Melanotan I
Pigmentation / melanocortin
Status & caution. The regulated form, afamelanotide (Scenesse), is FDA-approved (2019) for a rare disease — increasing pain-free light exposure in adults with erythropoietic protoporphyria (EPP) — and is given as a clinician-implanted, controlled-release implant. The grey-market 'Melanotan I' that people inject for tanning is the SAME molecule but an unapproved, unregulated product used off-label. Same chemistry, very different supply chain and oversight. More MC1R-selective and generally better tolerated than Melanotan II, but melanocortin-driven tanning still demands skin/mole monitoring; the approved label itself calls for twice-yearly skin exams.
At a glance
Indications & what it's studied for
Approved: photoprotection in EPP by stimulating eumelanin. Grey-market: cosmetic tanning. Acts mainly on the MC1R melanocortin receptor.
Contraindications & cautions
History of melanoma or atypical/changing moles; the approved product mandates regular full-body skin exams. Hypersensitivity; pregnancy data limited.
Commonly reported dosing
Reported, not recommended. The following describes what appears in research literature and community use. It is not a protocol, and unapproved peptides have no validated human dosing.
The approved product is a fixed 16 mg implant placed by a clinician roughly every two months. Grey-market injectable 'tanning' dosing is unvalidated and varies widely.
Routes of administration
Approved: subcutaneous biodegradable implant (clinician-administered). Grey-market: subcutaneous injection.
Don't combine with
Other melanocortin agonists (Melanotan II, PT-141) — additive effects; photosensitising drugs warrant caution.
Reported to stack with
No legitimate stacking; combining melanocortins increases side-effect risk.
Note: "stacking" combines multiple agents and multiplies unknowns; popularity of a combination is not evidence of its safety.
What the research actually shows
FDA approval rests on randomised placebo-controlled trials in EPP showing more pain-free light exposure, plus long-term registry data. Cosmetic tanning use is not supported by that approval.
Before acting on anything here, see Safety & the grey market and how to read a COA.