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Bremelanotide is a synthetic peptide agonist of the melanocortin 4 receptor. It acts centrally in the brain to enhance sexual desire and arousal. PDE5 inhibitors (such as sildenafil, tadalafil, or vardenafil) are small molecules that act in the penis to facilitate blood flow and erection by inhibiting the breakdown of cyclic guanosine monophosphate (cGMP). The combination of bremelanotide and a PDE5 inhibitor is being developed for men with erectile dysfunction (ED) who do not respond to PDE5 inhibitor monotherapy, representing a significant unmet need, as approximately 30–40% of ED patients are "PDE5i non-responders"[1][2][5]. The product in development is a unique, injectable co-formulation of both drugs, intended for single-dose administration.
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