What Is Melanotan and Melanotan II - What About Side Effects

27/02/2016
WhatisMelanotanandMelanotanII?Whataboutsideeffects?
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Melanotan and Melanotan II

Article by PartyBoy - MuscleTalk Moderator
Pharmaceutical Names of Actual and Related Peptides: CUV1647, PT-141, Clinuvel, Epitan,
Bremelanotide, Afamelanotide
Common Brand/Trade/Slang Names: Melanotan, Melanotan II, MT, MTII, MT-II, MT2, MT-2,
Scenesse
Amino Acid Structure:
Melanotan - Ac-Ser-Tyr-Ser-Nle-Glu-His-D-Phe-Arg-Trp-Gly-Lys-Pro-Val-NH2 or [Nle4, D-Phe7]-alpha-MSH
Melanotan II - Ac-Nle-cyclo[Asp-His-D-Phe-Arg-Trp-Lys]-NH2
Bremelanotide - Ac-Nle-cyclo[Asp-His-D-Phe-Arg-Trp-Lys]-OH or cyclo-[Nle4, Asp5, D-Phe7, Lys10]alpha-MSH-(4-10)
Molecular Formula and Molecular Weight:

Melanotan C78H111N21O19 1646.85 Dalton
Melanotan II C50H69N15O9 1024.18 Dalton
Bremelanotide C50H68N14O10 1025.16 Dalton
Peptide Hormone Base: alpha-melanocyte stimulating hormone (-MSH) Delivery Method: Injectable
at this time though transdermal, oral, nasal and implanted pellet form are forthcoming Half Life: 30-60
minutes Typical Vial Contents: 10mg lyophilised white powder. Requires reconstitution with
bacteriostatic water to provide an injectable solution.
http://www.muscletalk.co.uk/articles/articlemelanotan.aspx
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Background
Melanotan (MT) and Melanotan II (MT-II) are both analogs of the alpha-melanocyte stimulating
hormone (-MSH) which is produced within the pituitary gland. Along with other melanocortins, they
are responsible for various internal human functions including skin and hair pigmentation, appetite,
libido and physical sexual arousal. Whilst these effects have been observed in both sexes, it is worth
noting that increases in libido and sexual function are exclusive to MT-II. This article will primarily look
at the tanning and pigmentation properties of the hormone, though it would be foolish to ignore the
other effects which are discussed further in the Side Effects section.
Prompted by ultraviolet (UV) exposure, -MSH release consequently stimulates production of
melanin from the melanocytes within the skin. Melanin, as I'm sure you are aware, is a brown
pigment and responsible for the tanning of the skin. Simply put, more -MSH means more melanin,
resulting in greater skin pigmentation. Since bodybuilding is such an aesthetic pursuit, and with
darker skin that accentuates muscularity, it's little wonder that these drugs are in such high demand.
Currently, analogs based upon MT and MT-II are undergoing clinical trials, with a view to bringing
medicinal products to market. These synthetic variants of -MSH were developed at the University of
Arizona during the 1980s. Australian based Clinuvel Pharmaceuticals Limited have marketing rights
to MT (CUV1647), with their primary market being individuals with adverse reaction to UV exposure.
This includes those with Polymorphous Light eruption (PLE/PMLE) and Actinic Keratosis (AKs or
solar keratosis) where skin is intolerant to UV and characterised by severe sores, lumps, itching or
burning sensations, or dry skin lesions/growths. You might think that this peptide would be an ideal
treatment for pure albinos. However, these individuals are generally not deficient in -MSH, but
instead are have zero melanocyte receptor binding. Therefore, merely increasing circulatory levels of
-MSH or its analogs is futile. Palatin Technologies Inc. based in the United States, has instead
focused on an analog of MT-II. Licensed as Bremelanotide (formerly PT-141), this is aimed squarely
at the sexual dysfunction market, more specifically, erectile dysfunction (ED) in men. However, early
(phase I & II) clinical trials have also been performed using female subjects with results being
described by the company as 'encouraging'.
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Both Melanotan and Melanotan II have been shown in the clinical setting to increase pigmentation
without exposure to UV, a feature that is also confirmed anecdotally by users that report tanning in
