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Bremelanotide is a synthetic cyclic heptapeptide and melanocortin receptor agonist used for the treatment of acquired, generalized hypoactive sexual desire disorder (HSDD) in premenopausal women. It acts primarily by nonselectively activating several melanocortin receptors (MC1R, MC4R, MC3R, MC5R, and MC2R), with the highest potency at MC1R and MC4R. The precise mechanism by which it improves sexual desire is not fully understood but may involve stimulation of dopamine pathways in brain regions associated with sexual behavior. Bremelanotide is administered as a subcutaneous injection approximately 45 minutes before anticipated sexual activity. It was developed by Palatin Technologies and marketed under the brand name Vyleesi[1][2][3][4][8].
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