Drug & supplement interaction

Melanotan + Letrozole

Letrozole brand name: Femara.

No Known Interaction
The bottom line No known interaction

We found no known interaction between Melanotan and Letrozole in our sources. Absence of a documented interaction is not the same as proven safety, and does not guarantee one does not exist. Do not start, stop, or change a medication or supplement based on this page; confirm with your pharmacist or doctor first. Additionally, although there is no interaction, the two are separately associated with some of the same side effects, which would make a new symptom harder to attribute to one or the other.

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Interaction report

Melanotan and Letrozole

We checked these two against our interaction database. Here is what we found.

No Known Interaction Found

We did not find a documented interaction between Letrozole and Melanotan in our sources. This does not guarantee that the combination is completely free of risk — there is often limited research on supplements and herbal products, especially around drug interactions.

Worth understanding: our licensed dataset holds no drug-interaction record for Melanotan at all — not against Letrozole, and not against any other medication we track. This verdict therefore rests on the absence of any recorded data, not on research that looked at this combination and found nothing. We cannot rule an interaction out.

If you decide to take both, the practical routine is simple: add one new thing at a time and note the date you started it. If the combination is going to disagree with you, it usually shows in the first days to a couple of weeks — and a start date turns “I’ve been feeling off” into something a pharmacist can actually work with. Do not stop a prescribed medicine on your own.

Always talk with your pharmacist or doctor before making changes to your medications or supplements, particularly if you take several medications or have an ongoing health condition.

Melanotan safety at a glance

Melanotan overall Avoid Melanotan is an unapproved, unregulated injectable peptide with real safety risks and no quality control.
Pregnancy Avoid There is no safety data; avoid use during pregnancy.
Breastfeeding Avoid There is no safety data; avoid use while breastfeeding.

Safety guidance is general; always confirm with your pharmacist or doctor for your situation.

Still wondering about combining Letrozole and Melanotan? Ask Dr. Brian Staiger, PharmD, BCPS directly ›
What to actually watch for

No Interaction Found — But Data Suggests Melanotan and Letrozole May Share Several of the Same Side Effects

This is not an interaction. Neither one changes how your body handles the other, and nothing here says they react together. What our sources do show is that each has separately been linked to the effects below — so taking both can make those effects more likely to turn up, and harder to pin on one or the other if they do.

  • Flushing Additional detail

    Melanotan

    “Subcutaneously, melanotan can cause gastrointestinal cramping, nausea, decreased appetite, facial flushing, fatigue, somnolence, dizziness, yawning, stretching, and spontaneous penile erections. It can also cause increased pigmentation of the face, upper body, and buttocks.”

    Melanotan · Natural Medicines adverse-effect record, reported in anxiety.

    6 sources cited
    1. 5685. Dorr RT, Lines R, Levine N, et al. Evaluation of melanotan-II, a superpotent cyclic melanotropic peptide in a pilot phase-I clinical study. Life Sci 1996;58:1777-84. PubMed
    2. 5687. Wessells H, Fuciarelli K, Hansen J, et al. Synthetic melanotropic peptide initiates erections in men with psychogenic erectile dysfunction; double-blind, placebo controlled crossover study. J Urol 1998;160:389-93. DOI
    3. 5688. Wessells H, Gralnek DR, Dorr RT, et al. Erectogenic properties of melanotan II in men with organic erectile dysfunction. 1999. Abstract Info-American Urological Association, Inc. DOI
    4. 99190. Wessells H, Gralnek D, Dorr R, Hruby VJ, Hadley ME, Levine N. Effect of an alpha-melanocyte stimulating hormone analog on penile erection and sexual desire in men with organic erectile dysfunction. Urology. 2000;56(4):641-6. PubMed
    5. 106742. Mallory CW, Lopategui DM, Cordon BH. Melanotan tanning injection: a rare cause of priapism. Sex Med. 2021 Feb;9(1):100298. PubMed
    6. 99176. Hjuler KF, Lorentzen HF. Melanoma associated with the use of melanotan-II. Dermatology. 2014;228(1):34-6. PubMed

    “Subcutaneously, melanotan can cause facial flushing. It can also cause increased pigmentation of the face, upper body, and buttocks. In case reports of individuals with light skin and a history of use of tanning beds, the eruption of new nevi, and darkening of existing nevi or change to dysplastic nevi, were thought to be related to the use of subcutaneous melanotan.”

