# Nesiritide (Natrecor) > Recombinant BNP for acute decompensated heart failure. Source: https://peptides.cafe/peptide/nesiritide Category: Natriuretic Peptide · Cardiology Tag: FDA-Approved · Cardiology ## Mechanism Recombinant human B-type natriuretic peptide that binds natriuretic peptide receptors to cause vasodilation, natriuresis, and reduction of preload/afterload in decompensated heart failure. ## Research areas - Acute decompensated heart failure ## Common research protocols - Infusion: 2 mcg/kg IV bolus + 0.01 mcg/kg/min infusion. ## Study summaries - "ASCEND-HF trial" — NEJM (2011): Modest dyspnea improvement; no mortality benefit. ## Considerations - FDA-approved. - Hypotension common; renal monitoring needed. ## Disclaimer Educational content only. Not medical advice, diagnosis, or treatment. Most research peptides are not FDA-approved for human therapeutic use. Consult a licensed clinician before any use.