Introduction
While many peptides remain research compounds, numerous peptide-based medications have achieved FDA approval after rigorous clinical testing. This guide lists approved peptide drugs by category.
Diabetes and Metabolic
GLP-1 Receptor Agonists
Semaglutide
- Brand names: Ozempic, Wegovy, Rybelsus
- Approved for: Type 2 diabetes, chronic weight management
- Administration: Weekly injection or daily oral
Tirzepatide
- Brand names: Mounjaro, Zepbound
- Approved for: Type 2 diabetes, chronic weight management
- Administration: Weekly injection
Liraglutide
- Brand names: Victoza, Saxenda
- Approved for: Type 2 diabetes, weight management
- Administration: Daily injection
Dulaglutide
- Brand name: Trulicity
- Approved for: Type 2 diabetes
- Administration: Weekly injection
Exenatide
- Brand names: Byetta, Bydureon
- Approved for: Type 2 diabetes
- Administration: Twice daily or weekly injection
Insulin and Related
Insulin (various formulations)
- Rapid-acting: Humalog, NovoLog
- Long-acting: Lantus, Levemir, Tresiba
- Approved for: Diabetes mellitus
- Administration: Injection, pump, or inhaled
Glucagon
- Brand names: GlucaGen, Baqsimi
- Approved for: Severe hypoglycemia
- Administration: Injection or nasal spray
Hormonal Conditions
Growth Hormone Related
Tesamorelin
- Brand name: Egrifta
- Approved for: HIV-associated lipodystrophy
- Administration: Daily injection
Macimorelin
- Brand name: Macrilen
- Approved for: Diagnosis of adult GH deficiency
- Administration: Oral (single dose)
Reproductive Hormones
Gonadorelin
- Brand name: Factrel
- Approved for: Pituitary function testing
- Administration: Injection
Leuprolide
- Brand names: Lupron, Eligard
- Approved for: Prostate cancer, endometriosis, precocious puberty
- Administration: Depot injection
Desmopressin
- Brand names: DDAVP, Stimate
- Approved for: Diabetes insipidus, bedwetting, bleeding disorders
- Administration: Nasal, oral, or injection
Other Hormonal
Oxytocin
- Brand names: Pitocin, Syntocinon
- Approved for: Labor induction, postpartum hemorrhage
- Administration: IV or injection
Octreotide
- Brand names: Sandostatin
- Approved for: Acromegaly, carcinoid tumors
- Administration: Injection
Lanreotide
- Brand name: Somatuline
- Approved for: Acromegaly, neuroendocrine tumors
- Administration: Deep subcutaneous injection
Bone Health
Teriparatide
- Brand name: Forteo
- Approved for: Osteoporosis
- Administration: Daily injection (max 2 years)
Abaloparatide
- Brand name: Tymlos
- Approved for: Postmenopausal osteoporosis
- Administration: Daily injection
Calcitonin
- Brand names: Miacalcin, Fortical
- Approved for: Osteoporosis, Paget's disease
- Administration: Nasal spray or injection
Sexual Health
Bremelanotide (PT-141)
- Brand name: Vyleesi
- Approved for: Hypoactive sexual desire disorder in women
- Administration: Subcutaneous injection (as needed)
Gastrointestinal
Linaclotide
- Brand name: Linzess
- Approved for: IBS-C, chronic constipation
- Administration: Oral capsule
Plecanatide
- Brand name: Trulance
- Approved for: Chronic constipation, IBS-C
- Administration: Oral tablet
Cardiovascular
Eptifibatide
- Brand name: Integrilin
- Approved for: Acute coronary syndrome
- Administration: IV infusion
Bivalirudin
- Brand name: Angiomax
- Approved for: PCI anticoagulation
- Administration: IV infusion
Pain Management
Ziconotide
- Brand name: Prialt
- Approved for: Severe chronic pain
- Administration: Intrathecal infusion
HIV/Antiviral
Enfuvirtide
- Brand name: Fuzeon
- Approved for: HIV infection (salvage therapy)
- Administration: Subcutaneous injection
Rare Genetic Conditions
Setmelanotide
- Brand name: Imcivree
- Approved for: Specific genetic obesity syndromes
- Administration: Daily injection
Pegvisomant
- Brand name: Somavert
- Approved for: Acromegaly
- Administration: Daily injection
Diagnostic Agents
Cosyntropin
- Brand name: Cortrosyn
- Approved for: Adrenal insufficiency diagnosis
- Administration: IV or IM injection
Conclusion
FDA-approved peptides span numerous therapeutic categories, from common conditions like diabetes to rare genetic disorders. This approval process ensures extensive safety and efficacy data, distinguishing these medications from research-only peptides.
This list is current as of 2025. New approvals occur regularly. Consult healthcare providers for treatment decisions.
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