Approved implant (EPP)
Label- Dose
- 16 mg implant
- How often
- Every 2 months
- How long
- Ongoing, as prescribed
Inserted by a trained clinician. Slow release, so it can’t be compared with a 16 mg injection.
Afamelanotide (Scenesse)
A longer-acting synthetic version of alpha-MSH that stimulates melanin production.
Sport status follows the WADA Prohibited List in force since January 1, 2026; athletes should confirm with their anti-doping organization. Checked October 5, 2026.
Scenesse, EPP
One 16 mg implant every 2 months, inserted by a clinician. A slow-release implant isn’t comparable to a 16 mg injection.
Injection: 0.25 mg daily for 3–5 days, then 0.5–1 mg daily for 10–21 days, then 0.5–1 mg 2–3× per week.
Load 3 weeks, then maintain, shown over 26 weeks
The ways Melanotan 1 is most often run, each tagged with where it comes from.
Inserted by a trained clinician. Slow release, so it can’t be compared with a 16 mg injection.
0.25 mg for the first 3–5 days, then 0.5–1 mg. Not studied in trials.
Community pattern only. No safety data for this use.
| Period | Dose | Draw at 5 mg/mL |
|---|---|---|
| Days 1–5 (daily) | 0.25 mg | 5 units (0.05 mL) |
| Days 6–21 (daily) | 0.5 mg | 10 units (0.10 mL) |
| Maintenance (2–3× per week) | 0.5 mg | 10 units (0.10 mL) |
Units assume a 10 mg vial mixed with 2 mL. Use the calculator for other vial sizes.
Label: a trained clinician inserts the implant under the skin just above the front of the hip bone (supra-iliac crest). Unapproved injections go under the skin, rotating sites.
The label has no late-implant rule; one implant is given every 2 months. For injections there’s no published guidance; don’t double up.
Median pain-free hours in direct sun: 64 on the implant vs 40.5 on placebo.
LabelGeneral skin darkening, and darker existing moles and freckles.
LabelImplant-site reaction in 21% (placebo 10%) and nausea in 19% (placebo 14%).
LabelImplant-site reaction (label: 21% vs 10% placebo)
Tell the prescriber if the site gets hot, swollen or starts to ooze.
Nausea (label: 19% vs 14% placebo)
Only slightly above placebo. Report it if it persists.
Darker skin, new or darker moles (label: 4% each)
Expected effect. The label recommends a full-body skin exam twice a year.
Sore throat, cough, tiredness (label: 7%, 6%, 6%)
Report to the prescriber if it persists.
See a doctor for a mole that changes shape, color or size, bleeds or itches; a hot, swollen implant site with fever; or hives, swelling or trouble breathing.
Usually run on its own.
4 key published human studies, with how many people took part. Animal studies aren’t listed here.
Median pain-free time in direct sun: 69.4 vs 40.8 hours (US, P=0.04) and 6.0 vs 0.8 hours (EU, P=0.005) vs placebo; quality of life improved.
Langendonk et al., N Engl J Med 2015, PMID 26132941
Quality of life rose from baseline (p<0.0001) and 91% of patients who started stayed on treatment; safety matched the trials.
Homey et al., Photodermatol Photoimmunol Photomed 2025, PMID 40082741
Disease-specific quality-of-life score rose from 31% to about 74% of maximum; only minor side effects, mainly nausea.
Biolcati et al., Br J Dermatol 2015, PMID 25494545
Repigmentation 48.6% with the combination vs 33.3% with UVB alone at day 168, faster on face and arms, clearest in darker skin types.
Lim et al., JAMA Dermatol 2015, PMID 25230094
| Vial | Water | Common dose | Draw | Strength | Action |
|---|---|---|---|---|---|
| 10 mg | 2 mL | 0.25 mg | 5 units (0.05 mL) | 5 mg/mL |
Syringe units for common doses at different water volumes. Select a cell to open it in the calculator.
| Dose | Water added | ||
|---|---|---|---|
| 1 mL | 2 mL | 3 mL | |
| 0.25 mg | |||
| 0.5 mg | |||
| 1 mg | |||
U-100 insulin syringe: 100 units is 1 mL. Draws over 100 units show in mL. Faded values are under 2 units, which is hard to measure. Check that your vial holds the larger volumes.
A longer-acting synthetic version of alpha-MSH that stimulates melanin production.
Approved in the US (2019) and EU as Scenesse, a 16 mg implant for adults with erythropoietic protoporphyria. Injected powder for tanning is unapproved.
From the label (Scenesse, EPP): One 16 mg implant every 2 months, inserted by a clinician. A slow-release implant isn’t comparable to a 16 mg injection. From community reports, not established: Injection: 0.25 mg daily for 3–5 days, then 0.5–1 mg daily for 10–21 days, then 0.5–1 mg 2–3× per week. These are the amounts sources reference, not recommendations.
There’s no single right amount, because the water only sets the strength. With 2 mL of bacteriostatic water in a 10 mg vial, the strength is 5 mg/mL, so 0.25 mg is 5 units on a U-100 insulin syringe. More water makes small doses easier to measure. The dose chart above shows other volumes.
About 15 hours, according to the prescribing information. Apparent half-life with the 16 mg subcutaneous slow-release implant, in adults. Injected solution is not covered by the label.
Not supplied as powder. The Scenesse implant is kept in a fridge at 2–8 °C (36–46 °F), protected from light. After mixing: Not applicable; the implant is inserted whole by a trained clinician.
No. Not named on the 2026 list. As an approved drug (Scenesse), afamelanotide is outside S0 non-approved substances.
Yes. The human studies section lists 4 published studies. The largest, from 2025, included 200 people. Quality of life rose from baseline (p<0.0001) and 91% of patients who started stayed on treatment; safety matched the trials.
For the protocol details
Doses tagged Community come from public dosing guides and user reports, checked against at least two of them. Those sites aren’t named here because many of them sell peptides or earn commissions on them.