Peptide Guide + Calculator

Bremelanotide Reconstitution Calculator & Guide

PT-141 / Vyleesi

Bremelanotide, also known by the development code PT-141, is a melanocortin receptor agonist and the active ingredient in FDA-approved Vyleesi for a narrow hypoactive sexual desire disorder indication in premenopausal women. This guide separates that approved use from broader online claims and explains clinical evidence, safety context, and educational concentration math.

Evidence Snapshot

Bremelanotide research at a glance

Standardized regulatory and evidence context so research compounds, investigational drugs, and approved medications are not treated as if they have the same level of human evidence.

Reviewed Sep 7, 2026

Regulatory status

FDA-approved

What this status means

Development / evidence stage

Approved clinical use

Human evidence level

Regulatory-grade / large Phase 3

Phase 3 definition

Primary mechanism

Cyclic melanocortin receptor agonist used clinically as bremelanotide.

WADA context

No specific prohibition identified

Primary targets

Melanocortin receptors

What is a receptor?

Human intervention evidence

Two randomized Phase 3 RECONNECT trials enrolled more than 1,200 premenopausal women and supported FDA approval of Vyleesi for a narrow HSDD indication.

Human biology evidence

Human studies and the RECONNECT clinical program confirm central melanocortin activity relevant to sexual desire and arousal.

Variant matters

FDA-approved Vyleesi is a prefilled autoinjector, not a lyophilized vial. Research-market PT-141 vials are not equivalent to the approved product.

Key takeaway

Bremelanotide has regulatory-grade human evidence for a specific indication, but that approval should not be generalized to broad libido or performance claims.

Evidence labels describe the research base and regulatory context; they are not treatment, dosing, or use recommendations. Review dates describe the last BACToBasics source check for this evidence summary. Anti-doping rules can change and should be verified with the applicable authority.

Bremelanotide Reconstitution Calculator

Enter the vial amount, liquid volume, and amount you want to calculate. BACToBasics will automatically calculate concentration, liquid volume, and U-100 syringe-unit equivalents.

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Calculator values are educational math inputs only. They are not recommended preparation amounts, doses, or use protocols.

Bremelanotide Reconstitution Math

Reconstitution math starts with the amount contained in the vial and the liquid volume used in the calculation. Dividing the vial amount by the liquid volume gives the resulting concentration.

Example vial amount

10 mg

Liquid VolumeCalculationConcentration
1 mL10 mg ÷ 1 mL10 mg/mL
2 mL10 mg ÷ 2 mL5 mg/mL
3 mL10 mg ÷ 3 mL3.3333 mg/mL

This table demonstrates concentration math only. The liquid volumes shown are examples for comparison and are not preparation recommendations.

More Reconstitution Tools

Need to compare different liquid volumes or convert between mg, mcg, mL, and U-100 units? Use the dedicated BACToBasics calculator tools.

What is Bremelanotide / PT-141?

Bremelanotide is a synthetic cyclic peptide that activates melanocortin receptors. PT-141 was its development code, while Vyleesi is the FDA-approved brand name for bremelanotide injection.

What is Bremelanotide FDA-approved for?

Vyleesi is FDA-approved for acquired, generalized hypoactive sexual desire disorder in premenopausal women when low desire causes marked distress or interpersonal difficulty and is not explained by another condition, relationship problem, or medication. The FDA label specifically states that it is not indicated for postmenopausal women or men and is not indicated to enhance sexual performance.

What do Phase 3 trials show?

Two randomized, double-blind Phase 3 RECONNECT trials enrolled more than 1,200 women and found statistically significant improvements in sexual-desire scores and reductions in distress related to low desire compared with placebo. These trials support the approved HSDD indication; they do not establish a broad libido or sexual-performance indication for everyone.

How does Bremelanotide work?

Bremelanotide is a melanocortin receptor agonist. Its clinical effect is thought to involve central melanocortin pathways related to sexual desire and arousal rather than the nitric-oxide mechanism used by PDE5 inhibitors. Mechanism alone does not imply the same clinical benefit across sexes or conditions.

Important safety considerations

FDA labeling includes important cardiovascular and tolerability precautions. Bremelanotide can transiently increase blood pressure and reduce heart rate after administration, and Vyleesi is contraindicated in uncontrolled hypertension or known cardiovascular disease. Nausea, flushing, headache, and injection-site reactions are among the commonly reported adverse effects.

Vyleesi is not a reconstituted vial product

FDA-approved Vyleesi is supplied as a prefilled autoinjector rather than a lyophilized vial that the user reconstitutes. The BACToBasics calculator is therefore only generic educational concentration math for user-entered values and must not be treated as Vyleesi preparation or prescribing instructions.

Explore more about Bremelanotide

7 links

Comparisons, research records, development tracking, blends, and related guides are available here when you want to go deeper.

Bremelanotide FAQ

Tap a question to expand only the answer you want to read.

Is PT-141 the same as Bremelanotide?

Yes. PT-141 was the development code for bremelanotide. Vyleesi is the FDA-approved brand name.

Is Bremelanotide FDA-approved?

Yes, but only for a specific indication: acquired, generalized HSDD in premenopausal women who meet the labeled criteria.

Is Vyleesi approved for men?

No. FDA labeling states that Vyleesi is not indicated for treatment of HSDD in men.

Is Bremelanotide approved to enhance sexual performance?

No. The FDA label explicitly states that Vyleesi is not indicated to enhance sexual performance.

What are common Bremelanotide side effects?

Nausea is common, and flushing, headache, vomiting, and injection-site reactions have also been reported. The FDA label also includes blood-pressure and cardiovascular precautions.

Sources & References

3 sources

Open the references when you want to inspect the research and regulatory sources behind this guide.

1
U.S. FDA — Vyleesi Prescribing Information

Official labeling for indication, limitations of use, cardiovascular precautions, and adverse effects.

2
Kingsberg et al. — RECONNECT Phase 3 trials, Obstetrics & Gynecology 2019

Two randomized Phase 3 trials evaluating bremelanotide for HSDD in premenopausal women.

3
FDA GSRS — Bremelanotide acetate / PT-141 / Vyleesi

FDA substance record linking the development code PT-141 with bremelanotide and Vyleesi.

BACToBasics provides educational information and math tools only. This content is not medical advice, dosing advice, injection instruction, or a recommendation to use any peptide or medication.