IVIV Academy · Protocols

Specialty Protocols

NAD+ Direct Administration (500mg & 1000mg)

Last updated 5/2/2026

NAD+ 500mg & 1000mg

NAD+ is potent and rate-dependent — all administrations must be doctor-prescribed, pharmacy-compounded, and clinician-administered under strict governance and TGA compliance.

Product Information

Drug: Nicotinamide Adenine Dinucleotide (oxidised form)

Concentration: 100 mg/mL

Vial size: 5 mL (total = 500 mg NAD+ or 10ml - 1000mg NAD+)

Route: IV infusion or Subcut

Dosage Ranges

Clinical / research use (neurology, addiction, anti-aging trials):

100mg-250mg mg IV per session, slow infusion

Wellness IV practice:

  • Low dose (introductory): 100–250 mg IV (1–2.5 mL) (recommended to start)
  • Standard dose: 250–500 mg IV (2.5–5 mL, up to one vial)
  • High dose (specialised protocols): 750–1000 mg IV, split across multiple vials/sessions (NOT Recommended)

Dilution & infusion:

  • Dilute into 250–500 mL 0.9% NaCl or Hartmann's
  • Infusion time:
  • 100–250 mg: over 1–2 hours
  • 500 mg: usually 2–4 hours
  • 750–1000 mg: may take 4–6 hours (split bag or very slow rate)
  • Always titrate drip rate to tolerance (many clients feel chest tightness, nausea, anxiety, or flushing if infused too quickly).
  • If you find that your client feels unwell with IV, Subcutaneous is another way to administer

Frequency:

  • Wellness/anti-aging: weekly to monthly
  • Intensive protocols (addiction, recovery): daily or every second day for 4–10 days (specialist use only)

Clinical / Wellness Benefits

  • Mitochondrial function: restores ATP production
  • Cellular repair: supports DNA repair enzymes (sirtuins, PARPs)
  • Healthy-aging & longevity: improves energy, cognition, resilience
  • Neurological health: may support mood, focus, memory, addiction recovery
  • Metabolic health: improves insulin sensitivity, supports fat metabolism
  • Synergy: often stacked with CoQ10, Glutathione, B Complex, Vitamin C

Safety & Precautions

  • Most important factor = infusion rate
  • Too rapid → flushing, chest pressure, abdominal cramping, nausea, anxiety
  • Always slow down if symptoms occur
  • Well tolerated at appropriate rates/doses
  • No known serious long-term adverse effects at wellness doses
  • Avoid in pregnancy, breastfeeding, severe liver/renal disease unless medically indicated
  • Consider baseline labs if frequent use (CBC, LFTs, renal, glucose, NAD metabolite markers if available)

Australian Injectable Drugs Handbook

Nicotinamide Adenine Dinucleotide (NAD+)

No data on NAD+ on AIDH