BremelanotidePT-141
An FDA-approved melanocortin agonist for hypoactive sexual desire.
Identity
- Class
- Cyclic heptapeptide melanocortin agonist (α-MSH analog)
- Source
- Synthetic melanocortin-receptor agonist
- Receptor
- Melanocortin receptors (MC4R, with MC1R activity)
Key properties
Molecular weight
~1,025.2 Da
Approximate values for the native hormone. Engineered analogs are often deliberately larger and far longer-acting.
Mechanism
Bremelanotide is a cyclic analog of α-MSH that activates central melanocortin receptors — principally MC4R — to engage sexual-desire pathways in the brain, a mechanism distinct from the vascular route of PDE5 inhibitors. It is dosed on demand and was approved for premenopausal hypoactive sexual desire disorder.
Reference notes
- FDA-approved (2019, as Vyleesi) for premenopausal hypoactive sexual desire disorder.
- It acts centrally through MC4R rather than on vascular tissue — a different mechanism from erectile-focused PDE5 inhibitors.
- It derives from the earlier melanotan II line, optimized away from that predecessor's pigmentation-heavy profile.
Selected literature
Curated peer-reviewed reviews, sourced from PubMed. Selected for relevance, not exhaustive — open any entry on PubMed for the full record and its primary citations.
- 1.Bremelanotide: First Approval · Drugs, 2019 · PMID 31429064
- 2.Bremelanotide for Treatment of Female Hypoactive Sexual Desire · Neurology international, 2022 · PMID 35076581
- 3.Bremelanotide: New Drug Approved for Treating Hypoactive Sexual Desire Disorder · The Annals of pharmacotherapy, 2020 · PMID 31893927