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InvestigationalHealing & recoveryIntranasalEvidence 2/5

VIP (Vasoactive Intestinal Peptide)

Also known as: Aviptadil

VIP activates VPAC1 and VPAC2 receptors, raising intracellular cyclic AMP to drive vasodilation, smooth-muscle relaxation and immune modulation.

This page is a structured profile. Narrative evidence, dosing context and FAQs live on the research guide — not duplicated here as a second full article.

Illustrative intranasal database profile for VIP (Vasoactive Intestinal Peptide)
Illustrative profileIntranasal
Database profileInvestigational
VIP (Vasoactive Intestinal Peptide)Healing & recovery
Drug class
Neuropeptide; VPAC1/VPAC2 receptor agonist
Primary targets
VPAC1, VPAC2
Dose reference
Route-dependent (investigational); e.g. inhaled aviptadil 50 mcg four times daily in studies
Half-life
~1 minute (plasma)
Developer / origin
Relief Therapeutics / NRx Pharmaceuticals (aviptadil)
Reference year
1970
Evidence score
2/5 - Weak / mixed
Evidence 2/5

Weak / mixed

VIP biology and VPAC receptor pharmacology are well characterized, but synthetic aviptadil failed its flagship COVID-19 respiratory trials and has only small or non-US-approved support elsewhere; popular intranasal use is unproven.

Mostly animal, ex vivo, cell, or indirect evidence.

Evidence basis

  • Large randomized TESICO trial of IV aviptadil for COVID-19 was negative
  • Only a small open-label sarcoidosis study showed a pulmonary signal
  • Aviptadil-phentolamine (Invicorp) approved for ED in some European countries, not US
  • Intranasal VIP for CIRS/mold illness has no published RCT

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.

VIP (Vasoactive Intestinal Peptide) guides

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

Peptide calculators

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