What it is
Vasoactive intestinal peptide (VIP) is a 28-amino-acid neuropeptide with broad regulatory roles across the GI tract, lungs, immune system, and vasculature. In research it is studied in two formats: a compounded intranasal spray (roughly 50 mcg per spray) and a subcutaneous research vial (often 10 mg). VIP is also known as aviptadil in some clinical contexts.
Evidence boundary
Studied in human clinical contexts for specific indications; no FDA-approved subcutaneous dosing. Research use is limited to laboratory and education contexts.
Trial evidence
- A penile-injection combination of aviptadil (VIP) 25 mcg plus phentolamine is licensed in some European countries as a second- or third-line ED option. It is not FDA-approved in the US.
Preparation and measurement
Reconstitution: 10 mg vial + 3 mL BAC = 3.33 mg/mL.
Concentration matches.
Reference schedule
| Phase | Dose | Draw / measure | Frequency | Weekly total |
|---|---|---|---|---|
| Conservative start | 50 mcg | 1.5 U (0.015 mL) | Once daily | 0.35 mg/week |
| Standard research | 100 mcg | 3 U (0.03 mL) | 1–2× daily | 0.7–1.4 mg/week |
| Advanced research | 200 mcg | 6 U (0.06 mL) | 1–2× daily | 1.4–2.8 mg/week |
| Clinic-style | 200 mcg | 6 U (0.06 mL) | 5× weekly | 1 mg/week |
Conservative start
- Dose
- 50 mcg
- Draw / measure
- 1.5 U (0.015 mL)
- Frequency
- Once daily
- Weekly total
- 0.35 mg/week
Standard research
- Dose
- 100 mcg
- Draw / measure
- 3 U (0.03 mL)
- Frequency
- 1–2× daily
- Weekly total
- 0.7–1.4 mg/week
Advanced research
- Dose
- 200 mcg
- Draw / measure
- 6 U (0.06 mL)
- Frequency
- 1–2× daily
- Weekly total
- 1.4–2.8 mg/week
Clinic-style
- Dose
- 200 mcg
- Draw / measure
- 6 U (0.06 mL)
- Frequency
- 5× weekly
- Weekly total
- 1 mg/week
Weekly totals apply only during the active phase.
Titration rules
- Community-reported dosing most commonly falls between 50–200 mcg per injection; 100 mcg twice daily is one of the most frequently discussed protocols.
- VIP has a very short biological half-life — divided daily dosing is common.
- Start at 50 mcg once daily for 1–2 weeks to assess tolerance.
- Intranasal VIP is dispensed pre-compounded and does not use reconstitution supplies; do not convert one route directly into the other.
- Round up for priming losses and dropped syringes.
- A 10 mg vial gives about 50 doses of 200 mcg, 100 doses of 100 mcg, or 200 doses of 50 mcg.