Thyrotropin-Releasing Hormone (TRH)
Also known as Protirelin, TRH, Thyrotropin TRH, L-pyroglutamyl-L-histidyl-L-proline amide, Relefact
Protirelin, the hypothalamic tripeptide that triggers pituitary TSH release; an approved diagnostic agent with a very short half-life.
Typical use cases
Dosing guidelines
Titration
Typically flat-dosed (single diagnostic bolus); no titration scheme.
Reconstitution
25 mg vial: ~2.5 mL bacteriostatic water yields ~10 mg/mL (note that clinical doses are in micrograms).
Injection sites
Clinically administered intravenously as a bolus; research forms have also been explored intranasal/oral. Subcutaneous self-handling is non-standard.
Storage & handling
Lyophilized: stable months cool/dark, longer frozen. Reconstituted: refrigerate (2–8 °C).
Side effects
- Transient urge to urinate
- Nausea
- Flushing / warmth
- Transient blood-pressure change
- Lightheadedness
Research summary
TRH (protirelin) is the endogenous tripeptide pyroglutamyl-histidyl-proline amide that stimulates the anterior pituitary to release thyroid-stimulating hormone (TSH) and prolactin, and is an approved diagnostic agent for assessing pituitary-thyroid axis function. Beyond endocrinology, TRH has documented central/arousal effects and is studied for neuroprotective signaling, but its extremely short half-life limits systemic use. IV administration commonly causes brief, self-limited effects such as a transient urge to urinate, nausea, flushing and transient blood-pressure changes. Educational only — not medical advice.
Key references
- Thyrotropin-releasing hormone (protirelin) — Drugs.com prescribing information
- Structural insights into TRH receptor activation, PMC (2022)
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Educational reference only — not medical advice. Dosing figures are commonly-cited ranges, not prescriptions. Consult a qualified clinician.
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