Mostly, 2 mg to 10 mg of rapamycin is taken, every week or every two weeks. Professor Michael Blagosklonny, an expert in rapamycin and longevity, even took a regimen of 20 mg of rapamycin every two weeks. Generally, the most often recommended rapamycin dose is between 2 and 8 mg once weekly or every two weeks.
Mostly, people take 5 to 7 mg weekly. Some experts recommend taking “rapamycin holidays”. For example, one takes rapamycin (bi)weekly for 3 months. And then takes a break of one month, during which one does not take any rapamycin, and then starts again a 3 month period. Other people take rapamycin for 3 months, and then take a 3-month break. As you can see, such dose regimens are considerably lower and different than when taken in an organ-transplant context, in which rapamycin is taken daily, sometimes 5 mg or more per day, and in combination with other very strong immunosuppressants. However, there have been longevity or health-focused studies in humans in which rapamycin is given continuously, demonstrating no serious side effects. In one study, a relatively low dose of 1 mg of rapamycin every day in elderly people (to improve immune function) didn’t lead to significant side effects and was shown to be safe.
In general, rapamycin has demonstrated to be a reasonably safe drug. Multiple clinical trials show that serious side effects are very low or non-existent. Some studies even show that side effects are higher in the placebo group than in the rapamycin treated group. In a failed suicide attempt one person took 103 tablets of 1 mg or rapamycin (so 103 mg in one go), with no significant side effects (only elevated cholesterol). However, when starting rapamycin treatment, it’s important to keep some things in mind, such as closely following specific blood biomarkers.