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Bremelanotide

Melanocortin receptor agonist

Also known as: PT-141, Vyleesi

Tier 1, Approved, characterised

Approved by at least one major regulator for a defined indication, with published human pharmacokinetics and a prescribing label. Well-characterised does not mean risk-free, read the label warnings.

Half-life
2.70 hours · human data · subcutaneous

Mean terminal half-life ~2.7 h (range 1.9-4.0 h) after a single subcutaneous dose. Clearance 6.5 L/hr; volume of distribution 25 L; 21% serum protein bound.

Model a dosing schedule →
Dosing
1750 mcg

Label dose is a single 1.75 mg subcutaneous injection as needed, at least 45 minutes before anticipated activity.

Frequency
As needed; label limits to one dose per 24 hours and no more than 8 doses per month.
Timing
At least 45 minutes before anticipated sexual activity.
Regulatory status
FDA approved for hypoactive sexual desire disorder in premenopausal women.
Evidence base
human clinical · confidence: high
Storage

Reconstituted: Commercial autoinjector: store at room temperature per label.

Safety

Contraindicated in uncontrolled hypertension or known cardiovascular disease, causes transient blood pressure increases and heart rate decreases after each dose. Common: nausea (often severe enough to stop treatment), flushing, injection-site reactions, headache, vomiting. May cause focal hyperpigmentation, more likely with daily dosing, which is why the label caps frequency. Can slow gastric emptying and reduce absorption of oral medications.