
Thymalin dosage
What the human evidence does and does not show, how long studies ran, and the arithmetic for working with vials.
- Regulatory status
- Not approved — research use only
- Human amounts
- None established in humans
- Route studied
- Intramuscular
- Frequency
- Not established
- Half-life
- Not established
- Evidence grade
- Grade B · Limited human data
- Vial sizes on the market
- 20 mg
- Other forms seen
- —
What Thymalin is
A short thymic peptide of the bioregulator class, studied in laboratory research on immune function and cellular aging.
Thymalin is described as acting on the immune system rather than on a single receptor, and its investigators have pursued two linked explanations: an effect on the differentiation of hematopoietic progenitors toward mature T lymphocytes, and a cytokine-suppressing effect attributed to two dipeptides within the complex 1,5. Hematopoietic stem cell differentiation In cultured human hematopoietic stem cells, thymalin… How it works →
Key evidence
- Khavinson et al., Stem Cell Reviews and Reports · 2021 · Humans (patients with COVID-19)Addition of thymalin to standard therapy was reported to accelerate the decline in IL-6, C-reactive protein and D-dimer and in T-cell-system measures relative to standard treatment alone. 3
- Kuznik et al., Advances in Gerontology (in Russian) · 2022 · Humans (middle-aged and elderly patients with severe COVID-19)Hospital mortality was reported as 40.9%, 28.4% and 20.6% across the three groups in the English abstract, with reported increases in lymphocytes, monocytes, leukocytes and platelets and reductions in fibrinogen, lactate dehydrogenase and D-dimer in the thymalin group. The paper's Russian-language abstract gives 40.9%, 28.8% and 16.2% for the same three groups. 4
- Khavinson et al., Bulletin of Experimental Biology and Medicine · 2020 · Cultured human hematopoietic stem cells (in vitro)Thymalin was reported to reduce CD44 and CD117 expression by two to three times and to increase CD28 expression 6.8-fold, interpreted by the authors as indirect evidence of stimulated differentiation toward mature T lymphocytes. 1
What the human evidence shows
We searched PubMed and ClinicalTrials.gov and found no human studies that administered Thymalin. The research described on its page is from cells or animals, and animal amounts do not translate to people.
How long did human studies run?
- The COVID-19 trial and the HIV case series both administered thymalin for 5 days 3,13.
- In the 1989 lung-disease study, a treatment course was 4-6 injections 14.
Who was excluded from the studies
- The COVID-19 trial enrolled only hospitalized patients with moderate or severe disease, lymphopenia and CT-confirmed bilateral pneumonia; it did not report results for children or for pregnant or breastfeeding people 3.
Thymalin draw calculator
Pick the vial strength and the water added, enter an amount, and see the concentration, the units to draw and how many draws the vial holds. Arithmetic only.

Computed from your inputs. Not a dose or a recommendation.
Compare water volumes for this vialShow
More water = lower concentration = a larger, easier-to-measure draw. Tap a row to use it.
| Water | mg/mL | Draw |
|---|---|---|
| 0.5 mL | 40 | — |
| 1 mL | 20 | — |
| 1.5 mL | 13.33 | — |
| 2 mL | 10 | — |
| 2.5 mL | 8 | — |
| 3 mL | 6.667 | — |
| 5 mL | 4 | — |
Supplies and handling
- Lyophilized vialSealed vial with the freeze-dried cake. Check the label, lot and the certificate of analysis before opening.
- Sterile diluentThe diluent named on the product documentation. Bacteriostatic water contains benzyl alcohol; sterile water does not.
- Graduated syringesSized to the volume being measured. U-100 insulin syringes are graduated in units where 100 units = 1 mL.
- Alcohol prep padsFor wiping vial stoppers before each puncture.
- Nitrile glovesClean gloves for aseptic handling.
- Sharps containerPuncture-resistant container for used needles.
Storage
General research-context handling only: a lyophilised protein or polypeptide fraction of animal origin is normally kept cold, dry and protected from light, and is less stable once in solution. Amiravo gives no preparation or handling instructions; defer to the supplier's documentation and to local institutional requirements, including any requirements specific to animal-derived research materials.
- Lyophilized (unmixed) vials: typically stored cold and dry, away from light, as the documentation directs. Many are stable longer frozen.
- Reconstituted vials: typically refrigerated (about 2–8 °C), protected from light and not frozen.
- Bacteriostatic water contains benzyl alcohol, which inhibits bacterial growth in multi-use vials; sterile water has no preservative.
Handling mistakes and troubleshooting
- Added the wrong volume of diluent
- The concentration changes, not the amount of compound in the vial. Recalculate with the volume actually added and relabel the vial.
- Shook the vial and it foamed
- Let it settle in the refrigerator. Foam is a sign of agitation; some peptides aggregate when shaken. Note it on the label.
