Vitamin C can be given intravenously to achieve much higher blood levels and enhance its antioxidant and anti-inflammatory effects, with limited evidence of improved cancer survival when used with conventional treatments.

How do experts use intravenous vitamin C?

Integrative experts provide recommendations for Intravenous vitamin C in treating people with cancer. Learn more about the approaches and meanings of recommendations: Integrative Oncology Programs and Expert Guidelines ›

Published protocols, programs, and approaches

These protocolsa package of therapies combining and preferably integrating various therapies and practices into a cohesive design for care, programs, and approaches by leaders in integrative cancer care use or recommend Intravenous vitamin C.

We do not recommend specific integrative protocols or programs but provide information for you to evaluate with your healthcare team.

Lise Alschuler, ND, FABNO, and Karolyn Gazella

These books describe approaches for certain cancer types, or along with certain conventional therapy treatments, or for particular conditions such as insulin resistance.

High-dose vitamin C is used to complement ovarian cancer treatment.

Keith Block, Charlotte Gyllenhaal, Debu Tripathy, Sally Freels, Mark N Mead, Penny B Block, William C Steinmann, Robert A Newman, and Jacob Shoham

Survival impact of integrative cancer care in advanced metastatic breast cancer ›

This protocol for treating advanced breast cancer uses intravenous vitamin C.

Neil McKinney, BSc, ND

McKinney N. Naturopathic Oncology, Fourth Edition. Victoria, BC, Canada: Liaison Press. 2020.

This book includes descriptions and uses of many natural and complementary protocols for cancer in general and for specific cancers. It also includes information on integrative support during conventional cancer treatment.

Uses of intravenous vitamin C:

  • Foundation protocol for naturopathic oncology to support chemotherapy and toxicity to cancer cells and improve quality of life
  • Help stabilize weight in people with weight loss or cachexia
  • Best results in these cancers: lymphomas, lung (non-small cell lung cancer), bile duct cancer (cholangiocarcinoma), and bladder cancer
  • Ovarian cancer
  • Because high-dose IV Vitamin C is such a strong pro-oxidant, Dr. McKinney cautions against using it during radiation therapy, as the vitamin C may lessen radiation’s intended pro-oxidant effects, including interrupting abnormal tumor cell proliferation.
  • IV vitamin C is incompatible with green tea, so do not use green tea concentrates the day of vitamin C infusions. IVC clears the blood in a very short time, so discontinuing use only on the infusion day is sufficient.

Gurdev Parmar, ND, FABNO, and Tina Kaczor, ND, FABNO

Parmar G, Kaczor T. Textbook of Naturopathic Oncology: A Desktop Guide of Integrative Cancer Care. 1st edition. Medicatrix Holdings Ltd. 2020.

This book provides information on the treatment of 24 cancers, plus the most effective treatments of the most common symptoms affecting cancer patients while they undergo chemotherapy, radiotherapy, or surgery.

Uses of intravenous vitamin C:

  • Low doses for bringing low ascorbic acid levels up to target ranges, particularly in palliative care and for improving quality of life, reducing inflammation, improving symptoms, and reducing treatment side effects
  • Supportive care, usually at lower doses for specific indications
  • High doses for oxidative effects during conventional cancer treatment

Nasha Winters ND, FABNO, LAc, DiplOM, and Jess Higgins Kelley, MNT

Winters ND, Kelley JH. The Metabolic Approach to Cancer. 2017. Chelsea Green Publishing.

This book’s metabolic approach to cancer is a “naturopathic nutrition program that uses the medicinal powers of traditional foods, therapeutic diets and non-toxic lifestyle approaches as cancer counteragents and preventives.” The program focuses on 10 terrain elements and how to assess them and bring them into balance.

Uses of intravenous vitamin C:

  • Anticancer effect as a pro-oxidant against cancer cells while protecting healthy cells

Other expert assessments

Bastyr University Research Institute and Fred Hutchinson Cancer Research Center

Intravenous vitamin C is listed among integrative oncology therapies recommended by oncology naturopaths (ND, FABNO) to breast cancer patients.1Standish LJ, Dowd F et al. Breast cancer integrative oncology care and its costs. Integrative Cancer Therapies. 2017 Mar;16(1):85-95.