    Melanotan · Natural Medicines adverse-effect record, reported in actinic keratoses.

    6 sources cited
    1. 5685. Dorr RT, Lines R, Levine N, et al. Evaluation of melanotan-II, a superpotent cyclic melanotropic peptide in a pilot phase-I clinical study. Life Sci 1996;58:1777-84. PubMed
    2. 5688. Wessells H, Gralnek DR, Dorr RT, et al. Erectogenic properties of melanotan II in men with organic erectile dysfunction. 1999. Abstract Info-American Urological Association, Inc. DOI
    3. 99190. Wessells H, Gralnek D, Dorr R, Hruby VJ, Hadley ME, Levine N. Effect of an alpha-melanocyte stimulating hormone analog on penile erection and sexual desire in men with organic erectile dysfunction. Urology. 2000;56(4):641-6. PubMed
    4. 99177. Schulze F, Erdmann H, Hardkop LH, et al. Eruptive naevi and darkening of pre-existing naevi 24 h after a single mono-dose injection of melanotan II. Eur J Dermatol. 2014;24(1):107-9. PubMed
    5. 99178. Reid C, Fitzgerald T, Fabre A, Kirby B. Atypical melanocytic naevi following melanotan injection. Ir Med J. 2013;106(5):148-9.
    6. 99188. Cousen P, Colver G, Helbling I. Eruptive melanocytic naevi following melanotan injection. Br J Dermatol. 2009;161(3):707-8. PubMed

    Letrozole

    Listed in the ADVERSE REACTIONS section of the FDA label for Letrozole. Read the label on DailyMed ›

  • Sweating / Tiredness Additional detail

    Melanotan

    “Melanotan can cause fatigue and somnolence, as well as yawning and stretching.

    There is a case report of posterior reversible encephalopathy syndrome (PRES) occurring in a 20-year-old female who had a single seizure following use of subcutaneous melanotan daily for 1 week. The seizure resulted in reduced sensation on one side and reduced concentration and word-finding ability.”

    Melanotan · Natural Medicines adverse-effect record, reported in epilepsy.

    6 sources cited
    1. 5685. Dorr RT, Lines R, Levine N, et al. Evaluation of melanotan-II, a superpotent cyclic melanotropic peptide in a pilot phase-I clinical study. Life Sci 1996;58:1777-84. PubMed
    2. 5687. Wessells H, Fuciarelli K, Hansen J, et al. Synthetic melanotropic peptide initiates erections in men with psychogenic erectile dysfunction; double-blind, placebo controlled crossover study. J Urol 1998;160:389-93. DOI
    3. 5688. Wessells H, Gralnek DR, Dorr RT, et al. Erectogenic properties of melanotan II in men with organic erectile dysfunction. 1999. Abstract Info-American Urological Association, Inc. DOI
    4. 99190. Wessells H, Gralnek D, Dorr R, Hruby VJ, Hadley ME, Levine N. Effect of an alpha-melanocyte stimulating hormone analog on penile erection and sexual desire in men with organic erectile dysfunction. Urology. 2000;56(4):641-6. PubMed
    5. 99179. Kaski D, Stafford N, Mehta A, Jenkins IH, Malhotra P. Melanotan and the posterior reversible encephalopathy syndrome. Ann Intern Med. 2013;158(9):707-8. PubMed
    6. 99183. Nelson ME, Bryant SM, Aks SE. Melanotan II injection resulting in systemic toxicity and rhabdomyolysis. Clin Toxicol (Phila). 2012;50(10):1169-73. PubMed

    Letrozole

    Listed in the ADVERSE REACTIONS section of the FDA label for Letrozole. Read the label on DailyMed ›

  • Dizziness Additional detail

    Melanotan

    Recorded for Melanotan in the same Natural Medicines adverse-effect record shown under Flushing above.

