A quiet addition to your routine, with a provider behind it.
- Nasal spray
- Used at home
- Provider reviewed
Glutathione Nasal Spray
Antioxidant biology. Provider guided.
Compounded glutathione nasal spray, prescribed following evaluation by a licensed provider and delivered to your door.
Starting at Standard price $149First month price $145/month$130/month with quarterly plan
Your prescription, clearly explainedCompounded Glutathione Nasal Spray
- Active ingredient
- Glutathione
- Dosage form
- Nasal spray solution
- Route
- Intranasal
- Volume
- 30 mL
- Dosing
- Use exactly as prescribed by your provider
- Storage
- Follow your prescription label and pharmacy instructions
- Prescription
- Required
- Fulfillment
- Dispensed by VialsRX, a licensed U.S. pharmacy
Formulation and quantity may vary according to your prescription and pharmacy availability.
What’s included
- Provider review
- Prescription, if appropriate
- Compounded medication
- Shipping
- Ongoing care messaging
- Licensed provider review
- U.S. pharmacy fulfillment
- Free discreet 2-day shipping right to your door
Prescription required. Subject to provider approval. Compounded medications are not FDA-approved.
One of the body's key antioxidant systems
Glutathione is a molecule your body makes from three amino acids. It has an important role in maintaining cellular redox balance and takes part in antioxidant defense and other cellular processes.
Antioxidant defense
Glutathione takes part in reactions that help cells manage reactive oxygen species and oxidative stress.
Redox balance
Glutathione cycles between a reduced and an oxidized form, and cells regenerate it, forming an ongoing redox cycle.
Cellular protection
Glutathione takes part in reactions that help protect cellular components from oxidative damage.
Metabolic processes
Enzymes such as glutathione peroxidases and glutathione S-transferases use glutathione in reactions throughout the body.
Made by your body. Used throughout it.
Glutathione is a naturally occurring tripeptide made from three amino acids: glutamate, cysteine and glycine. Cells synthesize it themselves, and it is central to cellular antioxidant systems.
Glutathione takes part in reactions that neutralize reactive species. In the process it becomes oxidized glutathione, which cells then convert back, so glutathione works as part of an ongoing redox cycle.
The biology, illustrated
Same compound. A different experience.
Vivo offers both. This compares the experience of administration, not clinical effect.
| Compared on | Vivo nasal spray | Vivo injection |
|---|---|---|
| Route | Intranasal | Injection |
| Needle | No | Yes |
| At-home use | Yes, as prescribed | Yes, as prescribed |
| Administration | Nasal spray | Self-injection |
| Supplies | No needles or syringes | Needles and injection supplies required |
| Dosing | Provider-directed | Provider-directed |
| Prescription | Required | Required |
This comparison describes differences in administration only. It does not imply equivalent dosing, absorption, bioavailability, safety or effectiveness. The two are separate prescriptions, not interchangeable options, and your provider decides which, if either, is appropriate.
Good to know
The questions people ask most. Open any one for the details.
Glutathione and oxidative stress
Cells produce reactive oxygen species as part of normal metabolism. The body has several antioxidant systems that help keep oxidants and antioxidants in balance, and glutathione is one component of those systems.
When oxidants outweigh the body's antioxidant capacity, the resulting imbalance is called oxidative stress. It can disrupt normal redox signaling and lead to molecular damage.
Glutathione's role in redox biology is well established. What calls for more caution is turning that biology into a claim that taking supplemental glutathione will prevent disease, slow aging or produce a particular wellness outcome. That has not been shown for compounded intranasal glutathione.
What does “detox” actually mean?
“Detox” gets used a lot. Here is the biology behind it.
Glutathione takes part in biochemical pathways that process certain compounds, both those the body makes and some that come from outside it. In the liver, glutathione conjugation is one mechanism the body uses to change certain compounds into forms that can be eliminated.
Glutathione and skin: what you should know
Glutathione is often marketed in connection with skin tone and appearance. Findings involving other routes of administration or other formulations should not be applied to compounded intranasal glutathione.
Interested mainly in a skin concern? Talk to your provider about whether this treatment is appropriate for your goals.
The process
How to Obtain Glutathione Nasal Spray
Step 1 of 3: Start online, meet your provider
Complete a quick intake form, 100% online. A licensed provider reviews your health history and, if appropriate, prescribes. The review is asynchronous by default — some states require a synchronous visit, and a video visit may also be required if clinically indicated.
