PT141

PT-141 (Bremelanotide)

Sexual Health Sexual Health FDA-approved

Metabolite of Melanotan II developed specifically for sexual dysfunction. FDA approved as Vyleesi for acquired, generalized hypoactive sexual desire disorder in premenopausal women; this approval does not extend to Melanotan II.

Regulatory status (as of Sept 2026)

Approved prescription product (Vyleesi) for premenopausal women with acquired, generalized HSDD. Use in men or postmenopausal women is off-label. Not a 503A compounding-list item addressed by the April 2026 removals or the July 2026 PCAC votes.

See the FDA peptide regulatory tracker · Read our July 27, 2026 dispatch on the FDA PCAC peptide vote
Educational summary. Every effect described below is drawn from the cited published research and describes what was observed in research subjects — not a promise of results, a dose recommendation, or an endorsement for human use. Many peptides are not FDA-approved. Consult a licensed healthcare provider before making any health decision. Full disclaimer.

1 studies referenced · Last reviewed Oct 1, 2026 · Reviewed by The Peptide Dispatch Editorial Team · How we research & label content

TL;DR — PT-141 (Bremelanotide) at a Glance

PT-141 (Bremelanotide) is an FDA-approved prescription drug. Metabolite of Melanotan II developed specifically for sexual dysfunction.

Half-lifeNot established in published research
How it's given in studiesSubcutaneous injection
Research stageFDA-approved
Dosing
Published research: 1.75 mg subcutaneously as needed in premenopausal women with hypoactive sexual desire disorder (RECONNECT…
details1.75 mg subcutaneously as needed in premenopausal women with hypoactive sexual desire disorder (RECONNECT phase 3 programme, two trials plus a 52-week open-label extension with 684 participants)
Community-reportedCommunity-reported: 1.75 mg as needed, subcutaneous injection

Published-research dosing is what was given in the cited studies (species and units as reported). Community-reported dosing is what users describe, not from clinical studies. Neither is a recommendation. Not medical advice.

Where each point comes from: Clinicalhuman trials and FDA labels   Lab / animalrodent, cell and ex vivo studies   Community-reporteduser experience and commonly used protocols, not from clinical studies

How It Works

In plain terms: It switches on melanocortin receptors; how this improves low sexual desire in women is not known. Per the FDA label (Vyleesi): a melanocortin receptor agonist that nonselectively activates several receptor subtypes (potency order MC1R, MC4R, MC3R, MC5R, MC2R); at therapeutic doses, binding to MC1R and MC4R is most relevant. The mechanism by which it improves hypoactive sexual desire disorder in women is unknown. MC1R binding on melanocytes leads to increased pigmentation.

Effects Reported in Research

How to read this: Each item below is an effect observed in research subjects in the cited studies — think of Dexter, our stand-in research subject. These are findings from the literature, not results you should expect, and not medical advice.

  • ClinicalIn phase 3 trials (RECONNECT) and a 52-week open-label extension: studied for hypoactive sexual desire disorder in premenopausal women (Simon 2019)
  • ClinicalStudied and approved in premenopausal women; male data are limited
  • Clinical (FDA label)In clinical use (FDA label): a melanocortin receptor agonist; the mechanism by which it improves HSDD is unknown
  • ClinicalFDA approved (premenopausal women with hypoactive sexual desire disorder)

What Users Report (Community, Not Clinical)

Commonly reported protocol

Community-reportedUsers have reported 1.75 mg as needed (subcutaneous injection). This is not a recommendation.

Community reports are anecdotal, vary widely in product quality and purity, and are not medical advice. Talk to a licensed provider.

Side Effects and Safety Notes

  • ClinicalIn the 52-week open-label extension, drug-related treatment-emergent adverse events were nausea (40.4%), flushing (20.6%) and headache (12.0%); nausea was the only severe event experienced by more than one participant
  • Transient increases in blood pressure with decreases in heart rate
  • Injection-site reactions
  • Focal hyperpigmentation with repeated dosing

References

  1. Long-Term Safety and Efficacy of Bremelanotide for Hypoactive Sexual Desire Disorder
    Simon JA, Kingsberg SA, Portman D, Williams LA, Krop J, Jordan R et al. Obstetrics and gynecology. 2019. PMID: 31599847.
    Study type: 52-week open-label extension of two phase 3 RCTs (RECONNECT), 684 enrolled.
    DOI: 10.1097/AOG.0000000000003514 · PubMed

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How PT-141 (Bremelanotide) Compares

PeptideHalf-LifeRouteResearch Status
PT-141 (Bremelanotide)No published PK data foundSubcutaneous injectionFDA-approved
GonadorelinNo published PK data foundSubcutaneous injectionDiscontinued
Kisspeptin-10Kisspeptin-10: ~4 min (mice, IV/systemic); ~28 min (27.6 ± 1.1) is kisspeptin-54 in human males (IV infusion)Subcutaneous or IV injectionPhase 1 / early human
TriptorelinGeometric mean terminal half-life 2.8 h in healthy males after a 0.5 mg IV bolus; 6.6-7.7 h in males with renal or hepatic impairment (three-compartment model)Intramuscular injectionFDA-approved

Values reflect figures reported in published research. Compare any peptides side-by-side →

Frequently Asked Questions

What is PT-141 (Bremelanotide)?
Metabolite of Melanotan II developed specifically for sexual dysfunction. FDA approved as Vyleesi for acquired, generalized hypoactive sexual desire disorder in premenopausal women; this approval does not extend to Melanotan II.
How does PT-141 (Bremelanotide) work?
In plain terms: It switches on melanocortin receptors; how this improves low sexual desire in women is not known. Per the FDA label (Vyleesi): a melanocortin receptor agonist that nonselectively activates several receptor subtypes (potency order MC1R, MC4R, MC3R, MC5R, MC2R); at therapeutic doses, binding to MC1R and MC4R is most relevant. The mechanism by which it improves hypoactive sexual desire disorder in women is unknown. MC1R binding on melanocytes leads to increased pigmentation.
What is the research status of PT-141 (Bremelanotide)?
PT-141 (Bremelanotide) is at the following stage in the published literature: FDA-approved. All information is for research and educational purposes only.
What is the half-life of PT-141 (Bremelanotide)?
Reported half-life: No published PK data found.
How is PT-141 (Bremelanotide) administered in research?
Reported administration route in the literature: Subcutaneous injection. This is not a recommendation for human use.

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Sources & Methodology

Dosing, half-life figures, and mechanism descriptions on this page are compiled from peer-reviewed published research, with the species and study type stated where reported. Figures labeled “Dosing used in published research” describe what was given in those studies and do not constitute dosing recommendations for any human use. Each cited paper is listed with DOI and PubMed links in the References section above. Found an error? Contact us.

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