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Healing & Recovery
Phase 3

PT-141 (Bremelanotide)

PT-141 (Bremelanotide)

Also known as: Bremelanotide, Vyleesi, PT141

Overview

Key Facts

Primary Goal: Research and therapeutic applications of PT-141 (Bremelanotide)

Agonizes melanocortin-4 receptors (MC4R) in the hypothalamus and limbic system to modulate sexual arousal pathways. Activates central dopaminergic and oxytocinergic signaling involved in sexual motivation.

Dosing Information

Half-Life

~2.7 hours

Typical Dose

500–1750 mcg

Frequency

as needed, at least 45 minutes before anticipated activity

Cycle Length

As needed (no more than once per 24 hours, max 8 doses per month per FDA labeling)

Administration Routes:
subcutaneous

Benefits

  • FDA-approved for hypoactive sexual desire disorder in premenopausal women
  • Acts centrally to enhance sexual desire and arousal
  • Effective in both men and women in research settings
  • Does not require daily dosing
  • Works through a unique non-vascular mechanism

Side Effects

Nausea (most common, reported in ~40% of patients)mild
Flushing and facial rednessmild
Headachemild
Injection site reactionsmild
Transient increases in blood pressuremild
Skin hyperpigmentation with repeated usemild

Mechanism of Action

1

Agonizes melanocortin-4 receptors (MC4R) in the hypothalamus and limbic system to modulate sexual arousal pathways

2

Activates central dopaminergic and oxytocinergic signaling involved in sexual motivation

3

Does not act on peripheral vasculature like PDE5 inhibitors, instead targeting central nervous system desire pathways

Contraindications

Do not use this peptide if any of the following apply:

  • Uncontrolled hypertension or significant cardiovascular disease
  • Concurrent use with naltrexone (opioid antagonist)
  • Pregnancy or breastfeeding
  • Known hypersensitivity to bremelanotide

Storage & Reconstitution

Unreconstituted (Powder)

Temperature2–8°C (36–46°F)
DurationUp to 3 months

Reconstituted (Mixed)

Temperature2–8°C (36–46°F)
Duration2-4 weeks

Research Summary

Phase 3

Bremelanotide was approved by the FDA in June 2019 under the brand name Vyleesi for HSDD in premenopausal women, following two Phase III RECONNECT trials. These studies showed statistically significant improvements in sexual desire and reductions in distress compared to placebo. Earlier Phase II research in men also demonstrated pro-erectile effects, though development focused on the female indication. It remains the only FDA-approved on-demand treatment for HSDD.

Frequently Asked Questions

Common questions about PT-141 (Bremelanotide)

UK-Specific Information

Exclusive data points and guidance for UK residents using PT-141 (Bremelanotide)

UK Lab Testing

UK Lab Testing

Recommended labs: Medichecks, Thriva (£89-£149 for peptide safety panel)

Why this matters: UK-specific lab testing guidance not available on US competitor sites

Commonly Stacked With

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