Step 2 of 3: Compounded and delivered
Your prescription is prepared by a licensed US compounding pharmacy and shipped discreetly to your door in insulated cold-chain packaging, with directions for use written by your provider.
Step 3 of 3: Ongoing care, on your schedule
Care continues after delivery. Message your care team any time, and check in with a licensed provider as your treatment continues — no appointments to chase, no waiting rooms.
Starting your prescription
- Your prescription
- Follow the dosing and administration instructions from your prescribing provider and the dispensing pharmacy.
- Your routine
- Use your medication exactly as prescribed. Don't change the amount or frequency without talking to your provider.
- Your response
- Individual experiences vary, and no particular effect should be expected on a set schedule.
- Ongoing care
- Contact your care team with treatment questions, side effects or concerns.
There isn't a clinically established timeframe in which compounded intranasal glutathione should be expected to produce a particular effect.
Product details
In your shipment
- Your compounded prescription, labeled by the dispensing pharmacy
- Directions for use, as written by your prescribing provider
- Insulated cold-chain packaging
Shipped discreetly. Refrigerate on arrival, and check the beyond-use date on the pharmacy label.
Quality & testing
A compounded medication is prepared per prescription rather than manufactured in retail batches, which makes verification of each batch the thing worth asking about. Here is what we can tell you about yours.
Each batch is compounded and tested by the licensed US 503A pharmacy that prepares it, and a certificate of analysis is issued for that batch. To request the certificate covering your fill, ask your prescribing provider or contact the dispensing pharmacy identified on your prescription label.
- Compounded by a licensed US 503A pharmacy
- Cold-chain shipped
- Certificate of analysis issued per batch
Safety information
Standard safety information for a compounded prescription medication. Your prescribing provider and the dispensing pharmacy are the authority on your specific prescription — this does not replace either.
This is a compounded medication
This is a compounded medication prepared by a licensed pharmacy for an individual prescription. Compounded medications are not FDA-approved drug products.
FDA does not review compounded preparations for safety, effectiveness, or manufacturing quality before they are dispensed. We state this plainly because you should know it before you decide.
Prescription only
This medication may be used only by the person for whom it was prescribed, exactly as directed by the prescribing provider. Do not share it, and do not use a prescription written for someone else.
Before your visit, tell your provider about
- All medical conditions you have or have had
- Every medication and supplement you take
- Any allergies
- Whether you are pregnant, planning to become pregnant, or breastfeeding
Possible side effects
The side effects associated with your prescription are reviewed with you by your prescribing provider, and the dispensing pharmacy supplies the labeling that accompanies your medication. Ask your provider before you start, and contact them if you notice anything unexpected after you do.
Do not use if
Whether this medication is appropriate for you is a clinical determination your provider makes from your history, your current medications, and your circumstances — which is why the visit exists. Tell your provider everything listed above before a prescription is issued, and do not use a medication prescribed for someone else.
Storage and beyond-use date
Refrigerate on arrival. Keep the bottle closed and upright. Do not use past the beyond-use date printed on the pharmacy label.
Reporting a problem
Questions about your medication go to your prescribing provider or the dispensing pharmacy. Report a suspected adverse reaction to your provider. You may also report it to FDA MedWatch at 1-800-FDA-1088.
Questions, answered directly
What is glutathione?
Glutathione is a tripeptide your cells make from three amino acids: glutamate, cysteine and glycine. It is found throughout the body and is central to cellular antioxidant systems.
Why is glutathione called an antioxidant?
Because it takes part in reactions that neutralize reactive oxygen species. In doing so it becomes oxidized glutathione, which cells convert back, so it works as part of an ongoing redox cycle.
What is oxidative stress?
An imbalance between oxidants and antioxidants in favor of the oxidants, which can disrupt normal redox signaling and lead to molecular damage. Glutathione is one of several antioxidant systems the body uses to keep that balance.
Does glutathione “detox” the body?
In the body's own biology, glutathione takes part in conjugation reactions, including in the liver, that change certain compounds into forms that can be eliminated. That is not the same as a treatment claim. Compounded glutathione nasal spray has not been shown to cleanse the body, remove unspecified toxins or treat toxicity, and Vivo does not claim it does.
Does glutathione improve skin tone?
