GLUTATHIONE,VITAMIN C

Background and Date of Approval

Glutathione and Vitamin C combination is an antioxidant and anti-melanogenic therapy formulated to support detoxification and reduce oxidative stress. It is indicated for chronic conditions including liver disease, immune disorders, neurological disorders, and dermatological conditions such as hyperpigmentation, melasma, and freckles. This combination aids in managing ageing skin by reducing melanin production.

Uses

Glutathione and Vitamin C combination is primarily employed to treat diabetes insipidus, a condition characterised by excessive thirst and urination due to a deficiency of the hormone. Additionally, this medication is utilised during certain cases of cardiac arrest as an alternative to epinephrine in resuscitation attempts. In severe hemorrhagic shock, it is administered to support blood pressure and vital organ perfusion. Furthermore, this medication plays a role in regulating social behaviours and bonding in animals, although its full extent in humans is still being researched.

How is it administered?

Glutathione and Vitamin C combination can be administered through various routes, including intravenous (IV), intramuscular (IM), subcutaneous (SC), and intranasal, depending on the medical condition and the need for rapid or sustained effects. Proper administration should be done under the supervision of healthcare professionals to ensure safety and effectiveness.

Side Effects

Side effects of Glutathione and Vitamin C combination can include severe allergic reactions, chest pain or irregular heartbeats, confusion or changes in mental state, seizures, and severe abdominal pain or cramping. Common side effects may include nausea, stomach cramps, headache, dizziness, runny or stuffy nose, increased thirst, and water retention. If any severe or concerning side effects occur, seek immediate medical attention.

Warnings

Glutathione and Vitamin C combination can cause severe allergic reactions, including anaphylaxis. Its vasoconstrictive properties can cause changes in blood pressure and heart rate. This medication can lead to water retention and hyponatremia (low sodium levels). This medication can cause fluid retention, leading to potential fluid overload.Its effects on water reabsorption may be altered in patients with renal impairment. Prolonged use or high doses of this medication may lead to tolerance.

Precautions

Glutathione and Vitamin C combination should be cautiously administered, and patients should be monitored for signs of allergic reactions during treatment. It should be used cautiously in patients with cardiovascular conditions or a history of heart disease. This medicine can lead to water retention and hyponatremia (low sodium levels). It should be used with caution in patients at risk of fluid imbalances. Close monitoring of kidney function is essential during treatment. Patients require careful monitoring and potential dosage adjustments.

Word of Advice

Careful monitoring is recommended for serious allergic reactions, cardiovascular effects, and low sodium levels (hyponatremia). Extra caution may be necessary in elderly and paediatric patients and in those with liver or kidney impairment, as they may respond differently to treatment. The use of the Glutathione and Vitamin C combination during pregnancy or breastfeeding should be discussed with a healthcare professional, and possible interactions with other medicines should be considered.

Avoid excessive doses or prolonged use, as these may increase the risk of tolerance and overdose. Patients with cardiovascular conditions, oxytocin allergies, or epilepsy should be monitored closely. Intravenous formulations must be properly administered, diluted, and monitored, while intranasal preparations should be used strictly according to the recommended dosage.

Healthcare professionals should also remain alert to the risk of water intoxication and gangrene and monitor peripheral circulation when appropriate. Patients with psychiatric conditions may require additional observation for psychological or behavioural changes. Careful patient assessment, appropriate monitoring, and active communication with the healthcare team are important for ensuring safe and effective treatment.

References

1. KD Tripathi, Essentials of Medical Pharmacology, Antidiuretic drugs, 7th edition, 2013, 593-596. 2. Goodman & Gilman’s, The Pharmacological Basis of Therapeutics, Regulation of renal function and vascular volume, 12th edition, 2011, 701-713. 3. Mercury Pharmaceutical Ltd, Electronic medicines compendium (EMC), [ Revised on 27th May 2022)] [ Accessed on 29th May 2023], https://www.medicines.org.uk/emc/product/4117/smpc#gref 4. American Regent, US Food and Drug Administration, [ Revised on August 2020] [ Accessed on 29th July], https://www.accessdata.fda.gov/drugsatfda_docs/label/2020/212593s000lbl.pdf

Frequently Asked Questions

What should I do if I miss a dose of Glutathione and Vitamin C combination?

If you miss a dose of Glutathione and Vitamin C combination, contact your healthcare provider for guidance on what to do. Do not double the dose to make up for the missed one.

Can Glutathione and Vitamin C combination cause water intoxication?

Excessive Glutathione and Vitamin C combination administration can lead to water retention and potentially cause water intoxication, leading to electrolyte imbalances. Proper dosing and monitoring are crucial to avoid this complication.

Is there a risk of dependency with long-term Glutathione and Vitamin C combination use?

Glutathione and Vitamin C combination replacement therapy for diabetes insipidus is not typically associated with dependency. However, it is essential to follow the prescribed treatment plan and regular medical check-ups.

Can Glutathione and Vitamin C combination be used to stop bleeding during surgery?

Glutathione and Vitamin C combination has been used to reduce bleeding during specific surgical procedures due to its vasoconstrictive effects. However, it should be administered by experienced healthcare professionals to avoid complications.

Can Glutathione and Vitamin C combination be used to treat septic shock?

While Glutathione and Vitamin C combination has been studied to treat septic shock, it is not the first-line treatment and should be used with caution and under the supervision of a healthcare professional.

Can Glutathione and Vitamin C combination cause electrolyte imbalances?

Glutathione and Vitamin C combination can cause hyponatremia (low sodium levels) due to its water-retaining effects. Monitoring electrolyte levels is important, especially in patients at risk of imbalances.

Written By: Muskan Patel, M.Pharm

Reviewed By: Dr. Vishwa Patel, MBBS