areas of the body that would seldom see the light of day! However, the process of tanning is greatly
expedited by UV exposure. It is worth noting that tanning effects may not be uniform throughout the
skin. This is in part due to the half life and distribution of the drug itself, but primarily in response to
the concentration of melanocytes within certain areas of the skin. Most will notice the greatest
tanning effect on the face, arms, abdominal region. Interestingly, the genitals have one of the highest
concentrations of melanocytes enabling these particular areas to respond very well to the peptide in
conjunction with UV exposure.
As I'm sure you can appreciate, the development of these peptides has not gone unnoticed by the
general population and as a result, there has been an explosion of suppliers looking to exploit such
demand, with the peptides being formulated and originating largely from China. Although not classed
as controlled substances in the UK, they are viewed as medicinal substances by the MHRA
(Medicines and Healthcare products Regulatory Agency). While this means that you can legally
possess them for personal use, sale or supply is dependant upon whether the product holds a
Marketing Authorisation (product licence) valid for the UK. Since I cannot find any evidence of this,
nor would I expect to at this juncture of development, suppliers plying their trade within the UK are
doing so illegally.
Suggested Cycles/Uses
If you look hard enough out there, you will find some weird and wonderful dosaging schedules
whereby the user calculates their daily dosage by multiplying their bodyweight by a cofactor. Perhaps
this approach has been adopted since this has been the method employed in the ongoing clinical
studies. Typically, this type of formula would suggest a dose of 1mg of MT-II per day for someone
weighing in at a mere 110lb (50kg). The cynical among us might be forgiven for thinking that these
formulae are constructed by those with a personal interest in the sale of the product as I believe this
to be more than necessary to achieve a great result. Indeed, there are many instances whereby users
feel they have become too dark. While I have no problem with a bodyweight dosage scale in principle,
I can't help thinking that it's not only unnecessary (particularly for the mathematically challenged), but
also avoids the ability to gradually increase dosages from a relatively low level; something which I
would advocate to assess individual tolerance levels to side effects, especially in the case of MT-II.
Clinical trials to determine efficacy of the drugs have typically used dosages up to 0.21mg/kg daily
for Melanotan (16mg for a 75kg (165lb) individual), and up to 0.03mg/kg daily for Melanotan II
(2.25mg for a 75kg (165lb) individual). More typically however, trials have used the dosages of
0.16mg/kg (12mg) and 0.025mg/kg (1.875mg) respectively. At this level of dosage, one such study
involving Melanotan indicated the following incidences of side effects from subjects:
Nausea 85%
Facial Flushing 75%
Fatigue 44%
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Vomiting 26%
Injection site reactions 13%
Zero incidence of erections
No change in vital signs or haematological parameters, blood biochemistry (liver and renal
function)
As is the case with any drug use, the user is ideally looking to minimise unwanted side effects, whilst
still achieving an acceptable outcome. With this in mind, I would suggest that a tapering up of
dosages is used in order to assess the individual's personal tolerance to the side effects.
Both MT and MT II can be used for extended periods, whereby there is an initial daily administration
of perhaps 2-3 weeks or until desired level of pigmentation has been achieved, followed by a
maintenance phase of two injections per week.
Melanotan:
Start with a dose of 1mg daily for the first two or three days and, if level of side effects permit, look to
increase dosage by 0.25mg every day over the next several days until you reach a daily dosage of 23mg. This level should be adequate for most users, though some may wish to increase yet further,