Brian Bouch, MD

Integrative oncologist and CancerChoices advisor Brian Bouch, MD, briefly discusses antioxidants and high-dose vitamin C (IV).

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Dosing

The recommended dosing of intravenous vitamin C has not been determined. This book provides dosing recommendations.

General information about dosing

Find general dosing guidelines regarding natural products and supplements in Dosing Guidelines ›

Modulated electrohyperthermia to enhance vitamin C levels

People with stage 3–4 non-small cell lung cancer treated with intravenous vitamin C (IVAA) achieved higher peak concentrations of vitamin C when treated simultaneously with modulated electrohyperthermia (mEHT) compared to IVAA before or after mEHT or IVAA alone in a small randomized comparison trial.2Ou J, Zhu X, Lu Y, et al. A phase I-II clinical trial to evaluate the safety, pharmacokinetics and efficacy of high dose intravenous ascorbic acid synergy with mEHT in Chinese patients with stage III-IV non-small cell lung cancer. Annals of Oncology. 2017;28:iii12‐iii13. See Hyperthermia ›

Helpful link

National Institutes of Health Office of Dietary Supplements

Vitamin C ›

Keep reading about intravenous vitamin C

Authors

Nancy Hepp, MS

Lead Researcher
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Ms. Hepp is a researcher and communicator who has been writing and editing educational content on varied health topics for more than 20 years. She serves as lead researcher and writer for CancerChoices and also served as the first program manager. Her graduate work in research and cognitive psychology, her master’s degree in instructional design, and her certificate in web design have all guided her in writing and presenting information for a wide variety of audiences and uses. Nancy’s service as faculty development coordinator in the Department of Family Medicine at Wright State University also provided experience in medical research, plus insights into medical education and medical care from the professional’s perspective.

Nancy Hepp, MS Lead Researcher

Laura Pole, MSN, RN, OCNS

Senior Clinical Consultant
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Laura Pole is senior clinical consultant for CancerChoices. Laura is an oncology clinical nurse specialist who has been providing integrative oncology clinical care, navigation, consultation, and education services for over 40 years. She is the co-creator and co-coordinator of the Integrative Oncology Navigation Training at Smith Center for Healing and the Arts in Washington, DC. Laura also manages the “Media Watch Cancer News That You Can Use” listserv for Smith Center/Commonweal. In her role as a palliative care educator and consultant, Laura has served as statewide Respecting Choices Faculty for the Virginia POST (Physician Orders for Scope of Treatment) Collaborative as well as provided statewide professional education on palliative and end-of-life care for the Virginia Association for Hospices and Palliative Care.

For CancerChoices, Laura curates content and research, networks with clinical and organizational partners, brings awareness and education of integrative oncology at professional and patient conferences and programs, and translates research into information relevant to the patient experience as well as clinical practice.

Laura sees her work with CancerChoices as a perfect alignment of all her passions, knowledge and skills in integrative oncology care. She is honored to serve you.

Laura Pole, MSN, RN, OCNS Senior Clinical Consultant

Last update: April 12, 2024

Last full literature review: January 2023

CancerChoices provides information about integrativein cancer care, a patient-centered approach combining the best of conventional care, self care, and evidence-informed complementary care in an integrated plan cancer care. We review complementaryin cancer care, complementary care involves the use of therapies intended to enhance or add to standard conventional treatments; examples include supplements, mind-body approaches such as yoga or psychosocialtherapy, and acupuncture therapies and self carelifestyle actions and behaviors that may impact cancer outcomes; examples include eating health-promoting foods, limiting alcohol, increasing physical activity, and managing stress practices to help patients and professionals explore and integrate the best combination of conventionalthe cancer care offered by conventionally trained physicians and most hospitals; examples are chemotherapy, surgery, and radiotherapy and complementary therapies and practices for each person.

Our staff have no financial conflicts of interest to declare. We receive no funds from any manufacturers or retailers gaining financial profit by promoting or discouraging therapies mentioned on this site.

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