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Attribute
CategorySexual health
Evidence gradeStrong
Also known asBremelanotide, Vyleesi
MechanismSelectively activates MC4R in the hypothalamus, increasing dopaminergic signalling in the medial preoptic area — driving desire itself rather than blood flow, unlike PDE5 inhibitors.
Key benefitsIncreased sexual desire in both sexes · Works independently of vascular function · Effective as an on-demand dose
Side effectsNausea and vomiting · Flushing · Headache · Transient blood-pressure increase
Half-lifeAbout 2.7 hours
AdministrationSubcutaneous auto-injector, 45 minutes before activity
Dosing overview1.75 mg as needed, maximum one dose per 24 hours
StorageRoom temperature for the approved auto-injector
Legal statusFDA-approved (Vyleesi) for premenopausal HSDD; other uses are off-label.

Dosing figures reflect published literature and commonly reported community protocols. They are informational only.