NAD+ Injection

NAD+ (nicotinamide adenine dinucleotide) is a coenzyme found in every cell of your body. It plays a central role in converting the food you eat into cellular energy and acts as a cofactor for enzymes involved in DNA repair, metabolism, and cellular signaling. Research shows NAD+ levels tend to decline with age, which is one reason it has become a focus of healthy-aging research. NAD+ exists in two forms — NAD+ and NADH — that shuttle electrons during energy production. Much of the evidence on NAD+ comes from laboratory and early clinical research, so a licensed provider can help explain what is and isn’t established for your situation.

NAD+ injections deliver NAD+ (or its precursors) into the body, typically as a subcutaneous injection, as an alternative to oral supplements or intravenous (IV) infusions. The goal discussed in clinical settings is to support the body’s NAD+ levels, which decline naturally with age. Because injections bypass the digestive tract, they may offer different absorption characteristics than oral routes, though the clinical significance of this is still being studied. NAD+ injections are available only with a prescription, after a licensed provider reviews your medical history and determines that treatment is appropriate for you.

NAD+ is not an FDA-approved drug for treating, curing, or preventing any disease. Compounded NAD+ preparations are not reviewed or approved by the FDA for safety, effectiveness, or quality before they are marketed; they are prepared by licensed pharmacies to fill an individual prescription. A licensed provider decides whether a compounded NAD+ product is appropriate for you based on your medical needs. You should discuss the regulatory status, expected benefits, and risks with your provider before starting treatment.

Reported side effects of NAD+ injections are generally mild and may include injection-site reactions (redness, soreness, or swelling), nausea, flushing, headache, fatigue, or lightheadedness. Some people report a temporary sensation of pressure or flushing if NAD+ is administered too quickly. Because high-quality safety data for subcutaneous NAD+ is still limited, it’s especially important to report any unusual or persistent symptoms to your care team and to seek prompt medical attention for severe reactions such as difficulty breathing, chest pain, or signs of an allergic reaction.

NAD+ injections are not appropriate for everyone. They are generally not recommended during pregnancy or breastfeeding, for people with a known allergy to any component of the formulation, or for those with certain medical conditions. Your eligibility depends on your full medical history, current medications, and health goals. A licensed provider reviews this information and will decline treatment if it isn’t safe or appropriate for you. Not everyone who applies will qualify.

Possibly. Any treatment can interact with existing medications or supplements, so it’s important to share a complete list of everything you take — including prescriptions, over-the-counter products, vitamins, and herbal supplements — during your consultation. Your provider reviews this information to check for potential interactions and to confirm that NAD+ therapy is appropriate alongside your current regimen. Never start, stop, or change a medication without first talking to a licensed provider.

When prescribed, NAD+ injections are typically given subcutaneously into the fatty tissue of the abdomen, thigh, or upper arm, often as part of an at-home routine using a provided kit. Your provider and care team give instructions on dosing, technique, injection-site rotation, and storage. Dosing schedules vary by individual and are set by your provider. If you’re ever unsure about technique or dosing, your care team is available to help.

The main difference is the route of administration. NAD+ injections are given subcutaneously and can often be done at home when prescribed, while NAD+ IV therapy delivers NAD+ intravenously and usually requires a clinic visit and a longer appointment. Injections tend to be more convenient and time-efficient, whereas IV therapy delivers the dose directly into the bloodstream. Neither route is universally better — the right option depends on your medical history, goals, and your provider’s recommendation.

NAD+ nasal spray is administered through the nasal passages, while an injection is delivered under the skin. The routes differ in convenience, absorption, and suitability for different people — some prefer a needle-free option, others prefer injections. As with all routes, the best choice should be discussed with a licensed provider based on your needs and medical history.

A DripVitals NAD+ program typically includes your online medical consultation and provider review, your prescribed medication from a licensed pharmacy, home injection supplies where applicable, free discreet shipping, ongoing messaging access to your care team, and follow-up check-ins with dose adjustments when clinically appropriate. Plans are offered as a subscription you can cancel at any time. Exact inclusions and pricing depend on the plan and what your provider prescribes.

Yes. NAD+ injections require a prescription, so a licensed provider must review your health information before any treatment is dispensed. The consultation is completed online through a secure intake form, and your provider may follow up with questions. If treatment isn’t appropriate for you, the provider will not issue a prescription.

Pricing depends on the plan you choose and the treatment your provider prescribes. DripVitals NAD+ plans start as low as $119/month on a 6-month plan paid upfront (or via buy-now-pay-later), while a month-to-month option is $299/month. Longer commitments lower the effective monthly price. Your dashboard shows exactly what you’ll pay and when, with no hidden fees, and you can cancel your subscription at any time.