PT-141 dose range

The amounts people commonly use, from the low end to the high end, with syringe units, schedule and half-life. The 7 published studies are one click away.

Human trials Melanocortin Also called Bremelanotide

Common use ranges

Mostly from the official drug label or its main trials, plus clinic protocols. Label sets 1.75 mg. One clinic source gives the 0.5 to 2 mg ladder.

Half-life
about 2.7 hours (range 1.9 to 4.0 hours)
How it is taken
subcutaneous injection
How long people use it
No cycle. Used as needed, up to 8 times a month.
Mixing used for the units
10 mg vial + 2 mL water. 1 unit on a U-100 insulin syringe = 50 mcg.
Total amount per day, by tier
Starting500 mcg / dayTypical1.25 mg / dayLabel dose1.75 mg / dayHigher2 mg / day
TierEach doseSyringe units10 mg vial + 2 mL waterHow oftenScheduleVial lastsat this tier
Starting [1]500 mcg10 units 0.10 mLonce a dayAs needed, a test dose to check nausea. No more than 1 a day.20 days
Typical [2]1.25 mg25 units 0.25 mLonce a dayAs needed, 45 to 60 minutes before. No more than 1 a day.8 days
Label dose [3]1.75 mg35 units 0.35 mLonce a dayAs needed, at least 45 minutes before. Max 1 in 24 hours, max 8 a month.5 days
Higher [4]2 mg40 units 0.40 mLonce a dayAs needed, mostly men in clinic use. No more than 1 a day.5 days

Good to know

  • Use as needed, at least 45 minutes before.
  • Nausea hit 40 percent in the label trials. It got better for most by the second dose.
  • Blood pressure rises for a few hours after each dose. Not for uncontrolled high blood pressure.
  • Dark skin patches can show up with frequent use.
  • Clinics step up 0.5, then 1.25, then 1.75 or 2 mg.
  • Brand pen is 1.75 mg. Compounded or research vials are usually 10 mg.

Sources for these amounts

  1. Starting: FormBlends, PT-141 dosage protocols
  2. Typical: FormBlends, PT-141 dosage protocols
  3. Label dose: Vyleesi prescribing information (FDA, 2019) ยท FormBlends, PT-141 dosage protocols
  4. Higher: FormBlends, PT-141 dosage protocols

How long people use it: Vyleesi prescribing information (FDA, 2019)

Half-life: Vyleesi (bremelanotide) FDA label, section 12.3

This page shows what labels, clinics and users report, and what studies gave. It is not medical advice and not a recommendation for anyone. Many of these compounds are not approved for human use. Check your own medicines and lab work with a licensed clinician before using anything.

See the science: 7 published studies

Amounts given to people in studies

Lowest0.75 mg, as needed
Most used1.75 mg, as needed
Highest20 mg nasal spray, single dose (safety study)

How it was given: Under the skin (SC). Early trials used a nasal spray.

Amounts given to animals in studies

Lowest50 mcg/kg (rat)
Most used100 mcg/kg (rat)
Highest200 mcg/kg (rat)

Every study used for this page

Proof grade: Human trials. Tested in randomized human trials. Amounts are quoted as each study reported them. Where the abstract does not state an amount, the row says so.

StudyWho was studiedAmount given, as reportedRouteHow oftenHow longWhat the authors reported
PMID 152265022004Rat, ovariectomized Long-Evans females (about 140 females total across tests)50, 100, 200 mcg/kg (PMC full text, read via PMC page)SCSingle dose 5 min before each testSingle-session behavior testsSelectively raised solicitation behavior. Rat body weight not stated, assumed ~0.25 kg
PMID 149634712004Human, healthy men and ED patients (n not in abstract)Not stated in the abstractIntranasalSingle doseSingle doseErections about 30 min after dose, flushing and nausea common
PMID 158335222005Human, ED, crossover (n=19)7.5 mg PT-141 plus 25 mg sildenafilIntranasalSingle doseSingle dose per armPT-141 plus sildenafil gave greater erectile response than sildenafil alone
PMID 182069192008Human, ED non-responders to sildenafil (n=342)10 mg intranasal vs placeboIntranasal45 min to 2 h before sexual activity, at least 16 attemptsNot in abstractPositive response 33.5% vs 8.5%
PMID 281893612017Human, healthy (n=24, 12 men and 12 women)20 mg single doses on days 1, 4, 7, with or without ethanol 0.6 g/kgIntranasal3 single doses7 daysSafe with alcohol. Abstract says 20 mg intranasal has exposure about 1 to 2 times the SC phase 3 dose
PMID 271817902016Human, premenopausal women, phase 2b (efficacy n=327)0.75, 1.25, 1.75 mg vs placeboSC (self-injected)As desired12 weeks1.25/1.75 pooled beat placebo: +0.7 vs +0.2 satisfying events per month
PMID 315998402019Human, premenopausal women with HSDD, two phase 3 trials, RECONNECT (n=1267 randomized)1.75 mg vs placeboSCAs needed24 weeksDesire score +0.35, distress -0.33 vs placebo (integrated)

How to read the study numbers

  • One study, one group. Each figure is what one team chose for its own participants or animals.
  • Route matters. An amount given into a vein (IV) is not the same as the same amount under the skin, in the nose or by mouth.
  • Animals are not small people. An animal amount is shown as the study gave it. It is not a human amount.
  • Short studies. Many studies ran days or weeks. They do not show what happens over longer use.

Common questions

What amounts of PT-141 were used in human studies?

In the studies listed here, people were given from 0.75 mg, as needed up to 20 mg nasal spray, single dose (safety study). The amount used most often was 1.75 mg, as needed. These are what study teams chose for their participants under supervision.

Where do these PT-141 numbers come from?

From 7 published studies, each linked to its PubMed or ClinicalTrials.gov record. Every figure was checked against the study abstract or its open full text. Proof grade: Human trials.

How long does PT-141 stay in the body?

Its half-life is about 2.7 hours (range 1.9 to 4.0 hours) in people. Half-life is how long it takes for half of a dose to leave the blood. The effect can last longer than that.

Is this a recommendation for how much PT-141 to use?

No. This page shows the amounts reported by drug labels, clinics and users, next to what researchers gave in studies. It is not medical advice and not a recommendation for anyone. Talk to a licensed clinician before using any of it.

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