VIP
Also known as Vasoactive Intestinal Peptide, Vasoactive Intestinal Polypeptide, Aviptadil, RLF-100, ZYESAMI
A 28-amino-acid neuropeptide and potent vasodilator/immune modulator; its synthetic form aviptadil has been studied in ARDS/COVID-19 and pulmonary arterial hypertension.
Typical use cases
Dosing guidelines
Titration
Typically started low (intranasal) and increased gradually; aviptadil clinical dosing is fixed-protocol IV, not self-titrated.
Reconstitution
Commonly sold as a ~6 mg lyophilized vial; reconstitute with bacteriostatic water and, for intranasal use, transfer to a nasal spray/dropper at the target concentration.
Injection sites
Most research use is intranasal; subcutaneous (abdomen/flank) is also described. The synthetic aviptadil form is given as IV infusion in clinical trials.
Storage & handling
Lyophilized: stable months cool/dark, longer frozen. Reconstituted: refrigerate (2–8 °C).
Side effects
- Flushing
- Hypotension / lightheadedness
- Diarrhea / GI upset
- Nasal irritation (intranasal)
Research summary
VIP is a glucagon/secretin-superfamily neuropeptide acting at VPAC1/VPAC2 receptors to raise cAMP, producing vasodilation, smooth-muscle relaxation, and anti-inflammatory effects; it has a very short (~1–2 min) plasma half-life. Its synthetic analog aviptadil (RLF-100/ZYESAMI) received FDA fast-track and orphan-drug designations and was studied in COVID-19-associated ARDS and pulmonary arterial hypertension, with mixed/inconclusive clinical results. In wellness circles intranasal VIP is used anecdotally for chronic inflammatory response syndrome (CIRS), but human evidence is limited; main concerns are hypotension, flushing, and diarrhea. Educational only — not medical advice.
Key references
- Said & Mutt, Science (1970) — isolation/characterization of VIP
- Youssef et al. (2021–2022) — aviptadil in severe COVID-19 ARDS clinical trial reports
Related compounds
Where to buy
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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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