Desmopressin
Also known as: DDAVP, Stimate, Nocdurna
Desmopressin selectively stimulates renal V2 vasopressin receptors to increase water reabsorption (antidiuresis) while also triggering release of factor VIII and von Willebrand factor from vascular endothelium.
- Drug class
- Synthetic vasopressin (V2 receptor) analog; antidiuretic and hemostatic peptide
- Primary targets
- Vasopressin V2 receptor
- Dose reference
- Reference ranges from labels (not recommendations): central diabetes insipidus intranasal 10-40 mcg/day or oral 0.1-1.2 mg/day divided; primary nocturnal enuresis oral 0.2-0.6 mg at bedtime; nocturia (sublingual) 27.7 mcg women / 55.3 mcg men at bedtime; bleeding disorders IV 0.3 mcg/kg over 15-30 minutes.
- Half-life
- Roughly 1.5-3.5 hours depending on route (terminal half-life about 2.8 hours after IV dosing; ~3.3-3.5 hours intranasal)
- Developer / origin
- Ferring Pharmaceuticals (peptide first synthesized by Zaoral and colleagues in the 1960s)
- Reference year
- 1978
- Evidence score
- 5/5 - Strong, well-established clinical evidence
Approved uses
- Central (cranial) diabetes insipidus
- Primary nocturnal enuresis
- Nocturia due to nocturnal polyuria
- Mild-to-moderate hemophilia A (hemostasis)
- Type 1 von Willebrand disease (hemostasis)
Strong, well-established clinical evidence
Desmopressin is an FDA-approved peptide with decades of label-backed and trial evidence across antidiuretic and hemostatic indications, supported by primary sources from FDA/DailyMed labels and peer-reviewed journals.
Approved medication with substantial human clinical evidence.
Evidence basis
- FDA and DailyMed prescribing information for DDAVP, Nocdurna and desmopressin nasal/tablet formulations establish V2-mediated antidiuresis and approved indications
- Landmark Mannucci 1977 Lancet study and 20- and 30-year reviews document hemostatic factor VIII/vWF release in hemophilia A and type 1 von Willebrand disease
- Randomized controlled trials and contemporary reviews support low-dose, sex-specific desmopressin for nocturia with serum sodium monitoring to manage hyponatremia
Key references
- DailyMedNocdurna (desmopressin acetate) sublingual tablet prescribing information
- FDADesmopressin acetate tablets, full prescribing information
- PubMed1-Deamino-8-D-arginine vasopressin: a new pharmacological approach to the management of haemophilia and von Willebrands' diseases (Mannucci, Lancet 1977)
- Blood (ASH)Desmopressin (DDAVP) in the Treatment of Bleeding Disorders: The First 20 Years (Blood 1997)
- BJU InternationalLow-dose desmopressin combined with serum sodium monitoring can prevent clinically significant hyponatraemia in patients treated for nocturia (Juul, BJU Int 2017)
How to read this entry
Dose references and half-life values are pulled from trial protocols, labels, reviews, or published summaries where available. They are context for research and comparison, not a personal dosing recommendation.
Status matters: approved drugs have regulated indications; investigational compounds are still being studied; research-only peptides do not have established human dosing, safety, or efficacy for consumer use.
Desmopressin guides
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Peptide calculators
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