Pilot Phase 1 study: Melanotan II induced tanning in most volunteers; common side effects were facial flushing, nausea, increased appetite, and spontaneous penile erections.
Melanotan

Overview
Last reviewed: 2026-08-18
Identity & Aliases
Also known as
Status: Research compound - Melanocortin receptor agonist
Full composition (formula, molecular weight, sequence) in Quick Facts →
Research Areas
Available Evidence
A pilot Phase 1 study of Melanotan II in healthy volunteers produced tanning in most subjects, with side effects including facial flushing, nausea, and penile erections. The related peptide bremelanotide (PT-141) was FDA-approved in 2019 (Vyleesi) for acquired hypoactive sexual desire disorder in premenopausal women based on two randomized Phase 3 RECONNECT trials, and the melanocortin agonist afamelanotide (Scenesse) is FDA-approved for erythropoietic protoporphyria. Melanotan II itself has no approved use.
Animal studies established that melanocortin MC1R agonism drives eumelanin production via the cAMP/MITF pathway, and phototoxicity models supported afamelanotide development.
Melanotan II is a non-selective agonist at MC1R, MC3R, MC4R and MC5R; MC1R activation in melanocytes triggers melanogenesis.
Long-term skin safety of repeated melanotan use (nevus changes, melanoma risk) is not established by controlled studies, though concerning case reports exist; weight-loss and general anti-aging claims are unproven.
Key Studies & Findings
Two randomized Phase 3 trials (RECONNECT) showed bremelanotide significantly improved sexual desire and distress in premenopausal women with HSDD, supporting FDA approval.
Benefits & Effects
Side Effects & Safety
Limitations & Open Questions
Pharmacology
Reported Research Dosing
Reported values from research literature and community protocols. Educational reference only — not a dosing recommendation or medical advice.
0.5-1 mg Loading then maintenance
Research Protocols
Initial Tanning (Light Skin)
- Dose
- 0.25mg
- Frequency
- 2x daily
- Route
- Subcutaneous injection
Maintenance Tanning
- Dose
- 0.5mg
- Frequency
- 1x daily
- Route
- Subcutaneous injection
Enhanced Pigmentation
- Dose
- 0.5mg
- Frequency
- 2x daily
- Route
- Subcutaneous injection
Photoprotection Only
- Dose
- 0.25mg
- Frequency
- 1x daily
- Route
- Subcutaneous injection
Research protocols are for educational purposes only. Always consult qualified medical professionals.
Frequently Asked Questions
Is Melanotan II FDA-approved?
No. Melanotan II is not approved; only the related peptides bremelanotide (Vyleesi, for HSDD) and afamelanotide (Scenesse, for erythropoietic protoporphyria) are FDA-approved.
What are the known side effects of Melanotan II?
In the pilot clinical study, flushing, nausea, increased appetite, and spontaneous erections were reported; unregulated use has also been linked to skin-pigmentation changes and concerning nevus/skin-lesion reports.
Research Citations
Mallory CW, Lopategui DM, Cordon BH (2021)
Dreyer BA, Amer T, Fraser M (2019)
Peters B, Hadimeri H, Wahlberg R, Afghahi H (2020)
Paurobally D, Jason F, Dezfoulian B, Nikkels AF (2011)
Wekwejt P, Wojda U, Kiryk A (2023)
+ 20 more citations
Related Resources
Quick Facts
Formula
C50H69N15O9
Molecular Weight
1024.18
Sequence
MACPSLACCLLGLLALTSACYIQNCPLGGKRAALDLDMRKCLPCGPGGKGRCFGPSICCADELGCFVGTAEALRCQEENYLPSPCQSGQKPCGSGGRCATAGICCSPDGCRTDPACDPESAFSER
Mechanism
Activates MC1R (tanning) and MC4R (sexual arousal)
Safety Information
Research compound only. Not approved as a drug in the United States. Regular skin checks recommended due to mole darkening effects. Not a substitute for sun protection.
Citations
25Mallory CW, Lopategui DM, Cordon BH (2021)
Dreyer BA, Amer T, Fraser M (2019)
Peters B, Hadimeri H, Wahlberg R, Afghahi H (2020)
Paurobally D, Jason F, Dezfoulian B, Nikkels AF (2011)
Wekwejt P, Wojda U, Kiryk A (2023)
+ 20 more citations