PT-141

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Also known as: Bremelanotide, Vyleesi

An FDA-approved melanocortin agonist for hypoactive sexual desire disorder.

Overview

PT-141 is a synthetic peptide melanocortin receptor agonist developed from Melanotan II. Unlike PDE5 inhibitors, it works through the central nervous system to enhance sexual desire and arousal.

Mechanism of Action

Activates melanocortin receptors (MC3R and MC4R) in the hypothalamus, increasing sexual desire through central pathways. Works on desire/arousal rather than mechanical erectile function.

Pharmacokinetics

Peak effect 1-2 hours post-injection. Duration 24-72 hours. Half-life approximately 2.7 hours.

Dosing Protocols

Note: These are research protocols from literature. This is not medical advice.

1

As Needed

Dose

1.75 mg

Frequency

45 min before activity

Duration

As needed

Max 8 doses per month; 1 dose per 24 hours

Stacking Recommendations

Peptides that may be combined based on complementary mechanisms in research settings.

Rationale: Hormonal balance

Synergy: Central arousal plus HPG axis support

Research Areas

Hypoactive Sexual DesireErectile DysfunctionFemale Sexual Dysfunction

Key Research Findings

  • 1FDA-approved for premenopausal female HSDD (Vyleesi)
  • 2Effective in men unresponsive to PDE5 inhibitors
  • 3Works centrally on desire rather than peripherally
  • 4Significant improvement in satisfying sexual events

Side Effects & Contraindications

Reported Side Effects

  • Nausea (40%)
  • Flushing
  • Headache
  • Injection site reactions

Contraindications

  • Uncontrolled hypertension
  • Cardiovascular disease
  • Concurrent naltrexone

Safety Considerations

Common side effects include nausea and flushing. Contraindicated with uncontrolled hypertension. Limit to 8 doses monthly.

Storage Requirements

Store at room temperature. Protect from light.

Scientific References

Quick Reference

Sequence
Ac-Nle-cyclo[Asp-His-D-Phe-Arg-Trp-Lys]-OH
Molecular Weight
1025.2 g/mol
Half-Life
2.7 hours
Bioavailability
High (SC)
Research Stage
approved
Administration
Subcutaneous injection