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Formulas

Glutathione 500 mg Suppository

FDA-approved generic
Dose form
Suppository
Active ingredients
Glutathione
For prescribers
Prescription details
RxThis formula
Dose formSee below
Quantity____
SigAs directed by prescriber
Refills____
PharmacyBayview Pharmacy, Warwick RI, NCPDP 4106882
Copy prescription detailsOrder form
Controlled substance: e-prescribe (EPCS) from your EHR. Faxed and phoned prescriptions cannot be accepted for this preparation.
Send it from your EHR, or fax to (401) 284-4506. How to e-prescribe this formula
Licensed to fill prescriptions for patients in RI, MA, CT, NJ, NH, FL, ME and PA. New York patients are served on a limited basis while nonresident registration is pending.
To prescribe, you must be a verified prescriber.
To prescribe, you must be in a state where we hold an active out-of-state pharmacy license.
Starting at
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Requires a prescription from your own provider. Bayview is a pharmacy and does not prescribe.
Ships within 1 to 2 business days after pharmacist verification
HSA and FSA eligible
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No prescription yet?

Get a one-page sheet with everything your doctor needs to prescribe this and send it to Bayview.

Licensed to fill prescriptions for patients in RI, MA, CT, NJ, NH, FL, ME and PA. New York patients are served on a limited basis while nonresident registration is pending.

For prescribersSign in for prescription details and order forms.
Compounded preparations are prepared by Bayview pursuant to a prescription for an individual patient. They are not FDA-approved and have not been evaluated by FDA for safety or effectiveness.
Glutathione
Suppository
6427079ea64324317b518bb2
Service area

Can we ship this formula to your state?

Bayview fills prescriptions for patients in Connecticut, Florida, Maine, Massachusetts, New Hampshire, New Jersey, Pennsylvania and Rhode Island. New York patients are served on a limited basis while nonresident pharmacy registration is pending.

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Available in

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Our current service area

Currently licensed Limited basis, registration pending Not available for this formula Not currently licensed

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Prepared to a prescriber's order for one patient. Not FDA-approved.

This formulation

This is a compounded suppository containing glutathione, prepared to a prescriber's order for one patient. Compounded preparations are not FDA-approved.

FDA product listings

These listings cover every salt or ester form of each drug in the FDA National Drug Code Directory.

No FDA-approved (NDA or ANDA) product containing glutathione is listed. Products containing it are filed in the directory as homeopathic products and over-the-counter monograph drugs, in liquid, pellet, spray and soap forms. None of the listed products containing glutathione is in suppository form.

Storage category and dating

Suppository bases differ, and the base used decides how USP <795> classifies the preparation for beyond-use dating. The date printed on the label is the one to follow.

Sources

Glutathione is a naturally occurring antioxidant tripeptide that compounding pharmacies prepare by prescription as sterile injections, oral forms and topical preparations.

About this ingredient

Glutathione is a small peptide built from three amino acids: glutamate, cysteine and glycine. Cells make it themselves and use it as a primary antioxidant, cycling between a reduced form (GSH) and an oxidized form (GSSG) to neutralize reactive oxygen species. Its sulfur group also binds copper at the active site of tyrosinase, the enzyme that drives melanin production, which is the proposed basis for its study as a skin lightening agent. No FDA-approved drug contains glutathione as an active ingredient for oral, injectable, nasal or topical use; the only approved product that includes a glutathione form is an intraocular irrigating solution used during eye surgery, which contains oxidized glutathione. Oral glutathione is sold as a dietary supplement with GRAS status for food use. Because nothing is manufactured as a drug for these routes, any prescription glutathione, whether injectable, oral, nasal or topical, is compounded. Compounded preparations are not FDA-approved and require a prescription.

Safety and interactions

Because no manufactured glutathione drug exists for these routes, there is no FDA label for them and no boxed warning. FDA has warned about compounded intravenous glutathione twice, in 2019 and 2026, after patients developed fever, chills, body aches, nausea, vomiting, low blood pressure and sepsis-like symptoms within minutes to hours of an infusion, some requiring hospital care; FDA attributed these to excessive endotoxin in dietary supplement grade powder that was not suitable for injection. Reported side effects of oral glutathione include gas, loose stools, flushing and weight gain; nebulized glutathione has caused cough and airway tightening in people with asthma, and reversible severe liver injury has been reported with intravenous use. Glutathione may interact with chemotherapy, and its use in people with cancer is theoretically contraindicated. Safety in pregnancy and breastfeeding has not been established, and no LactMed entry was found. If you notice side effects, talk to your prescriber or pharmacist.

