ApprovedClinical / approved drugIntranasalEvidence 5/5

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.

Desmopressin
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)
Evidence 5/5

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

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

Read the matching guide or adjacent research pages for more context.

Peptide calculators

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