    Letrozole

    Listed in the ADVERSE REACTIONS section of the FDA label for Letrozole. Read the label on DailyMed ›

  • Nausea Additional detail

    Melanotan

    “Subcutaneously, melanotan can cause gastrointestinal cramping, nausea, and decreased appetite. Severe nausea has occurred after up to 20% of injections, with vomiting rarely.”

    Melanotan · Natural Medicines adverse-effect record, reported in nausea and vomiting.

    5 sources cited
    1. 5685. Dorr RT, Lines R, Levine N, et al. Evaluation of melanotan-II, a superpotent cyclic melanotropic peptide in a pilot phase-I clinical study. Life Sci 1996;58:1777-84. PubMed
    2. 5687. Wessells H, Fuciarelli K, Hansen J, et al. Synthetic melanotropic peptide initiates erections in men with psychogenic erectile dysfunction; double-blind, placebo controlled crossover study. J Urol 1998;160:389-93. DOI
    3. 5688. Wessells H, Gralnek DR, Dorr RT, et al. Erectogenic properties of melanotan II in men with organic erectile dysfunction. 1999. Abstract Info-American Urological Association, Inc. DOI
    4. 99176. Hjuler KF, Lorentzen HF. Melanoma associated with the use of melanotan-II. Dermatology. 2014;228(1):34-6. PubMed
    5. 99190. Wessells H, Gralnek D, Dorr R, Hruby VJ, Hadley ME, Levine N. Effect of an alpha-melanocyte stimulating hormone analog on penile erection and sexual desire in men with organic erectile dysfunction. Urology. 2000;56(4):641-6. PubMed

    Letrozole

    Listed in the ADVERSE REACTIONS section of the FDA label for Letrozole. Read the label on DailyMed ›

Reported for Melanotan but not commonly for Letrozole: erection problems, reduced appetite, severe muscle breakdown and raised blood pressure.

Effects for Letrozole come from the ADVERSE REACTIONS section of its FDA label; effects for Melanotan come from the Natural Medicines adverse-effect record, quoted above. Wording is matched across sources by our own clinical vocabulary, so treat this as a prompt to pay attention, not a diagnosis.

From our Q&A

Questions About Melanotan or Letrozole

These are real questions from readers, answered by the pharmacists at HelloPharmacist — written by a person, not generated from a database. Each one covers Melanotan or Letrozole, not necessarily both, but if one is close to what you were about to ask it will usually go further than a database entry can:

Not quite your question? Ask our pharmacists directly — it is free, there is no account required, and answers usually come back within 24 hours.

Everything else you take

See Every Supplement That Interacts With Letrozole

This page covers Melanotan only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Letrozole page lists 142 supplements it has a documented interaction with, worst first, each one explained.

The most serious there right now: Activated Charcoal (major), Grapefruit (major), St. John's Wort (major), 7-methoxyflavone (moderate) and Acacia Rigidula (moderate).

By severity: 3 major · 99 moderate · 40 minor.

From our pharmacist’s overview on the Letrozole page

“Letrozole (Femara) is prescribed to keep hormone-driven breast cancer from returning, so a supplement that shifts its blood level can quietly undercut treatment. Give this list of 142 ingredients genuine respect, and learn the three major entries first.”

Reviewed by 2 · Jul 18, 2026

Open the Letrozole interaction page

How much people look this up

Where Melanotan and Letrozole Sit Against Everything Else

Out of every supplement and medication people look up on HelloPharmacist, here is where these two land this week — and which way each has been moving.

