Bremelanotide (trade name Vyleesi, code PT-141) is a synthetic cyclic peptide derived from Melanotan II. Unlike vascular phosphodiesterase-5 inhibitors (such as sildenafil) that operate peripherally, Bremelanotide acts centrally in the hypothalamus and limbic system. It received FDA approval in 2019 for premenopausal women experiencing generalized hypoactive sexual desire disorder (HSDD).
