Rapamycin (Sirolimus)

Longevity & Anti-Agingfda_approved

Also known as: Sirolimus, Rapamune, mTOR Inhibitor

An mTOR inhibitor gaining popularity in longevity research for its ability to slow aging, enhance autophagy, and extend lifespan in multiple species.

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Overview

Rapamycin (sirolimus) is an FDA-approved immunosuppressant originally derived from bacteria found on Easter Island. While technically a macrolide rather than a peptide, it is widely discussed in the peptide therapy and longevity community due to its powerful effects on the mTOR pathway — a master regulator of cell growth, metabolism, and aging. Low-dose rapamycin protocols have shown remarkable lifespan extension in animal studies and are increasingly used off-label by longevity physicians.

Mechanism of Action

Rapamycin inhibits mTOR (mechanistic Target of Rapamycin), a kinase that senses nutrient availability and controls cell growth. By inhibiting mTOR: (1) Enhances autophagy — cellular cleanup of damaged proteins and organelles; (2) Reduces cellular senescence and SASP (senescence-associated secretory phenotype); (3) Improves mitochondrial function; (4) Reduces chronic inflammation; (5) Mimics some benefits of caloric restriction without fasting.

Molecular Formula

C51H79NO13

Molecular Weight

914.17 g/mol

Sequence

N/A (macrolide, not amino acid sequence)

Dosage Protocols

Dose Range

1mg6mg

Frequency

Once weekly

Route

oral

Cycle Length

Ongoing with periodic breaks

Low-dose weekly protocols are most common in longevity medicine. Typically 3-6mg once per week. Some protocols cycle 8 weeks on, 2-4 weeks off.

Source: Longevity physician protocols

🧮 Personalized Dosage Calculator

💰 Estimated Pricing

$30 – $100per monthpharmacy

Typical Supply

1-2mg tablets, 30ct

Last Updated

2026-02

Generic sirolimus widely available. Compounded longevity formulations also available.

⚠️ Prices are estimates based on publicly available data and may vary significantly by vendor, location, and prescription status. This is not medical or financial advice.

Side Effects

EffectSeverity
mild
moderate
mild
moderate

Pros & Cons

Strongest evidence for lifespan extension of any compound

FDA-approved drug with well-understood safety profile

Enhances autophagy and cellular cleanup

May reduce age-related diseases

Widely available with prescription

Immunosuppression at higher doses

Requires regular blood work monitoring

Not specifically approved for longevity use

Potential lipid elevation

Mouth sores can be bothersome

Research Studies

🩸 Blood Work

No specific bloodwork requirements reported for this peptide. General health panels are always recommended before starting any peptide protocol.

Legal Status

FDA-approved for transplant rejection and certain cancers. Off-label longevity use is legal with prescription.

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