Vial Guide

Peptides before surgery and anesthesia

What each label or study says about surgery and anesthesia, such as the GLP-1 warning about stomach contents during sedation.

Compounds
68
From labels
8
From human studies
2
Precautions
58
No study or data
0

Approved drugs come first in each group. This summarizes each compound’s own page; it isn’t medical advice, and a doctor or pharmacist can answer for a specific person.

From a product label 8

ExenatideApproved drug
LabelIt slows stomach emptying, and rare reports describe stomach contents entering the lungs under anesthesia or deep sedation. The label says to tell the care team beforehand; whether pausing the drug helps is unknown.
LiraglutideApproved drug
LabelIt slows stomach emptying, and rare reports describe stomach contents entering the lungs under anesthesia or deep sedation. The labels say to tell the care team beforehand; whether pausing the drug helps is unknown.
OrforglipronApproved drug
LabelIt slows stomach emptying, and rare reports describe stomach contents entering the lungs under anesthesia or deep sedation with GLP-1 drugs. The label says to tell the care team beforehand; whether pausing helps is unknown.
OxytocinApproved drug
LabelThe US label reports severe high blood pressure when oxytocin followed a blood-vessel-narrowing drug given with caudal (lower-spine) anesthesia, and low blood pressure with cyclopropane anesthesia. Tell the surgical team about any use.
SemaglutideApproved drug
LabelIt slows stomach emptying, and rare reports describe stomach contents entering the lungs under anesthesia or deep sedation. The labels say to tell the care team beforehand; whether pausing the drug helps is unknown.
SS-31Approved drug
LabelThe label gives no surgery advice. In label studies, infused elamipretide didn’t change how aspirin, clopidogrel or heparin affected clotting. Tell the surgical team about it.
TesamorelinApproved drug
LabelThe patient leaflet says to tell the prescriber about planned heart or stomach surgery. Growth hormone has raised deaths in critical illness after such surgery, so the label advises considering stopping it in critically ill patients.
TirzepatideApproved drug
LabelIt slows stomach emptying, and rare reports describe stomach contents entering the lungs under anesthesia or deep sedation. The labels say to tell the care team beforehand; whether pausing the drug helps is unknown.

From human studies 2

DSIPApproved drug
TrialIn a 24-woman surgical trial, IV DSIP raised heart rate and made anesthesia lighter rather than deeper. Tell the surgical team about any compound you use.
IpamorelinHuman studies
TrialTested only as an IV drip after bowel surgery, without benefit; serious complications were similar to placebo (17.9% vs 15.5%). Tell the surgical team about any injected compound.

