How to reconstitute VIP: mixing and storage
A blood-vessel and immune signal studied in lung disease; nasal CIRS benefits remain unproven.
Also called: Vasoactive intestinal peptide, Vasoactive intestinal polypeptide, Aviptadil, RLF-100, Zyesami.
Immune peptides · VPAC1 and VPAC2 receptor agonist.
Comes as: Community reports describe freeze-dried powder vials and nasal spray bottles., Published nasal studies used a prepared liquid; this does not validate home-made products..
Mixed with: Users report bacteriostatic water. The 2017 study used sterile saline plus 1% glycerin; these preparations are not interchangeable..
Common vial sizes: 5, 10 mg. Common water amounts: 2, 10 mL.
- One forum example mixed 5 or 10 mg into 10 mL total, assuming a 0.1 mL spray. Actual spray delivery and drug content were untested.
- The same report used 2 mL first, then 8 mL more. These are community practices, not validated compounding instructions.
- Bacteriostatic water does not establish sterility, nasal compatibility or product shelf life.
- The 2017 study reported 500 mcg/mL, delivering 50 mcg per 0.1 mL spray. Its device and formulation were controlled.
Before mixing: A validated shelf life and storage temperature for unverified powder vials were not found.
After mixing: Home-mixed VIP has no verified stability or sterility period. The 2017 study’s refrigerated 60-day limit applied to its specific nasal formulation.
Related to VIP
- Thymosin alpha-1: An immune-signaling peptide with overseas approvals and mixed trial results.
- KPV: An alpha-MSH fragment studied for gut inflammation in animals, with no human dosing trial.
Sources
- Bulk Drug Substances Nominated for Use in Compounding Under Section 503A of the Federal Food, Drug, and Cosmetic Act, FDA · FDA · 2026
- Bulk Drug Substances Used in Compounding Under Section 503A of the FD&C Act, FDA · FDA · 2026
- EU/3/26/3200 - orphan designation for treatment of acute respiratory distress syndrome (ARDS), 2026
- Pyrogen and Endotoxins Testing: Questions and Answers, FDA · 2026
- The Prohibited List, World Anti-Doping Agency · World Anti-Doping Agency · 2026
- Therapeutic Goods (Poisons Standard—October 2026) Instrument 2026, Australian Government · Australian Government · 2026
- Think twice before injecting peptides bought online: unauthorized products can seriously harm you, Health Canada · Health Canada · 2026
- Interim Policy on Compounding Using Bulk Drug Substances Under Section 503A of the Federal Food, Drug, and Cosmetic Act, 2025
- Amendments to the List of Bulk Drug Substances That Can Be Used to Compound Drug Products in Accordance With Section 503A of the Federal Food, Drug, and Cosmetic Act, 2019
- AWMSG Secretariat Assessment Report. Aviptadil/phentolamine mesilate (Invicorp) 25 micrograms/2 mg solution for injection, 2017
- Q6A Specifications: Test Procedures and Acceptance Criteria for New Drug Substances and New Drug Products: Chemical Substances, FDA · FDA · 2000
- Search Orphan Drug Designations and Approvals, FDA · FDA
- VALMISTEYHTEENVETO
- INTRAVENOUS AVIPTADIL AS ADJUNCTIVE THERAPY IN ACUTE RESPIRATORY DISTRESS SYNDROME: AN OBSERVATIONAL CASE SERIES OF SIX PATIENTS, 2026
- Aviptadil Therapy in Acute Respiratory Distress Syndrome Patients: A Systematic Review and Meta-analysis., Udupa AA et al. · Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2025
Sources checked: 2026-10-18.
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