For laboratory and research use only. Not for human consumption.
Immune

VIP

Also known as: Vasoactive Intestinal Peptide, Aviptadil, RLF-100, Zyesami

Clinical Trials
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Key Facts: VIP

Category
Immune
FDA Status
Not FDA Approved
Clinical Status
Not FDA approved. Aviptadil failed the NIH ACTIV-3b/TESICO COVID-19 trial (stopped for futility, 2022) and FDA declined emergency use authorization. Other indications remain early-stage.
Banned in Sport (WADA)
Not named on the WADA list. Aviptadil is approved in some European countries, so the S0 catch-all likely does not apply; not prohibited (2026).
Administration
IV infusion, inhaled, or intranasal
Typical Dose
50-100 mcg daily
Frequency
1-2x daily
Duration
Variable by indication
Also Known As
Vasoactive Intestinal Peptide, Aviptadil, RLF-100, Zyesami

How does VIP work?

VIP works through two G-protein-coupled receptors, VPAC1 and VPAC2, which are spread across immune cells, the gut, blood vessels, and the brain. When VIP binds, the receptor raises intracellular cyclic AMP, and that signal relaxes smooth muscle (so blood vessels and airways dilate) and tamps down inflammatory signaling. On the immune side, that rise in cAMP blunts NF-kB activity and lowers pro-inflammatory cytokines like TNF-alpha, which is the basis for calling VIP an endogenous anti-inflammatory. The same pathway is why researchers looked at it for the runaway lung inflammation seen in severe COVID-19. It is a broadly active hormone, not a targeted single-tissue drug, which is part of why dosing it safely is tricky.

What does the research show?

Most of the real human data on VIP comes from aviptadil, the synthetic version (code RLF-100, brand Zyesami, developed by NRx Pharmaceuticals and Relief Therapeutics). A randomized trial of intravenous aviptadil in critically ill COVID-19 patients (about 196 patients, Critical Care Medicine 2022) missed its primary endpoint, with only exploratory signals. The bigger NIH ACTIV-3b/TESICO trial (Lancet Respiratory Medicine 2023, 461 patients) was clearly negative: no benefit on the 90-day recovery scale (odds ratio 1.11, p=0.54), 90-day deaths of 38% vs 36% on placebo, and it was stopped early for futility. The FDA declined emergency use authorization for COVID-19. Outside the US, aviptadil combined with phentolamine (Invicorp) is licensed as an injection for erectile dysfunction in the UK and some other European countries. VIP and its VPAC receptors are also studied in rheumatoid arthritis, pulmonary hypertension, and other inflammatory conditions, but that work is largely early-stage. There is no trial support for the anti-aging, wellness, or CIRS/mold claims VIP is sold for online. Bottom line: an interesting immune-modulating peptide, but its serious trials did not show it works.

Trial Progress:Preclinical
Pre
I
II
III
IV
FDA

What doses have been studied?

Human Trials·Human studies conducted, not FDA approved

Typical Dosingⓘ

Community experience

Common Dose

50-100 mcg daily

Range

25-150 mcg daily

Frequency

1-2x daily

Community doses come from CIRS and mold-illness use (often as a nasal spray). This use has no clinical trial support; the numbers are anecdotal.

Research Dosingⓘ

Scientific studies

Doses from clinical trials

Doses from Studies

50-100 mcg IV for acute conditions

Research Literature - Observed in studies ↗

Duration

Variable by indication

Administration

IV infusion, inhaled, or intranasal

When and how is VIP taken?

Best Time to Take

Morning or as directed

As prescribed

Food Recommendation

With or without food

Why This Timing?

VIP (Vasoactive Intestinal Peptide) affects multiple systems. Timing based on treatment goals.

What are the side effects of VIP?

Not everyone experiences these effects. Individual responses vary based on dosage, duration, and personal factors.

  • ●Nausea and diarrhea
  • ●Injection site reactions
  • ●Headache
  • ●Dizziness
  • ●Facial flushing
  • ●Blood pressure decrease

References

Research This Peptide Further

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Frequently Asked Questions

What does VIP do?

VIP (vasoactive intestinal peptide) is a 28-amino-acid signaling peptide your own gut, nerves, and immune cells make, first isolated in 1970 by Said and Mutt. It is a natural anti-inflammatory and a potent vasodilator, and a synthetic version called aviptadil was tested in humans for COVID-19 respiratory failure, where the largest trial was negative. No VIP product is FDA-approved, including for the wellness, anti-aging, or mold-illness uses it gets marketed for.

How does VIP work?

VIP works through two G-protein-coupled receptors, VPAC1 and VPAC2, which are spread across immune cells, the gut, blood vessels, and the brain. When VIP binds, the receptor raises intracellular cyclic AMP, and that signal relaxes smooth muscle (so blood vessels and airways dilate) and tamps down inflammatory signaling. On the immune side, that rise in cAMP blunts NF-kB activity and lowers pro-inflammatory cytokines like TNF-alpha, which is the basis for calling VIP an endogenous anti-inflammatory. The same pathway is why researchers looked at it for the runaway lung inflammation seen in severe COVID-19. It is a broadly active hormone, not a targeted single-tissue drug, which is part of why dosing it safely is tricky.

Is VIP FDA approved?

No, VIP is not currently FDA approved. Current status: Not FDA approved. Aviptadil failed the NIH ACTIV-3b/TESICO COVID-19 trial (stopped for futility, 2022) and FDA declined emergency use authorization. Other indications remain early-stage.

Is VIP banned in sport?

Not named on the WADA list. Aviptadil is approved in some European countries, so the S0 catch-all likely does not apply; not prohibited (2026).

What are the side effects of VIP?

Reported side effects include: Nausea and diarrhea, Injection site reactions, Headache, Dizziness, Facial flushing. Individual responses vary based on dosage, duration, and personal health factors.

What is the typical dose of VIP?

Community-reported common dose: 50-100 mcg daily (1-2x daily). Range: 25-150 mcg daily. Administration: IV infusion, inhaled, or intranasal. Community-reported doses. Not medical advice. Consult healthcare provider.

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Immune

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