Treatments · 22 clinics in 5 countries · checked 21 Oct 2026
Plasma exchange: evidence, regulation and where it is offered
Therapeutic plasma exchange removes the liquid part of the blood and replaces it with a substitute fluid. Our evidence label for it is Depends on use. Established for some medical conditions, unproven as a longevity treatment. 22 clinics we list offer it, in the United States, the United Kingdom, Thailand, the United Arab Emirates and Mexico.
In plasma exchange, the plasma is separated from the blood cells and removed. The cells are returned with a replacement fluid, such as albumin solution or donated plasma. A session usually takes one to two hours (Cambridge University Hospitals). It is not the same as an infusion of plasma from young donors, which the US Food and Drug Administration (FDA) has warned against (see below).
What the evidence says
Prescription status: not marked prescription-only in our data.
Hospitals use plasma exchange for some nerve, immune and blood conditions. The American Society for Apheresis lists it as a first-line treatment for conditions such as Guillain-Barré syndrome and thrombotic thrombocytopenic purpura, a rare blood disorder (ASFA guidelines, 2023).
For ageing, research is at an early stage. A 2025 trial in 44 people in their 60s compared plasma exchange with a sham treatment over a few months (Lifespan.io). It measured blood markers, "biological age" tests and some physical tests, such as balance and strength. The researchers called the results early data. The changes were largest after the first three sessions, and the study was supported by a company that offers the treatment (Buck Institute, 2025).
Regulators and prescription status
In February 2019 the FDA said there is no proven clinical benefit from infusions of plasma from young donors, which were being marketed for conditions from normal ageing to memory loss. In December 2024 it said again that "young plasma" is not approved to treat any condition or to improve health and wellness (AABB, 2024).
Depends on use means: Established for some medical conditions, unproven as a longevity treatment.
What regulators say
| Country | Note | Source |
|---|---|---|
| United States | In February 2019 the FDA said infusions of plasma from young donors have no proven clinical benefit for normal ageing, memory loss or other conditions they were marketed for. | FDA statement, 19 February 2019 |
| United Kingdom | No regulator statement recorded yet. | |
| Thailand | No regulator statement recorded yet. | |
| United Arab Emirates | No regulator statement recorded yet. | |
| Mexico | No regulator statement recorded yet. | |
Where it is offered
Published prices
No price that may be shown is published by the clinics we list.
Safety and questions to ask
During plasma exchange, some people feel faint or dizzy (Cambridge University Hospitals). The medicine used to stop the blood clotting, and some replacement fluids, can cause tingling around the lips or in the fingers and toes. Replacement plasma can cause a rash or fever and, rarely, a serious lung reaction. Repeated sessions can lower the clotting factors in the blood.
- Who carries out the procedure, and in what kind of facility?
- Why is it proposed for me, and what will be measured?
- Which replacement fluid will be used, and what are its risks?
- How many sessions are proposed, and what does each include?
- Who do I call if I feel unwell afterwards?
Sources
- Cambridge University Hospitals NHS Foundation Trust: information for patients and families undergoing plasma exchange
- American Society for Apheresis: Guidelines on the use of therapeutic apheresis in clinical practice, ninth special issue, Journal of Clinical Apheresis, 2023 (PDF)
- Lifespan.io: how plasma exchange affects aging in a human trial
- Buck Institute: clinical trial and multi-omics analysis demonstrates the impact of therapeutic plasma exchange on biological age, 2025
- US Food and Drug Administration: statement on young donor plasma infusions, 19 February 2019
- AABB: FDA cautions consumers against "young plasma" therapies, 10 December 2024