- The solution is cloudy or has particles
- Do not use it. Cloudiness can indicate incomplete dissolution, contamination or degradation. Record the lot and contact the supplier with the certificate of analysis.
- The powder cake looks melted or shrunken before reconstitution
- This can indicate the vial was exposed to heat or moisture. Record the lot and condition on arrival.
- Liquid sprayed back when the needle was removed
- Pressure built up in the vial. Withdraw a small volume of air while adding diluent to keep pressure neutral.
Regulatory status
- Status
- Not approved by the FDA for any use; no approved application and no structured product label were identified 7,8. Reports describe it as a registered peptide drug in Russia, but that status was not verified against a primary regulatory source for this entry 3,4.
- United States (FDA)
- No approved application for this substance was identified in Drugs@FDA, and no structured product label for it was identified in DailyMed 7,8. It does not appear in any of the three categories of FDA's 503A bulk drug substances list as updated May 14, 2026 (Category 1, substances under evaluation; Category 2, substances raising significant safety risks; Category 3, substances nominated without adequate support) 11.
- Sport (WADA)
- Thymalin is not named in the WADA 2026 Prohibited List 12. Absence of a name is not a clearance, and it carries less weight than usual here: thymalin is a thymus polypeptide complex whose investigators identify Lys-Glu and Glu-Trp as active components 5, and the List's classes are written as open categories using wording such as "including, but not limited to", while section S0 is described so as to cover pharmacological substances not addressed elsewhere that have no current approval from a governmental health authority for human therapeutic use 12. A mixture can also raise questions under more than one class at once. Whether thymalin or any of its components falls within a prohibited class is a determination for anti-doping authorities.
Status varies by country and changes over time. How we describe regulatory status.
Thymalin compared with related compounds
| Compound | Status | Evidence | Human amounts | Half-life |
|---|---|---|---|---|
| Thymalin | Not approved — research use only | B | None established | — |
| Vesugen | Not approved — research use only | C | None established | — |
| Vilon | Not approved — research use only | C | None established | — |
| Thymagen | Not approved — research use only | — | None established | — |
| Cortagen | Not approved — research use only | C | None established | — |
| Pinealon | Not approved — research use only | C | None established | — |
Frequently asked questions
What doses of Thymalin have been studied in humans?
Is there an established Thymalin cycle length?
How much bacteriostatic water should be added to a Thymalin vial?
How many units is a given amount on an insulin syringe?
Is Thymalin FDA-approved?
References
- Thymalin: Activation of Differentiation of Human Hematopoietic Stem Cells Bull Exp Biol Med. 2020
- Expression features of T-lymphocytes, B-lymphocytes and macrophages in the post-traumatic regenerate of the mandible rats under conditions of filling a bone defect with hydroxyapatite-containing osteotropic material and thymalin injecting the surrounding soft tissues Pol Merkur Lekarski. 2024
- Results and Prospects of Using Activator of Hematopoietic Stem Cell Differentiation in Complex Therapy for Patients with COVID-19 Stem Cell Rev Rep. 2021
- [Morphological compound and indicators of the blood clotting system in severe COVID-19 patients of middle aged and elderly during treatment of Tocilizumab and Thymalin] Adv Gerontol. 2022
- The Influence of KE and EW Dipeptides in the Composition of the Thymalin Drug on Gene Expression and Protein Synthesis Involved in the Pathogenesis of COVID-19 Int J Mol Sci. 2023
- [Treatment of secretory otitis media in children, depending on the stage of the process and on the background of the pathological conditions] Georgian Med News. 2019
- Drugs@FDA: FDA-Approved Drugs (search of approved applications) FDA Drugs@FDA / openFDA drug/drugsfda. 2026
- DailyMed label search (structured product labels) NLM DailyMed. 2026
- [Age-related characteristics of the thymus and adrenal cortex function in CBA mice immunized by T-dependent antigen] Fiziol Zh. 2005
- Peptides Regulating Proliferative Activity and Inflammatory Pathways in the Monocyte/Macrophage THP-1 Cell Line Int J Mol Sci. 2022
- Bulk Drug Substances Nominated for Use in Compounding Under Section 503A of the FD&C Act, updated May 14, 2026 FDA. 2026
- World Anti-Doping Code International Standard: Prohibited List 2026 WADA. 2026
- [HIV infection in servicemen (the work experience of a specialized hospital department)] Voen Med Zh. 1995
- [Effect of thymalin on immunologic reactivity of patients with non-specific lung diseases] Ter Arkh. 1989
- Peptides of pineal gland and thymus prolong human life Neuro Endocrinol Lett. 2003
Last reviewed October 23, 2026 by the Amiravo editorial team. Editorial policy · Report an error