Glutathione is often marketed for skin, but findings from other routes or formulations should not be applied to a nasal spray. Vivo does not represent its compounded glutathione nasal spray as a treatment for pigmentation, melasma, acne, wrinkles or any other skin condition. If a skin concern is your main goal, talk to your provider.
Will glutathione give me more energy?
Glutathione has important roles inside cells, but that biology doesn't establish that compounded intranasal glutathione changes how energetic you feel. That hasn't been shown. Fatigue has many causes, and your provider can help look at them.
Does glutathione support immune function?
Glutathione's roles in the body's own antioxidant and redox systems are well established. That is different from showing that taking compounded intranasal glutathione changes immune function, which has not been shown. Vivo makes no immune claim for this medication.
How is nasal glutathione different from injectable glutathione?
The route and the experience differ. The nasal spray is used at home without needles. Vivo's Glutathione Injection is also used at home as prescribed, but it requires needles and injection supplies. They are separate prescriptions, and your provider decides which, if either, is appropriate. Different routes should not be assumed to have equivalent absorption, bioavailability or effects.
Is nasal glutathione better absorbed?
Vivo doesn't claim it is. Different routes can produce different pharmacokinetic profiles, and there isn't formulation-specific evidence showing that this compounded nasal spray has superior absorption or bioavailability to injectable, IV or oral glutathione.
How quickly will I notice results?
There isn't a clinically established timeframe in which compounded intranasal glutathione should be expected to produce a particular wellness or appearance outcome. Individual experiences vary.
How do I use it?
Exactly as your prescription and the pharmacy's instructions direct. Don't change the amount or frequency without talking to your provider.
How should I store it?
Follow the storage instructions on your prescription label and from the dispensing pharmacy.
Is compounded glutathione FDA-approved?
No. Compounded medications are not FDA-approved, and FDA does not review them for safety, effectiveness or quality before they are marketed.
Do I need a prescription? How does that work?
Yes. Every Vivo protocol is prescription-only. When you complete your intake, a licensed US provider in your state reviews your medical history and, if appropriate, writes the prescription. The compounded medication is then shipped directly to your door.
What happens if I'm not approved?
No prescription is issued, and you are not charged for medication. Entering payment information at checkout authorizes your payment method — it does not capture a charge. A charge is captured only after a provider approves the prescription.
Partner pharmacy information
Vivo works with the following independent, state-licensed 503A compounding pharmacy:
VialsRX — 6220 Westpark Drive, Suite 111, Houston, TX 77057 — vials.ai
Services are available across all 50 U.S. states through affiliated providers and our pharmacy partner operating in accordance with applicable state licensure requirements.
Please note that medication availability, formulations, and fulfillment options may vary depending on state-specific pharmacy regulations and dispensing restrictions.
How do I cancel?
You can cancel a subscription at any time from your account dashboard, or by emailing care@vivoclinic.org. Cancellation takes effect at the end of your current billing period, provided we receive it before that period's order is transmitted to the pharmacy. Once an order has been transmitted to the pharmacy, or compounding has begun, it can't be canceled or refunded — it's being prepared specifically for you. Full details are in our Refund Policy.
How long does the visit take?
About 10–15 minutes, online, whenever suits you. There's no appointment and nothing to schedule.
Where does Vivo Clinic serve?
Vivo Clinic serves patients across all 50 U.S. states through our affiliated medical provider, Arora Health & Aesthetics, LLC. Treatment and medication availability may vary depending on provider licensure, state telehealth requirements, and pharmacy dispensing restrictions.
Antioxidant biology. Clinical oversight.
Explore glutathione through a provider-guided process.
Starting at Standard price $149First month price $145/month$130/month with quarterly plan
- Licensed provider review
- Prescription required
- U.S. pharmacy fulfillment
Important information about compounded medications
Vivo is a telehealth platform and does not manufacture or compound medications. Treatment requires evaluation by a licensed healthcare provider. A prescription is issued only when the provider determines treatment is medically appropriate.
Compounded medications are not FDA-approved. FDA does not review compounded medications for safety, effectiveness or quality before they are marketed. Compounded medications may be prescribed when a healthcare provider determines that a compounded preparation is appropriate for an individual patient.
Information on this page is educational and does not replace individualized medical advice. Treatment availability, formulation and fulfillment may vary based on provider judgment and pharmacy availability.