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PT-141, also known as Bremelanotide, is a synthetic peptide that acts as a melanocortin receptor agonist. It was initially developed as a tanning agent but was later found to have significant effects on sexual arousal and dysfunction. Unlike PDE5 inhibitors like Viagra or Cialis, PT-141 works through the central nervous system (CNS) rather than directly affecting blood flow.
PT-141 primarily targets melanocortin receptors (MC3R and MC4R) in the brain, which are involved in sexual arousal. By stimulating these receptors, it enhances libido and sexual response independently of nitric oxide pathways, making it effective even for individuals who do not respond to PDE5 inhibitors.
Treatment of Sexual Dysfunction
Potential Performance Enhancement
Possible Other Uses (Under Research)
Feature | PT-141 (Bremelanotide) | PDE5 Inhibitors (Viagra, Cialis) |
---|---|---|
Mode of Action | Central nervous system | Peripheral vascular (blood flow) |
Effect on Libido | Direct increase in desire | No effect on libido itself |
Onset Time | 30-60 minutes | 30-60 minutes (Viagra), 15-30 mins (Cialis) |
Duration | 6-12 hours (sometimes longer) | 4-36 hours (Cialis longest) |
Administration | Injection | Oral tablet |
Use for Women | Yes, FDA-approved for HSDD | Not approved |
References
iamond, L. E., Earle, D. C., Garcia, W. D., & Spana, C. (2006). Bremelanotide: An overview of preclinical and clinical data. Journal of Sexual Medicine, 3(5), 716-726.
Kingsberg, S. A., Clayton, A. H., Pfaus, J. G., & Simon, J. A. (2019). Bremelanotide for the treatment of hypoactive sexual desire disorder in premenopausal women. Obstetrics & Gynecology, 134(4), 753-765.
Safarinejad, M. R. (2008). Evaluation of the efficacy, safety, and characterization of intranasal bremelanotide in the treatment of erectile dysfunction: A prospective, randomized, double-blind, placebo-controlled, parallel-group trial.Journal of Sexual Medicine, 5(4), 866-873.