cognitivemelanocortin agonist

Melanotan II

Melanotan II is a cyclic heptapeptide analog of alpha-melanocyte stimulating hormone (alpha-MSH), developed at the University of Arizona in the 1980s by Victor Hruby, Mac Hadley, and Robert Dorr. The original goal was photoprotection: a drug that could induce melanin production without requiring the UV damage that normally drives tanning, aimed at people at high risk of skin cancer. Its structure, Ac-Nle-cyclo[Asp-His-D-Phe-Arg-Trp-Lys]-NH2, is a lactam-bridged ring that resists the enzymatic breakdown that makes native alpha-MSH useless as a drug.

class
cyclic heptapeptide, non-selective melanocortin receptor agonist
receptors
MC1R (pigment), MC3R and MC4R (libido, appetite), MC5R
route
subcutaneous
plasma half-life
roughly 1 hour, though pigmentation persists for weeks
typical dose
250 mcg loading, 500 mcg to 1 mg weekly maintenance
storage
lyophilized refrigerated or frozen; reconstituted 2–8°C, 28-day max
Dose calculatorlive
U-100
Concentration
5.00mg/mL
Injection vol.
0.050mL
Syringe cap.
100units
Draw to5.0units
0204060801005.0 units
Dosing guide

Melanotan II Reconstitution & Dosage Protocol

weekly dose · reduces side effects
PhaseWindowWeekly doseDraw (U-100, 2mL BAC)Note
Tolerance testDay 10.13 mg3 units· 0.03 mL125 mcg once, taken in the evening. At 5 mg/mL (10 mg vial in 2 mL BAC water) this is 0.025 mL, which is 2.5 units on a U-100 syringe. Nausea and facial flushing are the dose-limiting effects and they hit hardest on the first exposures, so a half dose on day one is the standard way to gauge them
LoadingDays 2–140.25 mg5 units· 0.05 mL250 mcg once daily, which is 0.05 mL or 5 units at 5 mg/mL. Dose at night so the nausea passes during sleep. Pigmentation is not immediate: visible darkening usually starts somewhere between day 7 and day 14 and requires some UV exposure to develop
Upper loadingAs tolerated0.50 mg10 units· 0.10 mL500 mcg daily is the top of commonly reported loading, which is 10 units at 5 mg/mL. Going higher scales nausea, flushing, and spontaneous erections in men faster than it scales tanning, so most self-directed protocols stop here
MaintenanceAfter target tone0.50 mg10 units· 0.10 mL500 mcg to 1 mg once or twice weekly holds pigmentation once the desired tone is reached. Cumulative loading exposure is typically 5 to 10 mg total before switching to this phase
Skin checkEvery cycle0.00 mg0 units· 0.00 mLPhotograph and map existing moles before starting and have a dermatologist review any new or changing pigmented lesion. Eruptive melanocytic nevi and darkening of existing nevi are documented case-report findings with this compound, not theoretical risks
How it works

What is Melanotan II?

Melanotan II is a cyclic heptapeptide analog of alpha-melanocyte stimulating hormone (alpha-MSH), developed at the University of Arizona in the 1980s by Victor Hruby, Mac Hadley, and Robert Dorr. The original goal was photoprotection: a drug that could induce melanin production without requiring the UV damage that normally drives tanning, aimed at people at high risk of skin cancer. Its structure, Ac-Nle-cyclo[Asp-His-D-Phe-Arg-Trp-Lys]-NH2, is a lactam-bridged ring that resists the enzymatic breakdown that makes native alpha-MSH useless as a drug.

The peptide is a non-selective agonist across the melanocortin receptor family, and that lack of selectivity explains both its effects and its problems. Agonism at MC1R on melanocytes drives eumelanin synthesis, which is the tanning effect. Agonism at MC3R and MC4R in the central nervous system drives the two large off-target effects: sexual arousal and appetite suppression. MC5R involvement is associated with sebaceous gland activity. One molecule therefore produces pigmentation, erections, nausea, and reduced hunger at overlapping doses, and there is no way to dose for one and avoid the others.

The erectile effect was not a side finding, it became its own drug. Wessells and colleagues published a double-blind placebo-controlled crossover study in J Urol in 1998 showing that subcutaneous Melanotan II initiated erections in men with psychogenic erectile dysfunction, followed by a 2000 Urology paper covering organic erectile dysfunction. That line of work led to bremelanotide (PT-141), the deaminated metabolite of Melanotan II, which is more selective and which the FDA approved in 2019 for hypoactive sexual desire disorder in premenopausal women. Melanotan II itself was never approved for anything, anywhere.

Human dosing data is thin and old. The Dorr 1996 pilot phase I study in Life Sci gave subcutaneous Melanotan II to healthy volunteers and established the basic dose range along with the side effect profile: nausea in most subjects, facial flushing, stretching and yawning, and spontaneous erections in men. Plasma half-life is short, on the order of an hour, but that number is misleading in practice because melanin, once produced, persists for weeks. This is why maintenance dosing drops to once or twice weekly while loading is daily.

The safety picture is the reason to be cautious rather than casual. Because the peptide stimulates melanocytes systemically, published case reports document eruptive melanocytic nevi, rapid darkening of existing moles, and changes in nevus morphology after use, including a 2009 Br J Dermatol report and a 2014 Eur J Dermatol case following a single injection. Langan and colleagues reviewed the broader clinical picture in Br J Dermatol in 2010. Compounding this, essentially all Melanotan II in circulation is unregulated grey-market material with no assay verification, and it is sold in the United States for research purposes only. Melanotan II is not sunscreen: it does not block UV, and any pigmentation it produces should not be treated as meaningful protection.

Common questions

Melanotan II Frequently Asked Questions

Self-directed protocols typically load at 250 mcg once daily for 1 to 2 weeks, often starting at 125 mcg on the first day to gauge nausea, then move to 500 mcg to 1 mg once or twice weekly for maintenance. Doses above 500 mcg per day scale side effects faster than they scale pigmentation. None of these figures come from an approved label, the only formal human dosing data is the 1996 pilot phase I study.
Sources

Research & References

Evaluation of melanotan-II, a superpotent cyclic melanotropic peptide in a pilot phase-I clinical studyPubMed · Life Sciences 1996Synthetic melanotropic peptide initiates erections in men with psychogenic erectile dysfunction: double-blind, placebo controlled crossover studyPubMed · Journal of Urology 1998Effect of an alpha-melanocyte stimulating hormone analog on penile erection and sexual desire in men with organic erectile dysfunctionPubMed · Urology 2000Melanocortin peptide therapeutics: historical milestones, clinical studies and commercializationPubMed · Peptides 2006Eruptive melanocytic naevi following melanotan injectionPubMed · British Journal of Dermatology 2009Melanotropic peptides: more than just "Barbie drugs" and "sun-tan jabs"?PubMed · British Journal of Dermatology 2010Eruptive naevi and darkening of pre-existing naevi 24 h after a single mono-dose injection of melanotan IIPubMed · European Journal of Dermatology 2014
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