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Rapamycin (Topical)

Sirolimus (Topical)

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Locally inhibits mTOR in skin to reduce signs of aging.

Topical rapamycin inhibits the mTOR pathway directly in skin cells, which is thought to reduce cellular senescence and promote collagen production. This local action aims to reverse or slow visible signs of skin aging, such as wrinkles and loss of volume, without the systemic side effects of oral rapamycin.

Verdict

Promising for skin aging, but long-term effects and safety are unproven.

HEALTHSPAN IMPACT

Experimental

RISK LEVEL

Low

EVIDENCE GRADE

B

MONTHLY COST

$50 - $150

Protocol

  • Apply a 0.001% to 0.1% concentration cream to the face or hands once daily or every other day.

Flags

  • Systemic absorption is low but not zero; potential for systemic effects is unknown long-term.
  • Common side effects include localized skin irritation, redness, or dryness.
  • Often requires a prescription from a compounding pharmacy, quality can vary.
  • Long-term effects on skin health and skin cancer risk are not well-studied.