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
Duration
As needed, at least 45 min before activity
Also Known As
Bremelanotide, Vyleesi

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 approved June 2019 for women with HSDD based on trials with 1,247 subjects. 2024 male observational study (21 men) showed efficacy for ED and sexual dysfunction, particularly in those who failed PDE5 inhibitors. Phase II male trials ongoing with Phase III planned for 2025. Works through central nervous system pathways rather than peripheral vascular mechanisms.

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

Research This Peptide Further

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PT-141 from $74/kit

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Frequently Asked Questions

What does PT-141 do?

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

How does PT-141 work?

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.

Is PT-141 FDA approved?

Yes, PT-141 is FDA approved. FDA Approved - HSDD in premenopausal women

What are the side effects of PT-141?

Reported side effects include: Nausea (40% - most common), Facial flushing (20%), Injection site reactions, Headache, Transient blood pressure increase. Individual responses vary based on dosage, duration, and personal health factors.

What is the typical dose of PT-141?

Community-reported common dose: 1.75 mg as needed (As needed, at least 45 min before activity). Range: 0.5-2 mg per dose. Administration: Subcutaneous injection (autoinjector available). Community-reported doses. Not medical advice. Consult healthcare provider.

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