perhaps as high as 5mg daily in order to achieve a very deep tan. A maintenance phase as described
above is then used.
Melanotan II:
Start with a dose of 0.25mg. If side effects (primarily nausea) are not proving troublesome, attempt
to increase daily dosage by 0.25mg where possible, until you reach 1-1.5mg daily. Most have found
that this level will yield a very pleasing result and I can't see much point in increasing too much
further unless a very deep tan was desired. As with Melanotan, once the desired level of tanning is
reached, a maintenance phase is used.
Administration
Both MT and MT II are currently supplied as white lyophilised powder contained in a sealed multi-use
vial. The peptide is susceptible to temperature degradation and should be shipped preferably with an
ice pack though contrary to popular belief, the rate of degradation is very slow (weeks) in its powder
form, so there's no need to be alarmed if yours wasn't shipped in this manner or you are unable to
collect your package from a depot for a day or two. Once delivered, the powder is best stored in a
freezer, or refrigerated if this is not possible.
To prepare for injection, it must be reconstituted with bacteriostatic water. You may use anything
between 1ml and 5ml of water for your vial. Dependant upon the amount of water used will
determine the concentration of your solution. For example, a 10mg vial of Melanotan II mixed with
1ml of water will provide a solution of 10mg per 1ml (10mg/ml). This means that a 1mg dose will
require a shot of 0.1ml. Bearing in mind that the recommended starting dose is 0.25mg, using the
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example above, the actual volume of the shot would be 0.025ml ( of 1 tenth of a ml). This is a very
small volume and very difficult to accurately dose even with a 0.5ml insulin syringe. Therefore, at
least until your dosages have increased, it is suggested that you use more water for your vial.
An example of a good solution would be to mix 10mg of Melanotan II powder with 4ml of
bacteriostatic water. This now provides:
10mg/4ml or 1mg/0.4ml or 0.25mg/0.1ml
0.1ml can be accurately measured using a 0.5ml or 1ml syringe.
Obviously, as your dosages become higher, you may dilute subsequent vials with lower amounts of
water to reduce the volume of each shot. I would recommend that when you are using a dosage of
1mg, you reconstitute the vial with 1ml or 2ml of water so that each shot will be 0.1ml or 0.2ml
respectively.
The injection is given into the sub-cutaneous layer which includes adipose tissue (fat), as in the figure
below:
If you are using insulin syringes which have short needles, you will need to enter the skin at 90. to the
skin, otherwise you can inject as shown in the illustration above with a 29 or 30 gauge, 0.5" needle.
I would suggest that you use standard 1ml syringes to which you can interchange needles as
required. By doing so, you are able to attach any gauge/length you want to reconstitute and draw the
solution (I use a 25guage 1" needle). Once done, simply attach your suitable needle for the injection.
Following the injection, ensure that you pull back the plunger a little to 'reclaim' the solution that is
contained within the needle itself. The syringe/needle is then placed in the refridgerator for storage
until your next injection is due whereby you will attach a brand new injection needle. This process is
repeated until you have administered all of the solution in that particular syringe.
Alternatively, you may pre-load insulin syringes and refrigerate until needed. However, because they
have non-detachable needles, this can be quite cumbersome as they require loading from the rear.
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Instability of the peptide is a much greater issue once reconstituted so you don't want it sitting in the
fridge for months on end. Ideally one 10mg vial of MT-II could be shared by two people (each having
their own syringe/needles) so even during the maintenance phase of two injections per week of 1mg
each; the longest it will be reconstituted for is 2.5 weeks.
Example of How to Dose Melanotan II

