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Approved-drug data

Melanotan I (MT-1) Side Effects

Approved drug (Scenesse implant, EPP) — profile from its trials and label; research vials are not the implant

Afamelanotide is approved as a subcutaneous implant for erythropoietic protoporphyria, so controlled human data exist: implant-site reactions, nausea, headache and darkening of existing moles are the documented effects. Research-grade 'MT1' powder is an injectable of unverified identity, not the implant, and has no trial data of its own.

Research-use information only. Research-grade Melanotan I is not an approved medicine; where trial or label figures appear below they belong to the pharmaceutical product studied, not to any research vial. This page does not give dosing or medical advice.

What is reported

Every rate carries its source. Where no source exists, no rate is printed.

EffectRate (sourced)DetailSource
Implant-site reactionsnot quantifiedMost common in the phase 3 trials.Langendonk et al. 2015
Nausea, headache, oropharyngeal painnot quantifiedReported more often than placebo.Langendonk et al. 2015; Scenesse label
Darkening of naevi and new naevinot quantifiedExpected pharmacology of MC1R agonism; the label recommends skin examinations.Scenesse label

What is not known

  • •Effects of repeated injectable dosing outside the implant regimen.
  • •Research-grade identity and dose.

Mechanism-based cautions

  • •Pigmentary changes can mask melanoma; skin monitoring is advised on the label.
  • •Not studied in people with a history of melanoma.

Regulatory status: FDA-approved as Scenesse (2019) for EPP. Research-grade MT1 is not approved for any use.

References

  1. Langendonk JG, et al. Afamelanotide for erythropoietic protoporphyria. New England Journal of Medicine, 2015. PMID 26132941.

Frequently asked

Is MT1 safer than MT2?

Afamelanotide is MC1R-selective and has approval data; melanotan II is non-selective, unapproved, and its literature is case reports. That is a real difference in what is known, not proof of safety for research-grade MT1 vials.