Important Safety Information

Please see Important Safety Information below for intended use, potential risks and side effects, use in specific populations, and drug interactions of advertised prescription treatments.

TideMD encourages the reporting of any adverse side effects of medications to the medical professional and the distributing pharmacy. Additionally, to report suspected adverse reactions to acarbose contact the FDA at 1-800-FDA-1088 or www.fda.gov/medwatch.

In case of emergencies, please call 911 or go seek care at the nearest emergency room.

TideMD Advertisements

Advertisements from TideMD.com are paid for by TideMD Inc. for the purposes of advertising and marketing TideMD services. Advertisements may include paid actors or actor portrayals. Advertisements including testimonials, endorsements, or real TideMD users will be indicated as such. Medication and program results may vary and there is no guarantee of any given outcome.

TideMD Services

TideMD offers and facilitates access to consultations with licensed medical professionals to determine medical appropriateness for advertised treatments and plans. TideMD, through its services, may facilitate fulfillment of prescriptions through its third-party pharmacy network. TideMD, as a managed services organization, does not provide medical advice and does not fulfill prescription medication and is not licensed as a medical provider or a pharmacy. TideMD offers software and technology services to facilitate medical consultation and fulfillment of prescription medications. For further information, please see TideMD’s Terms of Service.

TideMD Special Advertising Offers

Advertisements from TideMD.com may include, from time to time, special or introductory offers for promotional pricing of services. All advertised offers from TideMD.com are only available for 24 hours following removal of the offer from the website and automatically expire thereafter.

All offers are subject to additional terms and conditions including:

  • TideMD.com reserves the right to adjust pricing from time to time in accordance with supply and market conditions
  • Same price per dose offers automatically expire within 24 hours of any price changes for services available through TideMD.com
  • Promotional offers including “first month” are not subject to the same price per dose offerings and are instead promotional offers. Same price per dose offers only apply to standard full-price purchases based on price listed on website.

Prescription Medications

Prescription medications require a medical consultation and prescription with a licensed healthcare provider. Writing of a prescription is solely determined by the medical professional and access to medications and treatment plans is in no way guaranteed. Prescriptions written by medical professionals may be available through TideMD software services and may be fulfilled by licensed pharmacies.

Prescription medications carry risks. To review a full list of risks and side effects, please see "Important Safety Information" and speak with your doctor regarding potential risks or side effects.

Compounded Medications

Medical professionals may issue prescriptions to compounded medications that can be filled by licensed USA-based compounding pharmacies. Compounded medications are not approved by the FDA for safety or effectiveness but may be prescribed during drug shortages or when commercially available FDA-approved drugs do not meet patient needs.

TideMD may facilitate the filling of FDA-approved medications or compounded medications through a network of licensed pharmacies throughout the US. Medication may be compounded based on a healthcare provider's prescription to meet the specific needs of the patient, which may differ from commercially available products. For medications compounded during drug shortages, FDA-approved medications may be available.

Inquiries

For questions related to TideMD’s advertisements or services, please contact care@tidemd.com.

Compounded GLP‑1 (semaglutide)

*Compounded medications may be prescribed by physicians but have not been FDA regulated for safety, effectiveness, or quality. FDA-approved medicines containing semaglutide are available.

WARNING

Please contact your doctor ASAP and seek in-person care immediately if a side effect becomes problematic or you experience:

