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Skin & CosmeticGrade AMultiple human RCTs3 primary sources

Melanotan I

Also known as afamelanotide · Scenesse · NDP-MSH

An approved implant for erythropoietic protoporphyria, and the only melanotan with regulatory approval. Far more selective than Melanotan II.

Overview

Melanotan I is a stabilised version of alpha-MSH, the hormone that tells pigment cells to produce eumelanin — the dark, photoprotective form of melanin. It is selective for the melanocortin-1 receptor, which is the pigment receptor. That selectivity is what separates it from Melanotan II, which also hits the receptors involved in sexual arousal and appetite. Its approved use is a rare disease where sunlight causes severe pain, and the extra melanin provides genuine protection.

Research areas

Erythropoietic protoporphyriaPhotoprotectionVitiligoPolymorphous light eruption

Community-specified data

Community dosage information

Unverified
Community protocol

Melanotan 1 Injectable 10mg

Third-party
01Reconstitution solution
2 mL
02Dose
0.25 mg
03Syringe units
5 units
04Frequency
7x/week
05Cycle length
90 days
06Bacteriostatic water
2 mL
07Bottle size
10 mg
08Bottles needed
3
Track this schedule
Community protocol

Melanotan 1 Nasal Spray

Third-party
01Reconstitution solution
Not specified
02Dose
0.4 mg
03Syringe units
2 units
04Frequency
2x/week
05Cycle length
Not specified
06Bacteriostatic water
Not specified
07Bottle size
20 mg
08Bottles needed
Not specified

Source note: 2 sprays per dose. No reconstitution needed.

Not medical guidance. These third-party figures have not been independently verified, clinically reviewed, or endorsed by DB Peptide. They may be inaccurate or unsafe and should not replace product labelling or advice from a qualified clinician.

Dosing reported in the literature

Every protocol below is reproduced from a published study or approved labelling, with its source named. These are records of what was studied — not recommendations, and not a suggestion that any of them is appropriate for any person.

Protocol as reportedSource
16 mg subcutaneous implant inserted above the anterior iliac crest every 2 monthsApproved product labelling
Implant every 2 months with pain-free sunlight exposure time as the primary endpoint over 180 daysLangendonk et al., New England Journal of Medicine 2015

Trial status

Phase 3 completed in erythropoietic protoporphyria; approved in the EU 2014 and the US 2019.

Reported safety signals

  • Darkening of existing naevi and generalised skin darkening are expected effects; regular full-body skin examination is required.
  • Nausea, headache and fatigue are common in the first days after implantation.
  • It does not remove the need for photoprotection, and it is not a substitute for sunscreen.
  • Unregulated injectable versions sold for cosmetic tanning carry all the melanoma-surveillance concerns without any of the medical monitoring.

Common questions

How is Melanotan I different from Melanotan II?

Selectivity. Melanotan I acts mainly on MC1R, the pigment receptor, and has regulatory approval for a specific medical condition. Melanotan II is a cyclic analogue that also activates MC3R and MC4R, producing arousal, nausea and appetite effects, and it has no approval anywhere.

Primary sources

3 citations
  1. 01

    Afamelanotide for erythropoietic protoporphyria

    New England Journal of Medicine2015

  2. 02

    Afamelanotide and narrowband UV-B phototherapy for the treatment of vitiligo: a randomized multicenter trial

    JAMA Dermatology2015

  3. 03

    Scenesse (afamelanotide) prescribing information

    FDA Drugs@FDA2019

Medical disclaimer

This page is for informational and research purposes only. Nothing here constitutes medical advice. The compounds discussed are research chemicals. Consult a qualified clinician before starting any protocol.

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