VIP
Vasoactive Intestinal Peptide
aka Vasoactive Intestinal Peptide · vasoactive intestinal polypeptide · PHM-27
A 28-amino acid regulatory peptide researched for immune modulation, circadian rhythm, and neuroprotection.
Sequence
HSDAVFTDNYTRLRKQMAVKKYLNSILN
His-Ser-Asp-Ala-Val-Phe-Thr-Asp-Asn-Tyr-Thr-Arg-Leu-Arg-Lys-Gln-Met-Ala-Val-Lys-Lys-Tyr-Leu-Asn-Ser-Ile-Leu-Asn-NH2
Mechanism of action
Vasoactive intestinal peptide (VIP) works by binding to specific receptors on cell surfaces, leading to the activation of adenylate cyclase and increased cyclic AMP levels. This cascade results in smooth muscle relaxation, vasodilation, and modulation of immune responses. VIP also influences circadian rhythms by acting on the suprachiasmatic nucleus in the brain.
What the evidence actually shows
There are a limited number of human trials investigating VIP, primarily focusing on its effects in CIRS and neuroprotection. These studies suggest potential benefits, but larger, more comprehensive trials are needed to confirm efficacy and safety. Current gaps include long-term safety data and broader population studies.
Regulatory status
In the UK, VIP is considered a research compound and is not approved for clinical use outside of research settings.
Source ↗Pharmacokinetics
Dosing — what backs each figure
VIP (aviptadil) has genuine documented human dosing, but not by the nasal route: 25 micrograms intracavernosally with phentolamine under a UK marketing authorisation (Invicorp), and 600-1800 pmol/kg/day as a 12-hour intravenous infusion for 3 days in the TESICO COVID trial. Intranasal VIP has no published dosing study.
Aviptadil 25 micrograms with phentolamine mesilate 2 mg, one intracavernosal injection; no more than one injection per day and no more than 3 injections per week
Adult men with erectile dysfunction · intracavernosal injection
MHRA-approved SmPC, Invicorp 25 micrograms / 2 mg solution for injection ↗
Intravenous aviptadil as a daily 12-hour infusion for 3 days, targeting 600 pmol/kg on day 1, 1200 pmol/kg on day 2 and 1800 pmol/kg on day 3
461 hospitalised adults with COVID-19-associated hypoxaemic respiratory failure; randomised placebo-controlled TESICO trial (stopped for futility) · intravenous infusion
Brown SM et al., Lancet Respir Med 2023;11(9):791-803 (NCT04843761) ↗
Nebulised VIP for 4 weeks (dose per inhalation not stated in the retrievable abstract)
20 patients with histologically proven active sarcoidosis; open phase 2 study · inhaled / nebulised
Prasse A et al., Am J Respir Crit Care Med 2010;182(4):540-8 ↗
- Dose
- 50-100 mcg/dose (nasal)
- Frequency
- 1-2x daily
Why this isn't evidence
No published human trial of intranasal VIP at any dose was found; the microgram-per-spray nasal regimen originates from compounded-pharmacy CIRS/mould-illness practice, and every documented human VIP route is instead intracavernosal (25 microgram label dose), intravenous (pmol/kg infusion) or nebulised.
This figure is shown because it is what circulates and what people search for — not because it is supported. Cycle lengths in particular tend to be convention copied between compounds rather than anything derived from a compound's own pharmacokinetics.
Handling and storage
Safety
- ·Headache
- ·Nausea
- ·Flushing
- ·Severe allergic reactions
- ·Hypotension
- ·Hypersensitivity to VIP or any component of the formulation
- ·Beta-blockers: May reduce the vasodilatory effects of VIP
Reported combinations
- ·Melatonin: May enhance circadian rhythm regulation
- ·Corticosteroids: May counteract immune modulation effects
Combination claims in this dataset are largely unsourced and should be treated as folk knowledge until a citation appears beside them.
References (3)
- Brown SM, Barkauskas CE, Grund B, et al. (2023) Intravenous aviptadil and remdesivir for treatment of COVID-19-associated hypoxaemic respiratory failure in the USA (TESICO): a randomised, placebo-controlled trial ↗Lancet Respiratory MedicinePMID 37348524DOI
Large NIH-sponsored randomised placebo-controlled trial: intravenous aviptadil (synthetic VIP) did NOT improve the primary ordinal outcome in COVID-19 hypoxaemic respiratory failure.
- Youssef JG, Lavin P, Schoenfeld DA, et al. (2022) The Use of IV Vasoactive Intestinal Peptide (Aviptadil) in Patients With Critical COVID-19 Respiratory Failure: Results of a 60-Day Randomized Controlled Trial ↗Critical Care MedicinePMID 36044317DOI
Smaller sponsor-run randomised trial of IV aviptadil in critical COVID-19 reporting improved 60-day survival and recovery; results were not reproduced by TESICO.
- Martinez C, Juarranz Y, Gutierrez-Canas I, et al. (2019) A Clinical Approach for the Use of VIP Axis in Inflammatory and Autoimmune Diseases ↗International Journal of Molecular SciencesPMID 31861827DOI
Review of VIP and VPAC1/VPAC2 receptor signalling as an anti-inflammatory and immunoregulatory axis, and of therapeutic strategies targeting it.
Data provenance
Chemistry and citations on this page were checked against primary sources on 2026-08-14. Values that could not be verified were left blank rather than filled with a plausible guess.
Could not verify
storage.lyophilized, storage.reconstituted, storage.lightSensitive, reconstitution.solvent, molecularFormula (amidated form)