CalcMyPeptide
Sexual HealthAlso known as: Vyleesi, PT-141, bremelanotide acetate

Bremelanotide

FDA-approved MC4R agonist (Vyleesi) for hypoactive sexual desire disorder (HSDD) in premenopausal women. Derived from Melanotan II but redesigned for sexual function with reduced tanning.

Half-Life
~2.7 hours
Dose Range
1.75 mg (FDA approved dose)
Frequency
As needed (≥45 min before activity, max 1×/24 hours, ≤8×/month)
Vial Sizes
10 mg

Mechanism of Action

Melanocortin-4 receptor agonist that activates central arousal pathways in the hypothalamus and limbic system. Unlike PDE5 inhibitors, works through the CNS rather than peripheral blood flow. Produces dose-dependent nausea mediated by area postrema MC4R.

Source: PMID: 31298622 (RECONNECT Phase 3)

Dosing Protocol

Typical Dose1.75 mg (FDA approved dose)
FrequencyAs needed (≥45 min before activity, max 1×/24 hours, ≤8×/month)
Half-Life~2.7 hours
Common Vial Sizes10 mg

Reconstitution Example

Vial
10 mg
Water
2 mL
Concentration
5 mg/mL
Per Unit (100u syringe)
50 mcg
Dose of 500 mcg = 10 units on a 100-unit insulin syringe

Dosing Quick Reference

Bremelanotide— Dosing Guide
Dose Range
1.75 mg (FDA approved dose)
Half-Life
~2.7 hours
Frequency
As needed (≥45 min before activity, max 1×/24 hours, ≤8×/month)
Route
Subcutaneous
10 mg vial
💧 2 mL BAC water📐 5 mg/mL concentration💉 50 mcg/unit (100u syringe)
Sexual Healthcalcmypeptide.com

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