Supplement Melanotan
Top half

#713 of 1,452 supplements looked up here in the last 7 days

29 days ago today
Medication Letrozole
Top 5%

#50 of 2,830 medications looked up here in the last 7 days

29 days ago today

Position among everything looked up on this site, not a measure of how commonly either one is used or how important it is. A supplement can climb this list because of a news story. It counts every request to the page, automated ones included, and nothing here identifies anyone.

Where does our data come from?
  • Source: the Natural Medicines (TRC Healthcare) clinical database — the evidence-graded professional reference for herb & supplement interactions.
  • Citation library: 103,510 references behind our interaction content, 65,311 of them resolved to verified PubMed/DOI sources. See every Melanotan reference on this page ↓
  • Freshness: we automatically re-check this combination every week — this pair was last verified September 13, 2026. The Melanotan and Letrozole records this page draws on were last updated July 10, 2026.
  • What “no known interaction” means: no documented interaction in the sources above — not a guarantee of safety. Supplements are studied far less than prescription drugs, so we say exactly what the evidence supports, and nothing more.
Data structure & sourcing designed and verified by .
Supplement

About Melanotan

What is Melanotan?

  • Skin tanning
  • Reducing sun exposure for tanning
  • Erectile dysfunction (Melanotan II)
  • Appetite or body composition (unproven)

Melanotan is a lab-made synthetic peptide (not an herb) marketed online to darken the skin and, in one form, to aid erections. It is not approved or regulated as a supplement, its purity and dosing are unreliable, and it has been linked to serious safety concerns, so we do not recommend using it.

Synthetic peptide (laboratory-made) · Injectable solution, nasal spray (sold illicitly online)

An interaction check asks whether these two react with each other — it does not ask whether Melanotan is a good idea for someone in your situation. Here is what our Melanotan record says about it on its own.

Melanotan: dosing

There is no established, safe, or standardized dose for Melanotan, and no health authority recommends its use as a supplement. The products sold online do not have reliable dosing instructions, and the actual amount of peptide in a vial can vary widely.Because of the safety concerns and lack of regulation, we do not provide dosing guidance for Melanotan.

From our Melanotan monograph — the full record covers uses, side effects and every documented interaction.

Read the full Melanotan monograph & all interactions
Medication

About Letrozole

What Is Letrozole Used For?

Brand name: Femara

Letrozole (brand name Femara) is used to treat breast cancer in postmenopausal women whose tumors are driven by estrogen. It is used in three settings: as adjuvant (after-surgery) treatment for hormone receptor positive early breast cancer; as extended adjuvant treatment for women who have already completed about five years of tamoxifen therapy; and as first- or second-line treatment for locally advanced or metastatic (spread) breast cancer.

Femara is specifically indicated for first-line treatment of hormone receptor positive or receptor-unknown locally advanced or metastatic breast cancer, and for advanced breast cancer in women whose disease has progressed after antiestrogen therapy.

See full Letrozole drug information
Keep checking

Other Drugs & Melanotan

Browse every other medication we’ve checked against Melanotan — both the ones with a known interaction and the ones without. Select any drug for the full detail.

0Major
0Moderate
0Minor
2,829No known interaction
No interaction 2,829 drugs checked — show the list
Evidence & sources

Melanotan References

The 17 references that drive our Melanotan monograph and interaction data, from the evidence-graded Natural Medicines (TRC Healthcare) database. Citations with a link open the study on PubMed or the publisher’s site.