Draw 2ml of bacteriostatic water into the vial
On an insulin needle, start at 0.06ml (up to 6 little notches on the needle only see diagram)
If this is ok then increase to 0.1ml on the needle
Do not use more than 0.15ml
Start every 2-3 days, then reduce as you get darker
Stored in the fridge and discard after 3 weeks
Major Differences
I'm guessing by now the question on most people's mind would be which of the two is better? The
short answer is Melanotan for the obvious reason that it facilitates tanning with limited side effects. It
is for this reason that this analogue is being trialled with a view to bringing it to market by Clinuvel.
They would be faced with an almost impossible mission had they chosen instead MT-II to develop
and place before the regulatory authorities for approval. This is due to the host of extra side effects
commonly encountered by users of this analogue, perhaps also coupled with the fact that the side
effects that are shared with Melanotan appear more pronounced. However, in terms of monetary
cost, and perhaps also a desire to experience and utilise the other side effects, most prospective
users will choose Melanotan II.
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Melanotan's peptide structure is very closely matched to that of our endogenously produced alphamelanocyte stimulating hormone (-MSH). It is a specific agonist of the melanocortin-1 receptor
(MC-1R) which is primarily responsible for skin colour and is found on melanocyte cells.
Melanotan II on the other hand has a much shorter sequence of amino acids and because of this
quite pronounced change in length and structure, is an agonist of the range of melanocortin
receptors. Perhaps more importantly, binding at receptors other than MC-1R is far greater than that
of Melanotan. This 'shotgun effect' agonism of the full spectrum of different melanocortin receptors
results in some effects that are only witnessed from MT-II. Most notably, increases in sexual arousal
are due to MT-II's activation of MC-3R and MC-4R.
Because the amino acid sequence is much shorter in the case of MT-II, there is therefore a much
greater density of peptide chains than is present using MT within a given set weight. Although the
receptor binding affinity of MT-II may not be quite as effective, there will be much more peptide
chains than for MT on a mg for mg basis so effectively you require much less in terms of milligram
weight of Melanotan II to achieve similar results. This accounts for the wide difference in suggested
dosages for each peptide and of course, makes MT-II a much cheaper proposition.
Effects / Side Effects
Melanotan
Skin pigmentation
Nausea
Appetite suppression
Flushing (esp. facial)
Headache
Lethargy
Itching
Dizziness
New mole appearance or darkening
Hyperpigmentation
White patches
Melanotan II
Skin pigmentation
Nausea
Appetite suppression
Flushing (esp. facial)
Headache
Lethargy
Itching
Dizziness
New mole appearance or darkening
Hyperpigmentation
White patches
Increased libido
Physical sexual arousal
Anaphylactic shock?
Of the above listed effects/side effects, it is worth bearing in mind that the prevalence and severity
are witnessed to a greater degree from Melanotan II. Indeed, most will find Melanotan very
comfortable to use, typically only experiencing minor nausea, appetite suppression and flushing.
Although side effects do become less troublesome with each administration of MT or MT-II, most
users will experience at least some of the side effect to varying degrees, most commonly nausea,
appetite suppression, facial flushing and dull headaches. These will typically become apparent within
a few minutes of administration but can last for many hours. In the case of MT-II, increases in libido
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are often seen in conjunction with outwardly physical signs of sexual arousal whereby the male user
experiences prolonged periods of increased blood flow to the penis. This particular side effect does
not diminish in severity over time and instances of occurrence are to be expected throughout the
period of MT-II use. As I'm sure you can appreciate, this aspect may prove embarrassing and perhaps
quite uncomfortable, so I must stress again the importance of building dosage up gradually to assess
personal tolerance and susceptibility.
Some users will notice the new appearance of freckles as these particular areas of skin have
increased melanin. The good news is that as the tan is developed, the visual appearance of them will
diminish, probably completely. Moles commonly become darker too as these are actually highly
concentrated clusters of melanocytes. Both of these occurrences will reverse some time after
discontinuation of the peptide and suntanning is ceased.
In addition to freckles and mole changes, there are fairly rare reports of a phenomenon called
hyperpigmentation. This is typified by blotches of darkened skin, normally much larger than regular
moles. Not all incidences of hyperpigmentation are attributable to increased melanocyte activity even
though their appearance may only become apparent during melanocortin receptor agonism by
Melanotan I or II. This condition is specifically referred to as diffuse hyperpigmentation, with many
possible underlying causes or disorders including Addison's disease, haemochromatosis,
hyperthyroidism and certain medications which may induce phototoxic reactions.
Previously unseen white spots or white patches of skin may also become apparent as the tan
deepens. Again, this is not thought to occur as a direct result of using Melanotan, rather it merely
uncovers the underlying condition. There are a range of actual causes. White spots (typically 2-5mm
in size) may be the result of Idiopathic guttate hypomelanosis where there are reductions in the
number of melanocytes and melanin in those particular areas. Larger white areas of skin may be due
to Tinea versicolor which is a fungal infection caused by the yeast Malassezia furfur which is found
on the skin and is not normally troublesome. Treatment would normally include an oral or topical antifungal though it may take many weeks for the skin tone to become consistent with surrounding
areas.
It has been suggested that due to the greater difference of MT-II to our own -MSH, there is a greater
chance of the body to view the peptide as a 'foreign body' and produce an allergic response. This
could potentially trigger anaphylaxis, a potentially life threatening situation whereby large amounts of
histamine are produced by the body which can lead to a host of effects including severe
bronchoconstriction and rapid drops in blood pressure.
References
Hadley ME, Dorr RT
Peptides. 2006 Apr;27(4):921-30. Epub 2006 Jan 18
Melanocortin peptide therapeutics: historical milestones, clinical studies and commercialization.
Hadley ME.
Peptides. 2005 Oct;26(10):1687-9
Discovery that a melanocortin regulates sexual functions in male and female humans.
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Zheng H, Patterson LM, Phifer CB, Berthoud HR