  • Severe nausea and/or vomiting resulting in dehydration—it is important to stay well hydrated and drink plenty of fluids while on this medication
    Kidney problems/kidney failure - vomiting, nausea, diarrhea can cause dehydration and kidney issues and make kidney problems worse in individuals who have pre-existing kidney conditions; may sometimes lead to the need for hemodialysis
  • Thyroid C-Cell Tumor: Trouble swallowing, hoarseness, a lump or swelling in your neck, or shortness of breath (see black box warning below)
  • Pancreatitis: Severe pain in your abdomen or back that will not go away
  • Acute gallbladder disease - Pain in the middle or right upper stomach, fever, white parts of your eyes turn yellow or skin turns yellow, nausea/vomiting. If gallstones or inflammation of the gallbladder is suspected further studies are needed.
  • Hepatitis/Elevated liver enzymes/Jaundice
  • Diabetic retinopathy problems: Changes in vision in those with type II diabetes, particularly vision problems may worsen in those with a history of diabetic retinopathy
  • Severe gastrointestinal disease - may cause gastrointestinal disease; do not use if you have a history of severe gastrointestinal disease
  • Signs of low blood sugar (for example, dizziness, weakness, shakiness, jitteriness, headache, anxiety/mood changes, rapid heartbeat, confusion, slurred speech, sweating, or lightheadedness). While this is rare with GLP-1s, if it occurs, please seek in-person care immediately. If you have these symptoms, try having liquid or food containing sugar (around 15-20 grams) —drinking juice, having regular soda, or eating some hard candies right away, as this will help raise your blood sugar quickly. If taken with insulin or an insulin secretagogue (i.e. sulfonylurea such as Glipizide, glimepiride, and glyburide) it is best to talk to your healthcare provider about possibly lowering the dose of these medications to lower the risk of hypoglycemia.
  • Increasing heart rate
  • Worsening depression, behavior changes, or suicidality

Never share the semaglutide with other people.

Drug Interactions

As with other medications, compounded semaglutide can interact with alcohol and certain prescription and non-prescription medications and herbal products. The risk of hypoglycemia is increased when combined with insulin or insulin secretagogues such as sulfonylureas. Compounded semaglutide delays gastric emptying and may impact the absorption of oral medications. If you are on papillary hormone medication, prior to starting compounded semaglutide, please review the timing of taking your papillary hormone medication with the doctor who prescribes it as it may need to be adjusted. The drug levels of medications with narrow therapeutic windows (ie warfarin) should be monitored closely while on compounded semaglutide.

Please consult the pharmaceutical packaging for a full list of side effects, warnings, interactions and additional information.

To report suspected adverse reactions to compounded semaglutide, contact the FDA at 1-800-FDA-1088 or www.fda.gov/medwatch.

In case of emergencies, please call 911 or go to the nearest emergency room.

Note: The above statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease.

BLACK BOX WARNING

GLP-1s are contraindicated in individuals with a history of medullary thyroid carcinoma, a family history of such, or in patients with multiple endocrine neoplasia syndrome type 2. Do not take them if you have ever had thyroid cancer. In studies with rodents, GLP-1s caused thyroid tumors, including thyroid cancer; it is not known if they will cause thyroid tumors or cancer in humans. Please notify your doctor ASAP if you develop trouble swallowing, hoarseness, a lump or swelling in your neck, or shortness of breath.

If you experience a medical emergency, call 911 or go to the nearest emergency room.

Tell your healthcare provider about your medical history prior to taking semaglutide.

Avoid alcohol while taking this medication. If you’re taking diabetes medications, please discuss this with your prescribing doctor before starting semaglutide, as your diabetes medications may need to be adjusted as you lose weight.

Use adequate contraception while taking this medication. Do not take this medication if pregnant, trying to get pregnant or breastfeeding. If you plan to become pregnant, this medication needs to be stopped at least 2 months before trying. This medication may cause fetal harm.

Notify your doctor if you have kidney, liver, or pancreas problems.

Stop using semaglutide and call your healthcare provider immediately if you have severe stomach or abdomen pain that will not go away, with or without vomiting.

Stop using semaglutide and get medical help right away if you have any symptoms of a serious allergic reaction, including swelling of your face, lips, tongue, or throat; problems breathing or swallowing; severe rash or itching; fainting or feeling dizzy; or very rapid heartbeat.

Serious hypersensitivity reactions (e.g., anaphylaxis and angioedema) have been reported. Discontinue semaglutide if suspected and promptly seek medical advice.

return to treatment list

Compounded GLP‑1+GIP (tirzepatide)

*Compounded medications may be prescribed by physicians but have not been FDA regulated for safety, effectiveness, or quality. FDA-approved medicines containing trizepatide are available.

WARNING

Compounded tirzepatide usage has been associated with the potential development of thyroid tumors, including thyroid cancer. Watch for any potential symptoms, such as neck lumps or swelling, hoarseness, difficulty swallowing, or breathlessness. Should any of these symptoms arise, it is imperative to inform your healthcare provider promptly.