  1. Dorr RT, Lines R, Levine N, et al. Evaluation of melanotan-II, a superpotent cyclic melanotropic peptide in a pilot phase-I clinical study. Life Sci 1996;58:1777-84. PubMed
  2. Wessells H, Fuciarelli K, Hansen J, et al. Synthetic melanotropic peptide initiates erections in men with psychogenic erectile dysfunction; double-blind, placebo controlled crossover study. J Urol 1998;160:389-93. DOI
  3. Wessells H, Gralnek DR, Dorr RT, et al. Erectogenic properties of melanotan II in men with organic erectile dysfunction. 1999. Abstract Info-American Urological Association, Inc. DOI
  4. Hjuler KF, Lorentzen HF. Melanoma associated with the use of melanotan-II. Dermatology. 2014;228(1):34-6. PubMed
  5. Schulze F, Erdmann H, Hardkop LH, et al. Eruptive naevi and darkening of pre-existing naevi 24 h after a single mono-dose injection of melanotan II. Eur J Dermatol. 2014;24(1):107-9. PubMed
  6. Reid C, Fitzgerald T, Fabre A, Kirby B. Atypical melanocytic naevi following melanotan injection. Ir Med J. 2013;106(5):148-9.
  7. Kaski D, Stafford N, Mehta A, Jenkins IH, Malhotra P. Melanotan and the posterior reversible encephalopathy syndrome. Ann Intern Med. 2013;158(9):707-8. PubMed
  8. Nelson ME, Bryant SM, Aks SE. Melanotan II injection resulting in systemic toxicity and rhabdomyolysis. Clin Toxicol (Phila). 2012;50(10):1169-73. PubMed
  9. Ong S, Bowling J. Melanotan-associated melanoma in situ. Australas J Dermatol. 2012;53(4):301-2.
  10. Paurobally D, El Hayderi L, Richert B, Andre J, Nikkels AF. Melanotan-associated transverse melanonychia. J Eur Acad Dermatol Venereol. 2013;27(1):128-9. PubMed
  11. Ferrándiz-Pulido C, Fernández-Figueras MT, Quer A, Ferrándiz C. An eruptive pigmented lesion after melanotan injection. Clin Exp Dermatol. 2011;36(7):801-2. PubMed
  12. Paurobally D, Jason F, Dezfoulian B, Nikkels AF. Melanotan-associated melanoma. Br J Dermatol. 2011;164(6):1403-5. PubMed
  13. Cousen P, Colver G, Helbling I. Eruptive melanocytic naevi following melanotan injection. Br J Dermatol. 2009;161(3):707-8. PubMed
  14. Langan EA, Ramlogan D, Jamieson LA, Rhodes LE. Change in moles linked to use of unlicensed "sun tan jab". BMJ. 2009;338:b277. PubMed
  15. Wessells H, Gralnek D, Dorr R, Hruby VJ, Hadley ME, Levine N. Effect of an alpha-melanocyte stimulating hormone analog on penile erection and sexual desire in men with organic erectile dysfunction. Urology. 2000;56(4):641-6. PubMed

Medication overviews come from MedlinePlus (NIH); supplement label data from the NIH Dietary Supplement Label Database. Content is written and reviewed by licensed HelloPharmacist pharmacists — see our data sources and editorial standards.

Pharmacist Counseling Corner

Taking Melanotan and Letrozole Together: Common Questions

Is it safe to take Melanotan with Letrozole?
We do not list a known interaction between Melanotan and Letrozole. That does not guarantee the combination is risk-free, so confirm with your pharmacist or doctor — especially if you take other medications or have a health condition.
Do Melanotan and Letrozole have any of the same side effects?
Yes — our sources link each of them separately to 5 of the same effects. That is not an interaction: neither changes how your body handles the other. It does mean that if one of those effects turns up, it can be harder to tell which one is behind it. They are listed on this page with the source behind each.
Does Letrozole interact with any supplements?
Yes. Letrozole has documented interactions with 142 supplements in our database — Melanotan is not one of them. The Letrozole interaction page linked on this page lists every one, ranked by severity.

Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy

Still Have a Question About Letrozole and Melanotan?

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This information is for education only and is not a substitute for professional medical advice. Always check with your pharmacist or doctor before starting, stopping, or combining supplements and medications.