Sexual Health

PT-141

Also known as: Bremelanotide, Vyleesi

FDA Approved
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Key Facts: PT-141

Category
Sexual Health
FDA Status
FDA Approved
Clinical Status
FDA Approved - HSDD in premenopausal women
Administration
Subcutaneous injection (autoinjector available)
Typical Dose
1.75 mg as needed
Frequency
As needed, at least 45 min before activity
Evidence Level
FDA Approved
Duration
As needed, at least 45 min before activity
Also Known As
Bremelanotide, Vyleesi

What to Expect

An FDA-approved melanocortin receptor agonist for treating hypoactive sexual desire disorder (HSDD) in premenopausal women. Derived from Melanotan II research.

Mechanism of Action

PT-141 activates melanocortin receptors, particularly MC4R in the central nervous system. Unlike PDE5 inhibitors that work on blood flow, PT-141 works through the brain's sexual arousal pathways, affecting desire and arousal centrally.

Research Summary

FDA approval based on trials showing significant improvement in desire and distress scores in women with HSDD. Also studied for male erectile dysfunction with positive results. Works through a novel mechanism compared to existing ED treatments.

Clinical Status:FDA Approved - HSDD in premenopausal women
Trial Progress:FDA Approved
Pre
I
II
III
IV
FDA

Dosing Information

FDA Approved·Human clinical trials completed, FDA approved

Typical Dosing

Community experience

Common Dose

1.75 mg as needed

Range

0.5-2 mg per dose

Frequency

As needed, at least 45 min before activity

FDA-approved dose is 1.75 mg. Not for daily use - max 8 doses per month. Can cause nausea and flushing.

Research Dosing

Scientific studies

FDA-approved dosing

Doses from Studies

1.75 mg (FDA approved for women)

FDA Approved Labeling - Prescribed dose

Research doses for men varied

FDA Approved Labeling - Prescribed dose

Duration

As needed, at least 45 min before activity

Administration

Subcutaneous injection (autoinjector available)

Timing & Administration

Best Time to Take

1-2 hours before sexual activity

As needed, max once per 24 hours

Food Recommendation

With or without food

Why This Timing?

PT-141 (Bremelanotide) takes 45-60 minutes to work. Timing before anticipated activity is optimal.

Possible Side Effects

Not everyone experiences these effects. Individual responses vary based on dosage, duration, and personal factors.

  • Nausea (40% - most common)
  • Facial flushing (20%)
  • Injection site reactions
  • Headache
  • Transient blood pressure increase
  • Skin hyperpigmentation with frequent use
  • Vomiting
  • Fatigue
  • FDA approved (Vyleesi) for HSDD in women

References

Related Peptides

Peptides commonly compared with PT-141 or used in similar applications.

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Educational Information Only

This information is provided for educational purposes only and is not intended as medical advice. Always consult with qualified healthcare providers before making any decisions about peptides or other substances. The protocols listed reflect doses observed in research studies, not recommendations.