Ziconotide vs Met-enkephalin

Head-to-head comparison of Ziconotide (ω-Conotoxin MVIIA (ziconotide)) and Met-enkephalin (Tyr-Gly-Gly-Phe-Met) — benefits, dosing, side effects, research data, and where to buy.

Research Score

PropertyZiconotideMet-enkephalin
CategoryPain ManagementPain Management
Full Nameω-Conotoxin MVIIA (ziconotide)Tyr-Gly-Gly-Phe-Met
Molecular Weight2639.1 Da573.67 Da
Half-Lifeapproximately 4.5 hours1-5 minutes in plasma
Amino Acids255
Typical Dose0.5-19.2 mcg/day0.1-5 ug per animal
RouteIntrathecalIntrathecal / intracerebroventricular
Purity≥98%≥98%
Studies Count5001200
Research StatusApprovedPre-clinical

Ziconotide Benefits

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

Met-enkephalin Benefits

  • endogenous opioid signaling
  • analgesic reference ligand
  • spinal antinociception
  • neurochemical pain-pathway probe

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

Met-enkephalin Dosing

Intrathecal 0.1-5 ug per animal|Intracerebroventricular 0.1-2 ug per animal|In vitro 1-100 nM

Ziconotide Side Effects

  • dizziness
  • confusion
  • ataxia

Met-enkephalin Side Effects

  • sedation at higher exposure
  • constipation-like opioid effects
  • rapid enzymatic degradation

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.

Met-enkephalin

Met-enkephalin has been extensively used in receptor pharmacology and nociception studies to map mu and delta opioid biology. The main limitation in translational work is very short half-life from peptidase cleavage and poor systemic stability.

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Common Stacking Partners

Ziconotide stacks with:

BaclofenClonidineBupivacaine

Met-enkephalin stacks with:

gabapentinketamine
N-type calcium channel blockerneuropathic painnon-opioidintrathecalopioid-peptideenkephalinmu-opioidanalgesia