Short answer: Both are six-amino-acid peptides that act on the ghrelin receptor and trigger growth hormone release.1 GHRP-6 was the first studied widely in people; GHRP-2 came later and was developed in Japan as a diagnostic test for GH deficiency.12 Neither is FDA approved, and FDA lists both as compounding safety risks.3 No study has compared them directly.
| GHRP-2 (pralmorelin) | GHRP-6 | |
|---|---|---|
| What it is | Synthetic hexapeptide, described as a super-analog of GHRP-64 | Synthetic hexapeptide (His-D-Trp-Ala-Trp-D-Phe-Lys-NH2)5 |
| Medical use | Developed as a diagnostic agent for GH deficiency in Japan; used as the GHRP-2 test in Japanese clinical studies26 | Studied as a one-off GH test given into a vein7 |
| US status | Not approved. FDA 503B Category 2 since September 29, 2023 (injectable and nasal)3 | Not approved. FDA 503B Category 2 since September 29, 20233 |
| Half-life | No published human figure in the sources we checked | About 2.5 hours after a single IV dose in nine healthy men5 |
| Appetite | 7 healthy men ate 35.9% more at a buffet during an infusion under the skin vs saline8 | Not measured in the human studies cited here |
| Cortisol and prolactin | Raised prolactin, ACTH and cortisol slightly in healthy adults4 | FDA cites possible effects on cortisol and blood sugar3 |
| Repeated dosing | 100 mcg under the skin daily for 5 days: GH response fell from day 1 to day 5 and IGF-1 did not rise9 | No repeated-dose human study in the sources we checked |
| Sport | WADA S2.2.4 (named)10 | WADA S2.2.4 (named)10 |
GHRP-6 was the first growth hormone releasing peptide to be studied widely in people. GHRP-2 and hexarelin came later as six-amino-acid relatives, and all of them act on the receptor now known as the ghrelin receptor.1 A 1997 review notes that their GH release is strong after IV, under-the-skin, nasal and even oral dosing, and that it weakens partly with repeated use, more with continuous infusion than with intermittent doses.1
No study has compared the two directly. These are study protocols, not personalized advice; confirm any dosing with your prescriber.
FDA placed both in Category 2 for outsourcing facilities on September 29, 2023. For GHRP-2 it cites immune-reaction risk and reports of rising insulin needs, deaths of critically ill study subjects, infection and pancreatitis, though causality was not established. For GHRP-6 it cites limited safety data and possible effects on cortisol and blood sugar.3
More detail: the GHRP-2 and GHRP-6 guides.