EffectCommonUncommonRareUnknown
Fever, chills, low blood pressure and sepsis-like reactions after injectionLinked by FDA to endotoxin in injectables made from supplement-grade powder: 7 patients in one 2019 cluster and at least 30 patients in 2026, some hospitalized.Uncommon
Stomach upsetOral trials reported mild, nonspecific gastrointestinal effects; most participants had no side effects.Uncommon
Anaphylaxis and allergic reactionsListed as the serious adverse reaction on the Japanese Tathion label (under 0.1%). FDA reviewers in 2022 also described hypersensitivity reports after oral and inhaled use.Rare
Liver injuryFDA reviewers in 2022 described an FDA adverse event report of liver injury with liver enzymes 22 to 26 times normal after IV glutathione; a 2026 review flags hepatotoxicity as a concern with IV skin-lightening use.Rare
Wheezing or breathing trouble with inhaled glutathioneFDA reviewers in 2022 listed bronchoconstriction with severe wheezing as a serious adverse event of inhaled glutathione and named the inhaled route as a significant safety concern.Rare
Severe skin reactions (Stevens-Johnson syndrome, toxic epidermal necrolysis)Cited by the Philippine FDA in its warning against IV glutathione for skin lightening, along with thyroid and kidney dysfunction.Rare
Possible higher sunburn and skin cancer risk with IV skin lighteningTheoretical: shifting skin toward lighter pheomelanin may reduce natural UV protection. FDA reviewers raised this in 2022; no study has measured it.Frequency unknown