
Melanotan I
Afamelanotide
The file here is mostly preclinical work plus clinic and community practice, not registrational trials.
More receptor-selective than Melanotan II, which is why the nausea and libido effects are far less reported. An implant form is approved for erythropoietic protoporphyria.
General profile
- Class
- Melanocortin and sexual
- Evidence
- Mixed or moderate evidence
- Studied dose range
- 0.5–1 mg
- Frequency in protocols
- Daily during a loading phase
- Route
- Subcutaneous
- Half life
- ~1 hour
- Reconstitution
- 2 mL bacteriostatic water per 10 mg vial
- Storage
- Refrigerated, ~30 days
Timing and cycling in the literature
Usually dosed in the evening window
Daily during loading, then two to three times weekly
Flushing and nausea peak in the first hours, so evening dosing lets it pass during sleep.
Reported cycle: 4 weeks on, 8 weeks off
Loading runs a few weeks, then pigmentation is maintained rather than pushed further.
Watch for: New or changing moles. Anyone with a melanoma history or heavy mole load should not run this at all.
What it conflicts with
Three separate questions, kept separate. A hard stop means the mechanisms must not run together at all and timing does not fix it. A syringe rule means the same day is fine but one barrel is not. Redundancy is not dangerous, it is paying twice to hit one target.
- Hard stopTiming
Melanotan I + Melanotan II
Never run both melanocortin agonists
Same receptor family with overlapping pigmentation and cardiovascular effects. Melanotan II is the less selective of the two, so combining them adds side effects rather than pigment.
Most syringe compatibility claims here are practice and expert consensus, not peer reviewed mixing studies. A clear liquid after mixing does not prove the compounds are still active, and cloudiness, particles or gelling means discard. Active cancer, pregnancy, major cardiac care and heavy immunosuppression override every stack preference on this page.
See how Melanotan I fits your week
The injection scheduler spaces doses using the clinical timing data, flags the pairs above before you draw them, and tells you why.
Model this in the injection schedulerThe studies
Human trials: No completed human efficacy trial that establishes a dose for the use people are chasing.
Open questions: Treat published dosing as observed practice, not a validated protocol.
Published papers
Indexed from Europe PMC and refreshed weekly. Each link opens the paper itself.
- Heterochiral co-assembly of β-strands and hairpins affords stereocomplexed peptide hydrogels for drug delivery
J Control Release · 2026. Anderson CF, Wang X, Schneider JP.
- Seen on screen, missed in clinic: educational pearls from <i>House M.D.</i> - a reflective educational article on fictional cases in dermatology
Skin Health Dis · 2026 · Review. Shanshal M.
- Vitiligo as a Failure of Immune Resolution and Tissue Regeneration: From Stress Signals to Targeted Immune Modulation
Clin Rev Allergy Immunol · 2026 · Review. Pupo Silvestrini AV, Lucas JM, de Barros Cardoso CR, Lopes Badra Bentley MV.
- Investigation of the stability profile of therapeutic α-MSH analogue: Insights from liquid chromatography-high resolution mass spectrometry analysis of afamelanotide
J Pharm Biomed Anal · 2026. Chawathe A, Sharma N.
- Regenerative Medicine Approaches to Craniofacial and Corneal Neuropathic Pain
Pharmaceuticals (Basel) · 2026 · Review. Liongson FAZ, Yoo J, Swett B, Falowski SM, Pope JE, Sayed D, Deer TE, Hasoon JJ, Keith DA, Gustaldi FP, Kulich RJ, Robinson CL.
- Therapeutic Peptides in Aesthetic, Metabolic and Endocrine Conditions: Effects, Safety, Clinical Applications, and Future Perspectives
Int J Mol Sci · 2026 · Review. Renke G, Chinellato L.
- Targeting Oxidative Stress to Treat Vitiligo: Clinical and Molecular Evidence
Biomolecules · 2026 · Review. Aprile N, Scano S, Bellei B, Marini A, Filoni A.
- Multifactorial Perspective for Greening Solid-Phase Peptide Synthesis: Rigid Polyacrylate Macroporous Resin in Combination with Green Solvents
ChemSusChem · 2026. Noki S, Kumar A, Zhang C, Basso A, Serban S, Kou X, Li Y, Sharma A, de la Torre BG, Albericio F.
- Approaches used to model patient and carer health-related quality of life in economic models of rare disease treatments in NICE appraisals
Health Qual Life Outcomes · 2026 · Review. Wiedmann L, Cairns J.
- New and currently investigated pharmacotherapies for the erythropoietic protoporphyrias: spotlight on dersimelagon and bitopertin
Expert Opin Pharmacother · 2026 · Review. Barman-Aksözen J, Granata F, Wäscher S, Falchetto R, Dechant C.
Search the full literature
- PubMed: all indexed papers
Every indexed paper, newest first. Filter to Clinical Trial or Review in the sidebar.
- PubMed: human clinical trials only
The honest test of an evidence claim. An empty result is itself an answer.
- ClinicalTrials.gov registrations
Registered, ongoing and completed trials, including ones that never published.
- Europe PMC full text
Often surfaces open-access full text that PubMed only abstracts.