Am J Physiol Regul Integr Comp Physiol. 2005 Jul;289(1):R247-58. Epub 2005 Mar 3
Brain stem melanocortinergic modulation of meal size and identification of hypothalamic POMC projections
Grill HJ, Ginsberg AB, Seeley RJ, Kaplan JM
J Neurosci. 1998 Dec 1;18(23):10128-35
Brainstem application of melanocortin receptor ligands produces long-lasting effects on feeding and body weight.
Shrestha YB, Wickwire K, Giraudo SQ
Neuroreport. 2004 Jun 7;15(8):1365-7
Action of MT-II on ghrelin-induced feeding in the paraventricular nucleus of the hypothalamus.
Trivedi P, Jiang M, Tamvakopoulos CC, Shen X, Yu H, Mock S, Fenyk-Melody J, Van der Ploeg LH, Guan XM
Brain Res. 2003 Jul 11;977(2):221-30
Exploring the site of anorectic action of peripherally administered synthetic melanocortin peptide MT-II in rats.
Dorr RT, Ertl G, Levine N, Brooks C, Bangert JL, Powell MB, Humphrey S, Alberts DS.
Arch Dermatol. 2004 Jul;140(7):827-35
Effects of a superpotent melanotropic peptide in combination with solar UV radiation on tanning of the skin in human
volunteers.
Dorr RT, Dvorakova K, Brooks C, Lines R, Levine N, Schram K, Miketova P, Hruby V, Alberts DS.
Photochem Photobiol. 2000 Oct;72(4):526-32
Increased eumelanin expression and tanning is induced by a superpotent melanotropin [Nle4-D-Phe7]-alpha-MSH in humans.
Barnetson RS, Ooi TK, Zhuang L, Halliday GM, Reid CM, Walker PC, Humphrey SM, Klienig MJ
J Invest Dermatol. 2006 Aug;126(8):1869-78. Epub 2006 Jun 8
[Nle4-D-Phe7]-alpha-melanocyte-stimulating hormone significantly increased pigmentation and decreased UV damage in fairskinned Caucasian volunteers.
Dorr RT, Lines R, Levine N, Brooks C, Xiang L, Hruby VJ, Hadley ME
Life Sci. 1996;58(20):1777-84
Evaluation of Melanotan-II, a superpotent cyclic melanotropic peptide in a pilot phase-I clinical study
Diamond LE, Earle, DC, Heiman JR, Rosen RC, Perelman MA, Harning R
J Sex Med. 2006 Jul;3(4):628-38.
An effect on the subjective sexual response in pre-menopausal women with sexual arousal disorder by bremelanotide (PT141), a melanocortin receptor agonist.
Wessells H, Gralnek D, Dorr R, Hruby VJ, Hadley ME, Levine N
Urology. 2000 Oct 1;56(4):641-6.
Effect of an alpha-melanocyte stimulating hormone analog on penile erection and sexual desire in men with organic erectile
dysfunction.
Wessells H, Fuciarelli K, Hansen J, Hadley ME, Hruby VJ, Hadley ME, Levine N
J Urol. 1998 Aug;160(2):389-93
Synthetic melanotropic peptide initiates erections in men with psychogenic erectile dysfunction: double-blind, placebo
controlled crossover study.
Molinoff PB, Shadiack AM, Earle D, Diamond LE, Quon CY
Ann N Y Acad Sci. 2003 Jun;994:96-102.
PT-141: a melanocortin agonist for the treatment of sexual dysfunction.
Wessels H, Hruby VJ, Hackett J, Han G, Balse-Srinivasan P, Vanderah TW
Ann N Y Acad Sci. 2003 Jun;994:90-5
MT-II induces penile erection via brain and spinal mechanisms.
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Melanotan and Melanotan II

Molecular Formula and Molecular Weight:

Example of How to Dose Melanotan II

Zheng H, Patterson LM, Phifer CB, Berthoud HR

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