Overview
Melanotan I (afamelanotide) is a synthetic α-MSH analog approved to reduce phototoxicity in erythropoietic protoporphyria via increased eumelanin production.
- Approved pharmaceutical (afamelanotide)
- Subcutaneous implant
Mechanism of action
Selective MC1R agonism increases melanocyte eumelanin production, providing endogenous photoprotection.
- · MC1R agonism
- · Eumelanin synthesis
- · Reduced UV-driven oxidative stress
How it acts on the body
Melanotan I is a more selective MC1R agonist than Melanotan II, with less off-target effect on MC3R, MC4R, and MC5R. The clinical use is photoprotection — in erythropoietic protoporphyria, even brief sun exposure causes severe phototoxic pain, and increased eumelanin substantially extends tolerable exposure.
Unlike unregulated 'tanning peptide' use, the licensed product is a controlled implant delivered in specialist centers with monitoring for melanocytic changes.
Hormonal & endocrine impact
How this peptide is reported to shift specific hormones and signaling molecules. Directionality reflects research literature and preclinical models, not clinical prescribing data.
Curves are schematic shapes (sigmoid for increases/decreases, damped oscillation for modulation/stabilization) anchored to a 100% baseline. They communicate direction and tempo of change reported in research literature — not absolute hormone concentrations.
Effects on the body
Organ system effects
Primary target.
Melanocortin axis.
Reported effects
Drawn from preclinical research, anecdote, and small-scale clinical observation. No evidence grades are assigned — most peptides on this page lack rigorous human trials.
- Disease-modifying option in EPP
- Selective MC1R action
Potential side effects
- · Headache
- · Nausea
- · Injection-site reactions
- · Fatigue
- · Need for melanocytic surveillance with chronic use
Drug interactions
No notable interactions reported.
Pairing context
- Standard photoprotection (clothing, sunscreen)Combined behavioral and pharmacologic protection.
- History of melanomaRisk-benefit unfavorable.