Peptide Reference

Pentosan Polysulfate

Pentosan Polysulfate Sodium

A semi-synthetic polysulfated xylan with structural similarity to glycosaminoglycans. Used clinically for interstitial cystitis and osteoarthritis, with emerging applications in tissue repair.

Status

approved

Category

healing

Typical cost

$200-400/month (oral prescription)

Mechanism

Replenishes glycosaminoglycan layer on bladder epithelium, provides protective coating for damaged cartilage, reduces inflammatory cytokines, and promotes tissue repair through growth factor stimulation.

Potential benefits

  • Bladder pain relief
  • Cartilage protection
  • Reduced joint inflammation
  • Improved joint function
  • Tissue healing support

Reported side effects

  • Nausea
  • Diarrhea
  • Hair loss (rare)
  • Retinal pigment changes (rare with long-term use)
  • Headache

Common dosing references

oral

100mg · 3x daily

3-6 months

subcutaneous

2mg/kg · Weekly

6-12 weeks

Research notes

Pentosan polysulfate in osteoarthritis

2016

Demonstrated significant improvement in joint pain and function compared to placebo

Elmiron for interstitial cystitis

1996

FDA approval based on significant reduction in bladder pain and urinary frequency

Regulatory and sourcing notes

FDA-approved (Elmiron) for interstitial cystitis. Available by prescription. Compounded versions available for osteoarthritis.

Prescription medication (Elmiron) or compounded injectable. Requires physician oversight.

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