A precaution, not studied 58

CerebrolysinApproved drug
PrecautionNo anesthesia data. The labels warn of rare seizures and of blood pressure rises with MAO inhibitors; tell the surgical team about any injected compound.
GHRP-2Approved drug
PrecautionNo data; tell the surgical team about any injected compound.
GlutathioneApproved drug
PrecautionNo data; tell the surgical team about any injected compound.
GonadorelinApproved drug
PrecautionNo data; tell the surgical team about any injected compound.
hCGApproved drug
PrecautionNo label advice; tell the surgical team about any injected compound. In women on fertility treatment, blood clots are a listed risk, and surgery adds to clot risk.
L-CarnitineApproved drug
PrecautionNo data on surgery. Tell the surgical team about any injected compound, especially with warfarin, since carnitine can raise INR, a clotting test.
MazdutideApproved drug
PrecautionNo data. Related drugs slow stomach emptying, and their labels warn that stomach contents can enter the lungs under anesthesia; tell the surgical team about any injected compound.
Melanotan 1Approved drug
PrecautionNo label guidance on surgery. The EU label notes blood thinners may increase bruising or bleeding at the implant site; tell the surgical team about the implant.
PT-141Approved drug
PrecautionNo label advice. Each dose briefly raises blood pressure and may slow stomach emptying; tell the surgical team about any injected compound.
SelankApproved drug
PrecautionNo data in surgery. The label reports no interaction with barbiturate sedatives; tell the surgical team about any compound you use, including nose drops.
SemaxApproved drug
PrecautionThe 0.1% label covers recovery after brain surgery and anesthesia. FDA’s 2026 review flagged a possible anticlotting effect and bleeding risk; tell the surgical team about any compound you use.
ThymalinApproved drug
PrecautionNo data in the label; tell the surgical team about any injected compound.
Thymosin Alpha-1Approved drug
PrecautionNo published data. Indonesia’s label rules it out during deliberate immune suppression, as after organ transplants; tell the surgical team about any injected compound.
TriptorelinApproved drug
PrecautionNo label advice on surgery. A depot keeps working for weeks to months and can’t be removed; tell the surgical team, especially as it can lengthen the QT interval, a heart-rhythm measure.
VIPApproved drug
PrecautionNo data. VIP widens blood vessels, and IV infusions often lowered blood pressure; tell the surgical team about any injected or nasal compound.
AOD9604Human studies
PrecautionNo data; tell the surgical team about any injected compound.
ARA-290Human studies
PrecautionNo data; tell the surgical team about any injected compound.
ArgirelineHuman studies
PrecautionNo data; tell the surgical team about any injected compound.
CagrilintideHuman studies
PrecautionNo data for cagrilintide. Amylin slows stomach emptying, and GLP-1 labels warn of stomach contents entering the lungs under anesthesia. Tell the surgical team about any injected compound.
CJC-1295 with DACHuman studies
PrecautionNo data; tell the surgical team about any injected compound. A single dose acts for about a week.
DihexaHuman studies
PrecautionNo data; tell the surgical team about any compound you take, including unapproved ones.
GHK-CuHuman studies
PrecautionNo data; tell the surgical team about any injected compound.
GHRP-6Human studies
PrecautionNo data; tell the surgical team about any injected compound.
HexarelinHuman studies
PrecautionNo data; tell the surgical team about any injected compound.
Kisspeptin-10Human studies
PrecautionNo data; tell the surgical team about any injected compound.
LarazotideHuman studies
PrecautionNo data; tell the surgical team about any unapproved medicine being taken.
LL-37Human studies
PrecautionNo data; tell the surgical team about any injected compound.
MatrixylHuman studies
PrecautionNo data; tell the surgical team about any injected compound.
Melanotan 2Human studies
PrecautionNo data; tell the surgical team about any injected compound. Bremelanotide’s label says it may slow stomach emptying and briefly raises blood pressure after each dose.
MK-677Human studies
PrecautionNo data; tell the surgical team about any unapproved compound being taken, since it raises blood sugar and can raise blood pressure.
NAD+Human studies
PrecautionNo data; tell the surgical team about any injected compound.
RetatrutideHuman studies
PrecautionNo data. Related drugs slow stomach emptying, and their labels warn that stomach contents can enter the lungs under anesthesia; tell the surgical team about any injected compound.
SermorelinHuman studies
PrecautionNo data; tell the surgical team about any injected compound.
SNAP-8Human studies
PrecautionNo data; tell the surgical team about any injected compound.
SurvodutideHuman studies
PrecautionNo data. Related drugs slow stomach emptying, and their labels warn that stomach contents can enter the lungs under anesthesia; tell the surgical team about any injected compound.
TesofensineHuman studies
PrecautionNo data. It raises heart rate and stays in the body for weeks after stopping, so tell the surgical team about any recent use.
Thymosin Beta-4Human studies
PrecautionNo data; tell the surgical team about any injected compound.
5-Amino-1MQPreclinical
PrecautionNo data; tell the surgical team about any unapproved compound being taken, by mouth or by injection.
AdamaxPreclinical
PrecautionNo data; tell the surgical team about any injected compound.
AHK-CuPreclinical
PrecautionNo data; tell the surgical team about any injected compound.
BPC-157Preclinical
PrecautionNo human data. FDA noted altered clotting times in 28-day animal tests; tell the surgical team about any injected compound.
CartalaxPreclinical
PrecautionNo data; tell the surgical team about any injected compound.
CJC-1295 (no DAC)Preclinical
PrecautionNo data; tell the surgical team about any injected compound.
EpithalonPreclinical
PrecautionNo data; tell the surgical team about any injected compound.
Follistatin-344Preclinical
PrecautionNo data; tell the surgical team about any injected compound.
FOXO4-DRIPreclinical
PrecautionNo data. In mice, senescent cells help wounds close, so clearing them could in theory slow healing; tell the surgical team about any injected compound.
HGH Fragment 176-191Preclinical
PrecautionNo data; tell the surgical team about any injected compound.
HumaninPreclinical
PrecautionNo data; tell the surgical team about any injected compound.
IGF-1 DESPreclinical
PrecautionNo data. Fasting before surgery raises the risk of low blood sugar with IGF-1 drugs; mecasermin’s label says not to dose when a meal is skipped. Tell the surgical team.
IGF-1 LR3Preclinical
PrecautionNo data. Fasting before surgery raises the risk of low blood sugar with IGF-1 drugs; mecasermin’s label says not to dose when a meal is skipped. Tell the surgical team.
KPVPreclinical
PrecautionNo data; tell the surgical team about any injected compound.
MGFPreclinical
PrecautionNo data; tell the surgical team about any injected compound.
MOTS-cPreclinical
PrecautionNo data; tell the surgical team about any injected compound. It lowered blood sugar in animals, a concern during fasting before surgery.
PE-22-28Preclinical
PrecautionNo data. Mice lacking TREK-1 resisted inhaled anesthetics, so a TREK-1 blocker could in theory affect anesthesia; tell the surgical team about any injected compound.
PEG-MGFPreclinical
PrecautionNo data; tell the surgical team about any injected compound.
PinealonPreclinical
PrecautionNo data; tell the surgical team about any injected compound.
SLU-PP-332Preclinical
PrecautionNo data; tell the surgical team about any injected compound.
TB-500Preclinical
PrecautionNo data; tell the surgical team about any injected compound.

Sources

Each answer comes from the compound’s own page, where its sources are listed.