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Bremelanotide

Also known as PT-141, Vyleesi

An injection that increases sexual desire. Approved in the US for women before menopause with low libido (Vyleesi).

Quick facts

Status
Approved medicine in the US
Evidence
Approved in the US (phase 3 trials)
Taken as
Injection under the skin before sexual activity
Common sizes
10 mg
Category
Sexual function

How it works

It acts on melanocortin receptors in the brain that are involved in sexual desire.

What it’s used for

  • Low sexual desire in pre-menopausal women (approved in the US)
  • Libido and erections in men (not approved)

What the research shows

Phase 3 trials showed a modest increase in desire.

Side effects & risks

  • Nausea — very common
  • Flushing and headache
  • A short rise in blood pressure
  • Darker skin patches with repeated use

Is it legal?

Approved in the US (FDA). Not approved in the EU or UK.

Storage & safe handling

  • Only use as prescribed and supervised by a doctor.
  • Store exactly as described in the patient leaflet.
  • Use a new sterile needle every time and dispose of it in a sharps container.
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Sources: FDA prescribing information for Vyleesi.
Last updated 12 October 2026. Information — not medical advice. PepTimer does not replace a doctor. Many peptides are not approved medicines in the EU, UK or US. Talk to a qualified healthcare provider before starting, changing or stopping any treatment.