NIAGEN® Plus

At-Home Injectable Kit

Sterile Powder 500 mg/Vial

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Product Overview

  • (1) Nicotinamide Riboside Chloride (Niagen® Plus) Powder for Injection (500 mg vial)

  • (1) Bacteriostatic Water for Injection (30 mL vial)

  • Mixing Syringe (comes in two pieces):
      • (1) 10 mL Mixing Syringe (without needle)
      • (1) 22-Gauge Sterile Needle (do not use to administer subcutaneous injection)

  • (10) 1 mL Syringes (for administration use)

  • (20) Alcohol Prep Pads

Nicotinamide Riboside Chloride (NRCl) (NIAGEN® Plus) is a form of vitamin B3 that is involved in making energy in the body. NR is a precursor to NAD+ (nicotinamide adenine dinucleotide), and its administration increases NAD+ levels in the body. NAD+ is an essential coenzyme present in all cells in the body and is involved in more than 500 cellular functions. NAD+ has been shown to decline with age, which is likely the result of the accumulation of metabolic insults over time. NAD+ may also be lower in individuals with chronic illnesses. As an NAD+ precursor (building block), NR administration may be beneficial to overall wellness and supporting healthy aging. NIAGEN® Plus (NR Chloride, NRCl) is a proprietary, sterile form of NR used for injection or intravenous infusion.

In addition to other screening parameters, consideration should be given to patients with the following conditions:

  • Liver disease
  • Kidney disease
  • Prior diagnoses, including any form of cancer
  • An unusual o r allergic reaction to NR, NAD+, or other forms of vitamin B3
  • Pregnant or trying to get pregnant
  • Breast-feeding

The use of NIAGEN® Plus in children has not been studied; therefore, its use in children is not recommended.

Though the following have been observed in one or more individuals, each individual is unique and such experiences may or may not be experienced by the patient. The following side effects have been observed in participants who were prescribed NIAGEN® Plus:

  • Pain or discomfort (including a change in temperature) at the site of the injection
  • Infection at the site of the injection
  • Tingling to the face, extremities, or throughout the body
  • Mild gastrointestinal disturbance, including nausea
  • Tension in the muscles of the face
  • Headache
  • Sinus pressure
  • Discomfort localized in areas of the body where issues may have been previously observed
  • Change in energy level

This list may not describe all possible side effects. Side effects from NIAGEN® Plus usually will resolve on their own. However, please seek medical attention for side effects that persist or are bothersome.

To report side effects of any drug, contact FDA’s toll-free information line, 1-888-INFO-FDA (1-888-463-6332). Press 2 to report into MedWatch or to receive instructions.

Monitoring Parameters while using NIAGEN® Plus

If any of the following occur during therapy, discontinue use of NIAGEN® Plus, symptomatically treat, and/or provide immediate medical attention:

  • Fever exceeding 101°F within 72 hours of receiving the injection
  • Abnormal heart arrhythmias
  • Persistent diarrhea or vomiting
  • Fainting or dizziness

 

Storage

  • Keep out of the reach of children.
  • Store unopened vial in powder form and reconstituted material for further use at refrigerated temperature (2°C – 8° C / 35°F – 46°F).
  • Separate syringes should be used for reconstitution and administration.
  • Protect from heat and moisture. Do not store medication in the bathroom.

Preparation (Steps 1–4)

1. Thoroughly wash hands using soap and hot water. Dry hands completely.

2. Remove the plastic safety cap from one vial.

3. Using an alcohol prep pad, thoroughly wipe the rubber stopper.

4. Repeat steps 2-3 on the second vial.

 

Mixing (Steps 5–9)

5. Attach the 22-Gauge Sterile Needle to the 10mL Mixing Syringe to assemble the Mixing Syringe.

6. Using the Mixing Syringe, draw the volume of bacteriostatic water indicated in the Table in your written instructions, according to the concentration prescribed by your health care provider.

IMPORTANT: Do not reconstitute Niagen® Plus Sterile Powder with less than 5mL of bacteriostatic water.

7. Inject the prescribed volume of bacteriostatic water from the Mixing Syringe into the Nicotinamide Riboside Chloride (Niagen® Plus) Powder for Injection 500mg vial.

8. Remove the Mixing Syringe and gently swirl the vial until the powder dissolves completely.

IMPORTANT: Discard the Mixing Syringe needle in a Sharps Container. Review your state/city regulations on safe needle disposal or consult your prescriber.

9. Verify the solution is clear, colorless, and free of particulates before use.

 

Storing (Steps 10–11)

10. Refrigerate the reconstituted solution and store refrigerated between injections.

11. Discard any remaining contents after the 28-day beyond-use date.

A recent medRxiv pilot clinical study (June 2024) compared Niagen®+ IV and NAD+ IV in healthy adults, highlighting emerging data on NAD+ restoration and optimization. View study.

WPPL operates as a 503A compounding pharmacy and prepares individualized prescription medications pursuant to provider direction. Compounded preparations are not reviewed, tested, or approved by the FDA.

This listing also includes commercially manufactured products for convenience; these items are not compounded by our pharmacy and are sold as provided by their manufacturers. Any statements regarding non-compounded products are manufacturer-supplied, have not been evaluated by the FDA, and are not intended to diagnose, treat, cure, or prevent any disease. WPPL does not verify or endorse any therapeutic claims made by manufacturers. Please refer to original labeling for complete product information.

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