Also known as
Other names:
- L-Lysinamide
Brand names:
- Ipamorelin Acetate
Therapeutic Goods Administration (TGA) approval
Ipamorelin is not listed in the Therapeutic Goods (Permissible Ingredients) Determination and is not an excipient or active in any medicines on the Australian Register of Therapeutic Goods (ARTG).1
World Anti-Doping Code Prohibited List 2025
Ipamorelin is included in S2.2.4 Peptide Hormones, Growth Factors, Relates Substances, and Mimetics - Growth hormone releasing factors - Growth hormone secretagogues: which are prohibited in both in and out of competition.2
This substance meets at least two of the following three criteria, as determined by the World Anti-Doping Agency (WADA).
- It has the potential to enhance or does enhance sports performance
- It poses an actual or potential health risk to the athlete
- It violates the spirit of sport (as defined in The Code).
The Prohibited List is updated yearly after consultation with scientific, medical, and anti-doping experts to ensure that it aligns with the latest medical and scientific evidence and doping trends.
What is it?
Ipamorelin is a pentapeptide, a substance composed of five amino acids derived from growth hormone releasing peptide 1 (GHRP-1).3 Ipamorelin simulates growth hormone release in humans.
Uses
Ipamorelin was originally developed in Denmark.4
Ipamorelin was introduced into a phase II clinical trial for the treatment of intestinal pseudo-obstruction (POI) however the results showed no significant difference and therefore development was halted.5
Ipamorelin influences a number of anabolic processes such as appetite regulation, fat processing and overall energy usage.6
Ipamorelin has been associated with the ability to stimulate food intake, body weight gain and gastrointestinal motility.7
How does it work?
Ipamorelin is a selective agonist, that selectively binds to the GHSR-1a receptor, and this leads to the growth hormone release from the pituitary gland.8
This increase in growth hormone levels can have a negative effect on many biological processes.
GHSR-1a receptors are present in a number of regions outside the brain such as the gastrointestinal tract.
The function of Ipamorelin is to mimic ghrelin. Ghrelin is a peptide hormone known as the hunger hormone controlling homeostasis around meal time.
Adverse Health Effects and Risk
The ongoing use of peptides like Ipamorelin carries high risk for long-term detrimental health consequences.
Ipamorelin has been associated with increased faecal output and body weight gain as fat.
General side effects of ipamorelin that have been reported include headaches, nausea, rash, lower blood pressure. Long-term use can result in more serious health conditions such as insulin sensitivity or diabetes.
What if an athlete has been prescribed Ipamorelin for a medical condition?
A Therapeutic Use Exemption (TUE) would not be granted for the use of Ipamorelin.
References
- Ishida J, Saitoh M, Ebner N, Springer J, Anker SD, von Haehling S. Growth hormone secretagogues: history, mechanism of action, and clinical development. JCSM Rapid Communications. 2020 Jan;3(1):25-37
- WADA (2025). The Prohibited List. [online] World Anti-Doping Agency
Available at: https://www.wada-ama.org/en/prohibited-list - ARTG (2025). Database. [online] Therapeutic Goods Administration
Available at: Australian Register of Therapeutic Goods (ARTG) | Therapeutic Goods Administration (TGA) - Sinha DK, Balasubramanian A, Tatem AJ, Rivera-Mirabal J, Yu J, Kovac J, Pastuszak AW, Lipshultz LI. Beyond the androgen receptor: the role of growth hormone secretagogues in the modern management of body composition in hypogonadal males. Translational andrology and urology. 2020 Mar;9(Suppl 2):S149
- Notaro NM, Dyck DJ. Regulation of peripheral tissue substrate metabolism by the gut-derived hormone ghrelin. Metabolism Open. 2024 Feb 28:100279
- Zotarelli Filho IJ. State-of-the-Art Clinical Results of Growth Hormone Secretagogues, SARM and Antagonists. Authorea Preprints. 2020 Jun 4
- Prinz P, Stengel A. Control of food intake by gastrointestinal peptides: mechanisms of action and possible modulation in the treatment of obesity. Journal of Neurogastroenterology and Motility. 2017 Apr;23(2):180
- Adami PE, Koutlianos N, Baggish A, Bermon S, Cavarretta E, Deligiannis A, Furlanello F, Kouidi E, Marques-Vidal P, Niebauer J, Pelliccia A. Cardiovascular effects of doping substances, commonly prescribed medications and ergogenic aids in relation to sports: a position statement of the sport cardiology and exercise nucleus of the European Association of Preventive Cardiology. European Journal of Preventive Cardiology. 2022 Feb 1;29(3):559-75