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Skin, hair & aesthetics · Treatment of erythropoietic protoporphyria and photosensitivity disorders

Melanotan-1

0.25 mg twice weekly, then weekly

Synthetic α-MSH analog approved (Scenesse) for erythropoietic protoporphyria, a rare light-sensitivity disorder. Boosts eumelanin production to extend pain-free sun exposure.

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Reconstitution

Concentration by vial size and water volume
Vial1 mL water2 mL water
10 mg10 mg/mL5 mg/mL
  1. Use bacteriostatic water as the diluent.
  2. Add the water slowly, letting it run down the inside wall of the vial rather than onto the powder.
  3. Swirl gently to mix, then leave it to dissolve. Do not shake.
  4. Give it a few minutes. The finished solution should be clear and colourless.

Protocol

Route: Subcutaneous

Standard protocol (subcutaneous)

  • Loading: 0.25 mg (250 mcg) twice weekly for about 4 weeks, paired with gradual UV exposure (15 to 30 minutes, building up)
  • Maintenance: taper to roughly once weekly once colour develops
  • At a 2 mL fill on a 10 mg vial (5 mg/mL), 0.25 mg is a 0.05 mL draw (5 units)

Milder than Melanotan-2

  • Melanotan-1 (afamelanotide) causes much less nausea and does not have the libido or appetite effects of MT-2, so most people tolerate it more easily

Dosing detail

  • Loading: 0.25 mg twice weekly for about 4 weeks. Maintenance: about once weekly after colour develops.
  • Pair with gradual UV exposure to build the tan.
  • Milder side-effect profile than MT-2: less nausea, no flushing or appetite change for most.
  • Watch moles and freckles for any changes, as with any tanning peptide.

Duration

  • About 4 weeks of twice-weekly loading, then weekly maintenance.

Notes

  • Also called afamelanotide. Milder on nausea and without the libido effect of MT-2.
  • Does not cause the same flushing or appetite changes as MT-2 for most people.
  • Inject subcutaneously and rotate sites.

Storage and handling

  • Keep the powdered (lyophilized) vial in a cool, dark place. Refrigerate it for longer-term storage before mixing.
  • Once reconstituted and refrigerated at 2–8 °C away from light, use the vial within 90 days.
  • Do not freeze a reconstituted vial, and keep it away from heat and sunlight.
  • If the solution turns cloudy, develops floating particles, or shows any other sign of degradation, stop using that vial.