PT-141 vs Melanotan II
A metabolite turned medicine versus its parent compound: same receptor family, different selectivity.
Research use only. A summary of published literature for educational reference — not medical advice and not a guide to human use.
The short version
Melanotan II is a broad melanocortin agonist first studied for skin tanning. PT-141 (bremelanotide) is its metabolite, more selective for MC3/MC4 receptors, and is FDA-approved for a specific sexual desire disorder in premenopausal women.
At a glance
Structure
Cyclic heptapeptide (metabolite of MT-II)
Cyclic heptapeptide α-MSH analog
Receptors
Mainly MC4 and MC3
MC1, MC3, MC4 and MC5
Approval status
FDA-approved (Vyleesi, 2019)
Not approved anywhere
Notable effects studied
Sexual desire endpoints
Skin pigmentation, sexual function
Research vial sizes
10 mg
10 mg
01How they work
Both activate melanocortin receptors. Melanotan II's MC1 activity drives melanin production, which explains tanning. PT-141 lacks the carboxyl-terminal amide and acts mainly on central MC4 receptors involved in sexual motivation.
02What studies measured
The RECONNECT phase 3 trials of bremelanotide reported small but significant improvements in desire and distress scores versus placebo. Early Melanotan II studies reported increased skin pigmentation and erectile responses in small cohorts.
03Reported side effects
Bremelanotide trials most often reported nausea, flushing and headache, plus transient blood-pressure rises. Melanotan II case reports describe nausea, new or changing moles, and other unregulated-use problems.
04Approval & evidence status
PT-141 is approved for one narrow indication. Melanotan II has no approval and regulators in several countries have warned against it.
Citations
- [1]Phase 3 randomized controlled trials2019
Bremelanotide for the Treatment of Hypoactive Sexual Desire Disorder: Two Randomized Phase 3 Trials
Kingsberg SA, et al. Obstet Gynecol, 2019.
Read paper ↗ - [2]Phase 1 pilot study1996
Evaluation of melanotan-II, a superpotent cyclic melanotropic peptide in a pilot phase-I clinical study
Dorr RT, et al. Life Sci, 1996.
Read paper ↗
Research use only. A summary of published literature for educational reference — not medical advice and not a guide to human use.