Melanotan II

Mechanism, Dosing, Effects

Melanotan II is a synthetic analog of α-melanocyte-stimulating hormone (α-MSH). It is primarily studied for its ability to increase skin pigmentation (tanning) and is also known to stimulate libido and erectile activity as secondary effects. It activates melanocortin receptors, leading to melanin production in the skin.


Mechanism of Action

Melanotan II works by:

  • Activating MC1R receptors in melanocytes
  • Increasing melanin production
  • Enhancing UV-independent tanning
  • Stimulating MC3R & MC4R receptors (linked to libido & appetite control)
  • Increasing cAMP signaling → pigment synthesis

This leads to progressive skin darkening even with minimal sun exposure.


Dosing Strategy

Route: Subcutaneous
Vial: 10 mg

Reconstitution

  • Add 3.0 mL bacteriostatic water
  • Concentration: 3.33 mg/mL
  • Syringe reference:
    • 1 unit = 33.3 mcg

Standard Titration Protocol

Loading Phase

Week 1
→ 250 mcg daily
→ 7.5 units (0.075 mL)

Week 2
→ 500 mcg daily
→ 15 units (0.15 mL)

Week 3
→ 750 mcg daily
→ 22.5 units (0.225 mL)

Weeks 4–8
→ 1000 mcg daily
→ 30 units (0.30 mL)


Maintenance Phase

After pigmentation achieved:

→ 500–1000 mcg
1–2× per week


Cycle Length

  • Loading: 6–8 weeks
  • Maintenance: As needed

Effects and Outcomes

Commonly observed:

  • Progressive skin tanning
  • Reduced sunburn risk
  • Increased libido
  • Possible spontaneous erections
  • Appetite suppression (mild)
  • Freckle darkening
  • Long-lasting pigmentation

Safety and Tolerability

Common side effects

  • Nausea
  • Facial flushing
  • Yawning
  • Mild fatigue
  • Increased libido

Less common

  • Temporary darkening of moles/freckles
  • Injection-site irritation

Safety Notes

  • Start low dose to reduce nausea
  • Do NOT exceed recommended dosing
  • Rotate injection sites
  • Not FDA-approved
  • Avoid excessive UV exposure
  • Monitor moles for changes
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