NAD+ Injection - Image 1

NAD+ Injection

Rx Required
injectionAnti-Aging
Administration: injection

NAD+ (nicotinamide adenine dinucleotide) is a compounded injectable supplement prepared by prescription. It is supplied as a sterile solution for subcutaneous or intramuscular use. NAD+ is a coenzyme found in every cell and is involved in making energy. Your healthcare provider may prescribe it to support overall wellness, energy levels, and recovery. This product has not been reviewed or approved by the FDA for any specific disease and is provided only when a licensed prescriber determines it is appropriate.

Active Ingredients

Nicotinamide Adenine Dinucleotide (NAD+)100 mg/mL

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Tip: Consult with your healthcare provider to determine the right strength for you.

Available Sizes

10 mL vial
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20 mL vial
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30 mL vial
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$40

Important Disclaimer

These statements have not been evaluated by the Food and Drug Administration (FDA). Compounded products are not FDA-approved and are not intended to diagnose, treat, cure, or prevent any disease. Individual results may vary. The information provided is for educational purposes only and should not be considered medical advice. Always consult with your healthcare provider before starting any new treatment.

Clinical Information

Use as directed by your healthcare provider. Inject only the amount prescribed. If you miss a dose, give it as soon as you remember unless it is almost time for your next scheduled dose. Do not give two doses at the same time. Your healthcare provider will decide how long you should continue therapy.

NAD+ is a natural molecule that helps turn the food you eat into cellular energy (ATP). It works in the mitochondria, the "power plants" of your cells, and supports enzymes called sirtuins that protect cells from stress. After injection, NAD+ enters the bloodstream and is taken up by tissues where it can boost energy production within 1–2 hours. Many people report feeling more alert or less fatigued the same day, but full benefits on stamina and recovery may take 2–4 weeks of regular use. Effects last about 24–48 hours after each dose, depending on metabolism and activity level.

Do not use if you are allergic to NAD+ or any ingredient in the vial (may contain preservative-free sterile water). Do not use if you are pregnant, trying to become pregnant, or breastfeeding, as safety has not been established. Avoid if you have severe kidney failure, severe liver disease, or active cancer unless your provider decides the benefits outweigh the risks. Not for use in children under 18 years of age.

NAD+ is not known to interact with most medicines, but you should still tell your provider about everything you take. Use caution with: 1) chemotherapy or radiation treatments (may change cellular metabolism), 2) high-dose niacin or nicotinamide supplements (could raise flushing or liver strain), 3) blood thinners like warfarin (rare reports of increased bruising at injection sites), 4) alcohol in large amounts (may increase nausea). Always share your full medication and supplement list with your prescriber.

Very common (more than 1 in 10): mild burning or soreness at injection site, warmth or flushing during or shortly after injection. Common (1–10 in 100): nausea, headache, dizziness, stomach upset, fatigue within a few hours of dose. Uncommon (1–10 in 1000): rapid heartbeat, shortness of breath, rash at injection site. Rare but serious: severe allergic reaction with swelling of face, lips, or throat; chest pain; fainting. Most mild side effects fade within a few hours. Stop the injection and seek medical help right away if you notice serious symptoms.

Store in the refrigerator at 36-46°F (2-8°C). Keep vials in the original carton to protect from light. Do not freeze. Avoid shaking the vial. After first use, wipe the rubber stopper with alcohol before each draw and use sterile needles. Discard any unused solution 60 days after first puncture or on the beyond-use date printed on the label, whichever comes first. Transport with cold packs if traveling and keep out of reach of children and pets. Dispose of unused or expired medication through a pharmacy take-back program or place in a sealed container with household trash if no program is available.

Frequently Asked Questions

Q:How do I inject NAD+ safely at home?

A:Wash your hands, wipe the rubber stopper with alcohol, and use a new sterile needle each time. Inject into clean skin on the stomach or thigh at the angle your provider showed you. Rotate sites to avoid soreness. Never reuse or share needles.

Q:When should I expect to feel more energy?

A:Some people notice better focus or less fatigue within a few hours of their first dose. For most, steady improvements in stamina and recovery appear after 2–4 weeks of regular use. Results vary based on health, diet, sleep, and exercise habits.

Q:Can I keep taking my vitamins and other supplements with NAD+?

A:Usually yes, but bring a full list of everything you take to your prescriber. High-dose niacin or nicotinamide can overlap with NAD+ pathways and may raise flushing or stomach upset, so your provider might adjust doses.

Q:What if I accidentally inject more than my prescribed dose?

A:An occasional extra dose is unlikely to cause harm, but you may feel flushing, nausea, or a rapid heartbeat. Drink water, rest, and call your healthcare provider or local poison center for guidance. Do not give another dose until instructed.

Q:Does NAD+ help with weight loss or anti-aging?

A:NAD+ supports cellular energy and repair, which may aid overall wellness, but it is not an FDA-approved weight-loss or anti-aging drug. Any benefits are considered supportive and should be combined with healthy diet, exercise, and medical advice.

Q:How should I travel with my NAD+ vials?

A:Place the vials in an insulated bag with cold packs to keep them cool. Do not let them freeze. Keep them in your carry-on if flying to avoid extreme temperatures in checked luggage. Use a travel letter from your prescriber if needed.

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