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Peptide Encyclopedia / Melanotan II

Encyclopedia

Melanotan II

Melanotan II is a synthetic cyclic analog of alpha-MSH and a nonselective melanocortin receptor agonist. The FDA has not approved it for any use, and it trades online as an illegal tanning and libido agent with only case-report safety data and documented harms. Educational only, not medical advice.

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Also known asMelanotan II, MT-II, MT2, Melanotan 2
Regulatory statusMelanotan II is NOT approved by the FDA (or, generally, by other major regulators) for any indication.

Regulatory status

Melanotan II is NOT approved by the FDA (or, generally, by other major regulators) for any indication. It is sold illegally over the internet as an unlicensed tanning/libido agent. Regulatory agencies (including the US FDA and UK MHRA) have warned against its use. It is distinct from the FDA-approved afamelanotide (Scenesse), a different melanocortin agonist.

Mechanism

Melanotan II is a synthetic cyclic analog of alpha-melanocyte-stimulating hormone (alpha-MSH) and a nonselective melanocortin receptor agonist. Activation of MC1R on melanocytes stimulates melanogenesis (skin darkening); activation of central MC4R is associated with effects on sexual arousal and appetite suppression. (PT-141/bremelanotide is a more selective derivative developed from this class.) Pharmacokinetics (half-life No validated human pharmacokinetic half-life established; product is unregulated and PK has not been formally characterized in approved studies.): Administered by subcutaneous injection. Because Melanotan II is an unapproved, unregulated product, no rigorous human pharmacokinetic data (half-life, clearance, bioavailability) exist from regulatory or controlled sources. No verified human PK half-life found.

Evidence

There are no controlled efficacy trials supporting safe consumer use. The literature consists largely of case reports and safety signals: systemic sympathomimetic toxicity and rhabdomyolysis after injection, priapism, and dermatologic effects including new or changing melanocytic nevi and mucosal pigmentation, with concern (not proven causation) about melanoma. Honest level: anecdotal/case-report safety evidence; no credible efficacy trials. Reported use: Community-reported use involves subcutaneous injection for skin tanning, libido, and appetite effects, typically with a 'loading' phase followed by maintenance dosing. These regimens are unvalidated, unsafe, and associated with serious documented harms; they are described here only as reported practice and are explicitly not recommended.

Safety

Documented adverse effects include rhabdomyolysis and systemic sympathomimetic toxicity (a case with CPK ~17,773 IU/L and ICU admission after a 6 mg dose), nausea and vomiting, facial flushing, spontaneous penile erections/priapism, darkening and proliferation of moles, and mucosal/skin hyperpigmentation. There is concern about possible increased melanoma risk and risks from unsterile, unregulated product. Contaminated/illicit sourcing adds infection risk..

Contraindications

Personal or family history of melanoma or atypical/dysplastic nevi (theoretical/precautionary), Cardiovascular disease or uncontrolled hypertension (precautionary, given sympathomimetic effects), Pregnancy and breastfeeding.

Interactions

No formally characterized drug interactions; theoretical additive cardiovascular/sympathomimetic effects with stimulants

Sources

  1. Dorr RT, et al. Evaluation of melanotan-II, a superpotent cyclic melanotropic peptide in a pilot phase-I clinical study. Life Sci. 1996;58(20):1777-1784. https://pubmed.ncbi.nlm.nih.gov/8637402/
  2. Wessells H, et al. Synthetic melanotropic peptide initiates erections in men with psychogenic erectile dysfunction: double-blind, placebo controlled crossover study. J Urol. 1998;160(2):389-393. https://pubmed.ncbi.nlm.nih.gov/9679881/
  3. Dorr RT, et al. Effects of melanocortin receptor agonists on human melanin production. J Invest Dermatol. 2005;125(4):785-792. https://pubmed.ncbi.nlm.nih.gov/16293341/
  4. Peters B, Hadimeri H. Melanotan II: a possible cause of renal infarction. CEN Case Rep. 2020;9(2):159-161. https://pubmed.ncbi.nlm.nih.gov/31953620/
  5. Nelson ME, et al. Melanotan II injection resulting in systemic toxicity and rhabdomyolysis. Emerg Med J. 2012;29(12):1029-1030. https://pubmed.ncbi.nlm.nih.gov/23121206/
  6. Hjuler KF, Lorentzen HF. Melanoma associated with the use of melanotan-II. Dermatology. 2014;228(1):34-36. https://pubmed.ncbi.nlm.nih.gov/24355990/
  7. Evans-Brown M, et al. Use of melanotan I and II in the general population. BMJ. 2009;338:b566. https://pubmed.ncbi.nlm.nih.gov/19224958/

PepWise is an informational and educational tracking tool, not medical advice and not a medical device. Melanotan II may be experimental, restricted, or prescription-only; many research peptides are not FDA-approved. Consult a licensed healthcare provider before starting, changing, or stopping any protocol. Operated by STC Consulting, Inc.