PT - 141 (Bremelanotide) for Improved Sex Drive (Libido) and Erections

• Bremelanotide (PT 141) is a synthetic melanocortin compound
• It is a ‘melanocortin receptor agonist’- activates melanocortin receptors in the body
• ‘Melanocortins’ refer to a group of peptide hormones derived in the pituitary gland
• Several melanocortins have been identified, each producing different effects
• Researchers have investigated multiple synthetic melanocortin compounds for different uses including:
– Aphrodisiac drug; tanning agent; anti-obesity
– Studied for effects on mood and cognition
-Used to treat sexual dysfunction or used to improve sexual performance in healthy patients
• Produces multiple effects that influence sexual response including a noticeable increase in desire, increased libido, increase in physical response, vaginal vasocongestion (women), and erection (men)

SIDE EFFECTS:

• Nausea
• Hypertension
• Flushing
• Priapism (men)
• Injection site reactions
• Headache
• <4% reported in Vyleesi trials

PHARMACEUTICAL PRODUCT APPROVED IN THE US FOR WOMEN:

• Commercially available as Vyleesi™
– Specific indication
– One time use injection pen with two dose options
– >$2000 retail price for four (4) doses
– Not covered by insurance for off-label uses
– Only commercial product in the US that contains bremelanotide

OFF-LABEL USES:

• Hypoactive sexual desire disorder (HSDD) in premenopausal women
• Sexual dysfunction in men
• Erectile dysfunction
• Premature ejaculation
• Low libido; underactive sex drive
• Lack of desire
• Low response to sexual stimulation; anorgasmia

COMBINATION THERAPY:


• Some doctors prescribe a combination of two or more treatments to effectively treat the complex issues that result in sexual dysfunction
• Bremelanotide + Sildenafil has been shown to enhance erectile response in some patients
• Men with low testosterone + sexual dysfunction are often given TRT

COMPLEMENTARY PRODUCTS USED WITH PT 141

• Sildenafil (capsules, ODTs, troches)
• Tadalafil (capsules, ODT, troches)
• Vardenafil (capsules, ODT, troches)
• Bimix, Trimix, or Quadmix (+ Supers)
• Testosterone (cream, injectable, pellets, nasal gel)
• Arousal Cream
• Oxytocin (nasal spray or troches)
• Premature ejaculation (PE) medications

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I get results from PT-141, but I never know what or, more difficult to manage, when.

Took the shot yesterday at 4pm. At T+2½ hours I had a raging boner that lasted about an hour. The timing wasn't good so it more or less went away until it was time for sex at T+5 hours. Then with some stimulation the erection came back quite strong. The erection started strong through intercourse and sensitivity was enough to allow a pretty easy orgasm.

Then at T+9 hours, the almost painful erection came back. It was strong enough and long-lasting enough that I began to worry about priapism. I have had success using an ice pack to relieve the strain but I'm in a hotel so I resorted to dipping my dick in a glass of ice water. That worked but I had to repeat about ½ hour later. (FYI, I also keep with me a shot of phenylephrine if cold therapy doesn't work, but I have yet to need that, or heaven forbid, go to the ER.) Later, I told my wife that I came close to waking her up for a medically necessary blowjob - she was not amused, but I wasn't kidding.

I can see the PT-141 working for me but I really need to figure out the timing. If like to hear how others using PT-141 are handling the timing. The wife is "one-and-done" so taking advantage of multiple opportunities is not a possibility, even if I could climax with such a short refractory period.
I would start by dropping your dose slightly. There are numerous reports that sleep tends to "activate" the affect so keep that in mind as well.
 
I get results from PT-141, but I never know what or, more difficult to manage, when.

Took the shot yesterday at 4pm. At T+2½ hours I had a raging boner that lasted about an hour. The timing wasn't good so it more or less went away until it was time for sex at T+5 hours. Then with some stimulation the erection came back quite strong. The erection started strong through intercourse and sensitivity was enough to allow a pretty easy orgasm.

Then at T+9 hours, the almost painful erection came back. It was strong enough and long-lasting enough that I began to worry about priapism. I have had success using an ice pack to relieve the strain but I'm in a hotel so I resorted to dipping my dick in a glass of ice water. That worked but I had to repeat about ½ hour later. (FYI, I also keep with me a shot of phenylephrine if cold therapy doesn't work, but I have yet to need that, or heaven forbid, go to the ER.) Later, I told my wife that I came close to waking her up for a medically necessary blowjob - she was not amused, but I wasn't kidding.

I can see the PT-141 working for me but I really need to figure out the timing. If like to hear how others using PT-141 are handling the timing. The wife is "one-and-done" so taking advantage of multiple opportunities is not a possibility, even if I could climax with such a short refractory period.
From similar accounts of unpredictability of PT-141, it does lead to trepidation. Your wife sounds like mine...when we had a sex life. Perhaps the issue isn't the drug's window of efficacy but more of having a spouse or partner who's up to spontaneous sexual activity. Sex 'should' be enjoyable, not like planning a long, exhausting trip, LOL!
 
I have tried PT141 with slight side effects. Just a little queasy feeling but not bad or bothersome. However I only got a small boost in libido using 1-2 mg subq. Don't think it is worth the money for me.
 
I have tried PT141 with slight side effects. Just a little queasy feeling but not bad or bothersome. However I only got a small boost in libido using 1-2 mg subq. Don't think it is worth the money for me.
Likewise, I get a mild discomfort but nothing that is a deterrent from taking it so my experiments go on. As long as there is no significant downside, I can keep trying different variations and try to get a handle on the timing.
 
 

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