Avoid using compounded tirzepatide if you or any family members have a history of medullary thyroid carcinoma (MTC), a specific type of thyroid cancer. Similarly, refrain from its use if diagnosed with Multiple Endocrine Neoplasia syndrome type 2 (MEN 2), or if you've previously experienced a severe allergic reaction to tirzepatide or any of its components.

Serious Side Effects

Compounded tirzepatide carries the risk of severe side effects, which include:

  • Gastrointestinal Issues: Reports indicate the possibility of severe stomach problems associated with compounded tirzepatide usage. Notify your healthcare provider if you experience persistent or severe stomach discomfort.
  • Kidney Complications: Diarrhea, nausea, and vomiting may lead to dehydration, potentially resulting in kidney problems. Adequate fluid intake is crucial to mitigate this risk.
  • Gallbladder Concerns: Some individuals may encounter gallbladder problems while using compounded tirzepatide. Seek immediate medical attention if symptoms such as upper abdominal pain, fever, jaundice, or changes in stool color occur.
  • Pancreatitis: Discontinue use and contact your healthcare provider if you experience persistent abdominal pain, with or without vomiting, as it could indicate inflammation of the pancreas.
  • Allergic Reactions: Cease compounded tirzepatide usage and seek urgent medical assistance if you develop symptoms of a severe allergic reaction, including facial swelling, breathing difficulties, rash, or rapid heartbeat.
  • Hypoglycemia: The risk of low blood sugar may increase when using compounded tirzepatide alongside medications that lower blood sugar levels. Recognizable symptoms include dizziness, sweating, confusion, and rapid heartbeat.
  • Vision Changes: Notify your healthcare provider of any alterations in vision observed during tirzepatide treatment.
  • Depression or Suicidal Thoughts: Pay close attention to changes in mood or mental state while using tirzepatide, and promptly report any concerns to your healthcare provider.

Common Side Effects

The most frequently reported side effects of compounded tirzepatide include:

  • Nausea
  • Diarrhea
  • Vomiting
  • Constipation
  • Abdominal pain
  • Indigestion
  • Injection site reactions
  • Fatigue
  • Allergic reactions
  • Belching
  • Hair loss
  • Heartburn

These side effects are not exhaustive. Should you experience any persistent or bothersome side effects, discuss them with your healthcare provider for appropriate management.

Tell your healthcare provider if you have any side effects.

To report suspected severe side effects or adverse reactions to compounded trizepatide, contact the FDA at 1-800-FDA-1088 or www.fda.gov/medwatch. In case of emergencies, please call 911 or go to the nearest emergency room.

Drug Interactions

As with other medications, compounded trizepatide can interact with alcohol and certain prescription and non-prescription medications and herbal products. The risk of hypoglycemia is increased when combined with insulin or insulin secretagogues such as sulfonylureas. Compounded trizepatide delays gastric emptying and may impact the absorption of oral medications. If you are on papillary hormone medication, prior to starting compounded trizepatide, please review the timing of taking your papillary hormone medication with the doctor who prescribes it as it may need to be adjusted. The drug levels of medications with narrow therapeutic windows (ie warfarin) should be monitored closely while on compounded trizepatide.

Please consult the pharmaceutical packaging for a full list of side effects, warnings, interactions and additional information.

Tirzepatide may alter the efficacy of birth control pills. Talk with your doctor before starting tirzepatide if you are on birth control. Your healthcare provider may recommend another type of birth control for 4 weeks after you start tirzepatide and for 4 weeks after each increase in your dose.

Note: The above statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease.

Glutathione

Common Side Effects

  • Mild redness, soreness, or swelling at the injection site
  • Headache
  • Temporary fatigue or dizziness
  • Flushing or warmth
  • Nausea or stomach discomfort (rare)

These symptoms are typically mild and short-lived, especially when injections are administered slowly. Rotating injection sites can help minimize local irritation.

More Serious Side Effects (less common)

  • Allergic reaction (e.g., rash, itching, swelling, difficulty breathing)
  • Chest tightness or shortness of breath
  • Joint pain or muscle cramps
  • Unusual weakness or tingling

If any of these occur, discontinue use and contact your healthcare provider immediately.

