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PT-141 (Bremelanotide) is a melanocortin receptor agonist studied for sexual dysfunction. Works centrally in the brain rather than peripherally like PDE-5 inhibitors. Marketed as Vyleesi for premenopausal women with HSDD.
Summary: Activates melanocortin receptors in the central nervous system to enhance neural pathways involved in sexual desire and arousal. Mechanisms (reported/proposed across domains): Sexual function / libido • Activates MC3R and MC4R receptors in the hypothalamus and limbic system, areas involved in sexual desire, arousal, and motivation. • Works directly on brain pathways to enhance sexual...
FDA Approved
Dose: 1–2 mg · Route: Subcutaneous (SC) · Intranasal · Frequency: As needed (max 8×/month) · Duration: Ongoing as needed