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Is Glutathione Safe with Cisplatin?

⛔ CRITICAL SEVERITY
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Free · No account · based on published sources including NIH ODS, FDA drug labels, and peer-reviewed literature

WHAT YOU NEED TO KNOW

Do not use exogenous glutathione supplements during cisplatin treatment. Elevated intracellular glutathione is a well-documented mechanism of cisplatin resistance. Inform your oncologist of any supplement use.

Why this interaction occurs

Glutathione directly conjugates with cisplatin via thiol binding, forming an inactive platinum-glutathione complex. Tumor cells with elevated GSH levels are significantly more resistant to cisplatin. Exogenous glutathione supplementation raises intracellular GSH, potentially conferring resistance and reducing clinical outcomes.

Evidence

Evidence level: strong.

Reported safety data

The FDA’s adverse event reporting system (FAERS) has received 80,762 reports mentioning Cisplatin. This reflects reported cases involving the medication in general — not confirmed causation, and not specific to the Cisplatin + supplement combination on this page.

FAERS reports are voluntary and cannot prove that a drug caused an event. Do not use report counts to assess the safety of this specific drug-supplement pair.

Frequently asked questions

Can I take Glutathione with Cisplatin?
Avoid unless your doctor or pharmacist directs otherwise. Do not use exogenous glutathione supplements during cisplatin treatment. Elevated intracellular glutathione is a well-documented mechanism of cisplatin resistance. Inform your oncologist of any supplement use.

Related interactions

All Glutathione interactions →  ·  All Cisplatin interactions →

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Educational only — not medical advice.
Always confirm with your doctor or pharmacist.