Warnings (serious risks)

  • Rare cases of allergic or anaphylactic reactions have been reported with IV or intramuscular glutathione. Patients with known sensitivities should use caution.
  • Use cautiously in individuals with asthma or a history of sulfur allergies.
  • Glutathione may alter levels of other antioxidants or medications metabolized through glutathione-dependent pathways.

Contraindications (not recommended for)

  • Known hypersensitivity to glutathione or any injection components
  • Current or recent diagnosis of cancer unless specifically approved by an oncologist
  • Pregnancy or breastfeeding (due to limited safety data)

Drug Interactions

  • No major interactions are well-established, but caution is advised in patients taking:
    • Chemotherapy agents
    • Medications affecting liver metabolism
    • High-dose antioxidant supplements
  • Always disclose all current medications and supplements during your provider consultation

Pregnancy & Breastfeeding

Glutathione injections are not recommended during pregnancy or while breastfeeding due to a lack of controlled safety data. Speak with your provider if you are pregnant, nursing, or planning to conceive.

Storage

  • Store in the refrigerator at 2–8°C (36–46°F)
  • Do not freeze
  • Keep the vial sealed and protected from direct light
  • Use within the prescribed time frame and follow proper injection technique guidelines

Keep out of reach of children. Do not use expired product.

Have Questions?

Patients should consult their healthcare provider if they have questions about side effects, injection technique, or whether glutathione is appropriate for their health goals.

Disclaimer: Glutathione injections provided through TideMD are compounded and prescribed off-label by licensed healthcare providers. These formulations are not FDA-approved. Statements above have not been evaluated by the Food and Drug Administration. These products are not intended to diagnose, treat, cure, or prevent any disease.

NAD+

Common Side Effects

NAD+ Injection

  • Redness, tenderness, or soreness at the injection site
  • Mild flushing or warmth
  • Lightheadedness
  • Temporary fatigue
  • Mild nausea

These effects are generally mild and short-lived. Rotate application or injection sites and follow provider guidance to reduce the risk of irritation.

More Serious Side Effects (less common)

  • Allergic reaction (rash, swelling, shortness of breath)
  • Dizziness or fainting (especially post-injection)
  • Persistent fatigue or flu-like symptoms
  • Flushing with rapid heartbeat

If you experience signs of an allergic reaction or severe discomfort, stop treatment and seek medical care immediately.

Warnings (serious risks)

  • Do not exceed the dose prescribed by your provider
  • NAD+ injection should be administered subcutaneously; improper technique may lead to increased irritation or localized reaction
  • Use nasal spray formulations carefully to avoid irritation or overuse
  • Individuals with autoimmune, cardiovascular, or metabolic conditions should be monitored more closely

Contraindications (not recommended for)

  • Individuals with known hypersensitivity to NAD+ or formulation components
  • People currently pregnant or breastfeeding
  • Anyone with active infection, uncontrolled chronic illness, or ongoing cancer treatment without prior approval from their specialist

Drug Interactions

  • No widely reported drug interactions, but NAD+ may affect oxidative metabolism and mitochondrial function
  • Use caution if you are taking medications that impact energy metabolism, including insulin, metformin, or corticosteroids
  • Always disclose all prescription medications, supplements, and herbal products to your provider during your consultation

Pregnancy & Breastfeeding

NAD+ products are not recommended during pregnancy or while breastfeeding, as safety data in these populations is limited. Discuss alternative options with your provider if you are planning to become pregnant or nursing.

Storage

  • Store in the refrigerator (2–8°C / 36–46°F)
  • Do not freeze
  • Keep the vial sealed and protected from direct light
  • Use within the prescribed time frame and follow proper injection technique guidelines

Keep all formulations out of reach of children. Do not use any product past its expiration date.

Have Questions?

Patients should consult their healthcare provider if they have any questions about their dosing, formulation type, side effects, or treatment options. Never modify or exceed the dosing schedule without medical supervision.

Disclaimer: The NAD+ formulations offered through TideMD are compounded and prescribed off-label by licensed providers. These medications are not approved by the FDA. Statements above are for educational purposes and have not been evaluated by the Food and Drug Administration. These products are not intended to diagnose, treat, cure, or prevent any disease.