Glutathione (gamma-glutamyl-cysteinyl-glycine) is the predominant intracellular thiol and maintains redox balance; proposed pigment effects include copper chelation at tyrosinase, interference with tyrosinase transport to premelanosomes, ROS quenching and a shift from eumelanin to pheomelanin synthesis (Sonthalia et al., 2016). Oral bioavailability data conflict: hepatic gamma-glutamyl transferase hydrolyzes the peptide, some single-dose studies show no plasma rise, longer trials show inconsistent increases, and neither cited source reports a clearance route or half-life. There is no labeled indication for any route a compounding pharmacy would prepare. In June 2022 FDA proposed that glutathione not be added to the 503A bulks list; the Pharmacy Compounding Advisory Committee voted 8 to 5, with one abstention, to recommend inclusion, a non-binding vote, and the minutes record no final decision. Prescribers have ordered compounded glutathione for skin lightening (Sonthalia et al., 2016), and it has been studied in Parkinson disease, cystic fibrosis and HIV with inconsistent results (Drugs.com monograph); the IJDVL review advises against intravenous use for skin lightening. Dosing and route are per prescriber. Sterile preparations require API manufactured for injectable use with endotoxin limits set from the maximum intended dose. Monitor liver function with repeated intravenous use. Glutathione is not a controlled substance.

Sources

Using and storing

How it is used

Wash your hands. If the suppository is soft, chill it in its wrapper in the refrigerator or under cool water for a few minutes, then unwrap it. For rectal use, coat the tip with a water-soluble lubricant (not petroleum jelly), lie on your side with your upper knee bent, and insert it pointed end first past the muscle at the opening. For vaginal use, lie on your back with knees bent and insert it as far as it comfortably goes, by finger or applicator; bedtime use limits leakage, and a panty liner protects clothing. Stay lying down about 15 minutes. Wash your hands.

Storing it

Suppositories are nonaqueous, so under USP <795> they can carry a beyond-use date of up to 180 days at controlled room temperature or in the refrigerator when no other stability data apply. Storage depends on the base: fatty bases can soften at room temperature and may be labeled for the refrigerator, while polyethylene glycol bases usually do not need refrigeration. Keep them cool so they do not melt, and refrigerate them if your label says to.

Sources

Prescribing and ordering FAQs

Formula Information

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Frequently Asked Questions

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About this compounded preparation

This formulation is compounded by Bayview Pharmacy on a prescriber's order for an individual patient. It is not an FDA-approved drug product, and the FDA has not evaluated it for safety, effectiveness, or manufacturing quality.

A valid prescription is required. Availability depends on Bayview's licensure in your state. This page is general information, not medical advice. Discuss your situation with a licensed healthcare provider.

Formulas and/or material listed are not to be interpreted as a promise, guarantee or claim of therapeutic efficacy or safety. The information contained herein is not intended to replace or substitute for conventional medical care, or encourage its abandonment. Every patient is unique, and formulas should be adjusted to meet their individual needs.

No compounded medications are reviewed by the FDA for safety or efficacy.
For prescribers

How to e-prescribe this formula

Controlled substance: e-prescribe only (EPCS). Faxed, phoned, and handwritten prescriptions cannot be filled. Rhode Island law (R.I. Gen. Laws § 21-28-3.18) requires Schedule II to V prescriptions to be transmitted electronically.
1

Find Bayview in your EHR's pharmacy directory

Search by NCPDP 4106882, or by name and ZIP: Bayview Pharmacy, Warwick, RI 02886. Select it as the destination pharmacy and save it as a favorite. Click any value to copy it.

NCPDP4106882NPI1750455143Address3844 Post Rd, Warwick, RI 02886Phone(401) 284-4505Fax(401) 284-4506
2

Enter the formula as a compound

Compounded preparations have no NDC, so this formula will not appear in your EHR's drug search. Use your system's compound, non-formulary, or free-text prescription entry and name the preparation exactly as written in step 3. If your EHR forces you to pick a listed drug, pick the closest entry for the active ingredient and put the full formula in the prescription body (the Sig or directions field), not in Notes to Pharmacy.

Compounded preparations have no NDC and will not appear in your drug search. For EPCS to validate, select a drug entry your EHR recognizes as controlled, usually the bulk powder entry for the active ingredient (for example Ketamine (bulk) powder, not a branded product), then put the full formula from step 3 in the prescription body. A free-text entry that does not validate as controlled will be rejected by your EPCS module.

3

Copy the prescription details

RxFormula name
Dose formDose form
Quantity________
SigAs directed by prescriber
Refills____
PharmacyBayview Pharmacy, Warwick RI, NCPDP 4106882
Copy prescription details

Quantity and directions are starting points for this dose form, not treatment recommendations. Dosing remains the prescriber's responsibility.

4

Send it

Transmit from your EHR. For this non-controlled preparation we also accept fax to (401) 284-4506 and phoned orders at (401) 284-4505. Order forms are on the formulation pages and in the prescriber portal.

Transmit with two-factor authentication through your EPCS-enabled EHR. No order form is offered for this preparation; e-prescribing guides for our controlled preparations are on the formulation pages.

Do not use Notes to Pharmacy for the formula. Some EHRs keep that field internal and never transmit it. A prescription that arrives without the formula is delayed while we call your office.

Licensed to dispense in RI, MA, CT, NJ, NH, FL, ME, and PA; New York is served on a limited basis while nonresident registration is pending. Compounded preparations are not FDA-approved. A valid prescription is required. Full guide, including steps by EHR: How to e-prescribe to Bayview. Questions about this formula: call (401) 284-4505.

Glutathione 500 mg Suppository
Suppository
30 suppositories
controlled

Insert 1 unwrapped suppository

Once daily