graded otherwise on this page.
Alternative Titration
| Timeframe | Dose | Notes |
|---|---|---|
| Weeks 1-2 | 100 mg | Initiation. |
| Weeks 3-4 | 150 mg | Escalation. |
| Weeks 5-8 | 200 mg | Peak dose phase. |
Unverified alternative protocol; not an approved-label regimen unless graded otherwise on this page.
Protocol logic check
Independent evidence
Regulatory status: no approved label identified
Storage
No independently verified storage guidance found. Treat any unverified storage claim as unverified, and see the general storage guidance in the FAQ.
Contraindications (limited evidence)
- Asthma (inhaled form only): the contraindication is route-specific; nebulized/inhaled glutathione has been associated with bronchospasm in asthmatic subjects; the subcutaneous and intramuscular injectable routes used in this database do not carry this bronchospasm risk. Limited / unverified
- Concurrent chemotherapy agents that rely on oxidative mechanism for cancer cell killing (alkylating agents, platinum compounds: cisplatin, carboplatin, oxaliplatin): glutathione is a primary detoxification mechanism for these drugs; elevated intracellular GSH in cancer cells is a known mechanism of chemotherapy resistance; exogenous glutathione during platinum-based or alkylating chemotherapy could reduce chemotherapy efficacy through enhanced cancer cell GSH-mediated drug detoxification. Limited / unverified
- Concurrent nitroglycerin therapy: glutathione is required for the bioactivation of organic nitrates; paradoxically, GSH depletion is the mechanism of nitrate tolerance, and high-dose exogenous glutathione could restore nitrate sensitivity abruptly in subjects who have developed tolerance. Limited / unverified
- Known hypersensitivity to glutathione, its tripeptide components (γ-glutamic acid, cysteine, glycine), or formulation excipients. Limited / unverified
- Severe renal impairment: the kidneys play a role in glutathione metabolism and cysteine recycling; in severe renal failure the pharmacokinetics of exogenous GSH are altered. Limited / unverified
- Wilson's disease (copper overload disorder): glutathione participates in copper metabolism through its cysteine thiol group; in Wilson's disease where copper accumulation is the pathological problem, alterations in glutathione-mediated copper handling require medical supervision. Limited / unverified
Side effects (limited evidence)
- Injection site pain: the most consistently reported adverse effect; glutathione at concentrations of 200-300mg/mL is slightly acidic and can produce notable injection site burning and soreness compared to standard peptide injections; most pronounced with IM administration; managed by slower injection rate and warming the solution to body temperature. Limited / unverified
- Skin lightening and loss of melanin: the intended cosmetic effect becomes an adverse effect in subjects who did not desire pigmentation reduction or who experience uneven lightening; the effect is dose-dependent, progressive over weeks, and reversible upon discontinuation but gradual in reversal. Limited / unverified
- Uneven skin lightening: hypopigmentation may be patchy rather than uniform, particularly at injection sites (local concentration effect) versus systemic distribution; typically equilibrates with continued use as systemic distribution homogenizes. Limited / unverified
- Zinc depletion: sustained high-dose glutathione supplementation has been associated with reduced serum zinc; zinc supplementation concurrent with long-term glutathione cycles is advisable. Limited / unverified
- Mild gastrointestinal discomfort (uncommon at injectable doses): not a primary concern with subcutaneous/IM routes versus oral. Limited / unverified
- Temporary worsening of melanoma surveillance: glutathione's tyrosinase inhibition and melanin reduction effects could theoretically alter the appearance of melanocytic lesions in a manner that affects dermatological surveillance; all existing moles should be documented before initiating glutathione cycles. Limited / unverified
- Paradoxical pro-oxidant effect at very high doses: at supraphysiological concentrations, the GSH/GSSG redox couple can shift in a pro-oxidant direction; this is a theoretical concern at doses far exceeding the standard protocol and not clinically observed at the 100-200mg doses used in these protocols. Limited / unverified
Compatibility
The relationships below come from the source site's internal engine and were not verified independently. Treat them as a starting point for a conversation with a clinician. They carry no safety guarantee.
Reported synergistic:
Reported contraindicated combinations:
None listed.