Bremelanotide
FDA-approved melanocortin agonistEstablished
FDA-approved melanocortin agonist (Vyleesi) for acquired, generalized hypoactive sexual desire disorder in premenopausal women. 1.75 mg subcutaneous autoinjector as needed.
For research use only.
Key Facts
- CAS
- 189691-06-3
- Molecular Weight (MW)
- 1025.2 g/mol
- Half-life
- ~2.7 hours
- Unit
- mcg
- Administration Route
- Subcutaneous
- Frequency
- As needed, at least 45 minutes before sexual activity
- Last updated
- 8/23/2026
- Targets
- MC4RMC3R
Overview
FDA-approved melanocortin agonist (Vyleesi) for acquired, generalized hypoactive sexual desire disorder in premenopausal women. 1.75 mg subcutaneous autoinjector as needed.
Protocol
- Dosage Range
- 1.75 mg per dose
- Frequency
- As needed, at least 45 minutes before sexual activity
- Cycle
- Not applicable - on-demand use
- Administration Route
- Subcutaneous
- Reconstitution Guide
- Prefilled autoinjector - no reconstitution needed
Science
Mechanism of Action
Nonselective melanocortin receptor agonist (notably MC4R) that modulates central sexual-desire pathways rather than acting as a peripheral vasodilator like PDE5 inhibitors.
Targets
MC4RMC3R
Studies
- RECONNECT bremelanotide trialsโ Journal/year not available
Benefits
Labeled HSDD treatmentOn-demand subcutaneous use
Potential Side Effects
- Nausea
- Flushing
- Injection-site reactions
- Headache
- Transient blood-pressure rise
References
- FDA label โ VyleesiExternal link ยท Year โ
- PMID 31439293External link ยท Year โ