Ziconotide vs Endomorphin-1

Head-to-head comparison of Ziconotide (ω-Conotoxin MVIIA (ziconotide)) and Endomorphin-1 (Tyr-Pro-Trp-Phe-NH2) — benefits, dosing, side effects, research data, and where to buy.

Research Score

PropertyZiconotideEndomorphin-1
CategoryPain ManagementPain Management
Full Nameω-Conotoxin MVIIA (ziconotide)Tyr-Pro-Trp-Phe-NH2
Molecular Weight2639.1 Da610.71 Da
Half-Lifeapproximately 4.5 hoursMinutes in plasma
Amino Acids254
Typical Dose0.5-19.2 mcg/day0.1-10 ug per animal
RouteIntrathecalIntrathecal / subcutaneous
Purity≥98%≥98%
Studies Count500600
Research StatusApprovedPre-clinical

Ziconotide Benefits

  • strong non-opioid analgesia
  • effective for refractory neuropathic pain
  • opioid-sparing option
  • intrathecal delivery allows targeted action

Endomorphin-1 Benefits

  • mu-opioid selectivity
  • potent antinociception
  • endogenous peptide scaffold
  • useful for receptor-discovery studies

Ziconotide Dosing

start 0.5 mcg/day intrathecal|titrate by 0.5 mcg/day no more than 2 times weekly|max 19.2 mcg/day in labeling

Endomorphin-1 Dosing

Intrathecal 0.1-10 ug per animal|Subcutaneous 0.1-5 ug per animal|In vitro 0.1-100 nM

Ziconotide Side Effects

  • dizziness
  • confusion
  • ataxia

Endomorphin-1 Side Effects

  • respiratory depression at high exposure
  • sedation
  • tolerance and dependence potential

Research Overview

Ziconotide

Clinical studies and post-marketing data support ziconotide as an analgesic for severe chronic pain that does not respond to conventional therapy. Research focuses on balancing analgesic efficacy with neuropsychiatric tolerability and careful dose titration.

Endomorphin-1

Endomorphin-1 is a key research peptide in studies of endogenous mu-opioid signaling and spinal analgesia. Like other peptide analgesics, its main translational hurdles are enzymatic instability, limited oral bioavailability, and delivery across barriers.

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Common Stacking Partners

Ziconotide stacks with:

BaclofenClonidineBupivacaine

Endomorphin-1 stacks with:

gabapentinketamine
N-type calcium channel blockerneuropathic painnon-opioidintrathecalmu-opioidendogenous-peptideanalgesiapain-modulation