PT-141
Bremelanotide (Vyleesi)
Sexual desire for both women and men
About
A melanocortin receptor agonist that acts on the brain to increase sexual desire — not the vascular system (unlike Viagra). FDA approved 2019.
Mechanism
Activates MC3R and MC4R receptors in the dopamine pathways of the brain that govern libido and arousal.
Dosage
Draw to 22.5 units on a U-100 insulin syringe
10 mg · 3 mL BAC
When to take: 45 min - 4 hours before sex. Not on an empty stomach (worst nausea).
Reconstitution
Vial size (mg): 10 mg · BAC water (mL): 3 mL · Concentration: 3.33 mg/mL
Store refrigerated after reconstitution.
Benefits
- Increases sexual desire (both sexes)
- Helps with ED when PDE5 inhibitors do not work
- Acts on the brain, not the vasculature
- No need for visual stimulation
Side effects
- Nausea (very common, 40%+)
- Facial flushing
- Transient blood pressure increase
- Headache
- Skin darkening with repeated use (rare)
Gender notes
Cautions
- Hypertension (uncontrolled)
- Cardiovascular disease
- Pregnancy
Research
- RECONNECT studies: Bremelanotide for HSDD
Obstetrics & Gynecology · 2019
Phase 3 RCT, 1247 women. Significant increase in sexual desire vs placebo.
- Rosen RC et al: PT-141 safety and pharmacokinetics
International Journal of Impotence Research · 2004
Early study of PT-141 in men with ED.