--- title: "PT-141 Nasal Spray, Prescribed Online | Vitals Vault" description: "The nasal route of the same melanocortin pathway used by the injection, for members who would rather avoid needles. Used on demand rather than daily. Only…" canonical: "https://www.vitalsvault.com/treatments/care-pt-141-nasal" last-updated: 2026-08-22 --- # PT-141 Nasal Spray, Prescribed Online | Vitals Vault > The nasal route of the same melanocortin pathway used by the injection, for members who would rather avoid needles. Used on demand rather than daily. Only… ![PT-141 (Bremelanotide) nasal spray package](https://static.vitalsvault.com/treatments/editorial/6acaeb7489c3af32bec9b901-lane61-care-pt-141-nasal-cms-1200-a5a440e4c29801a7.webp) # PT-141 Nasal Spray Nasal Spray · 10 mg/mL - Works on desire, not blood flow - Needle-free nasal route - Taken only as needed Choose your plan84-day supply$249 every 84 days$91.00/mo equivalent 168-day supply$439 every 168 days$80.00/mo equivalent Start with a $20.00 clinician review The review fee is refunded if you’re not prescribed. Medication is billed separately only if prescribed. [Start as a man](https://www.vitalsvault.com/checkout/medications/app?plan=63adebe7-fa6a-4621-9857-2fd261175573&gender=male&flow=payment-first&skipWelcome=true&source=treatments)[Start as a woman](https://www.vitalsvault.com/checkout/medications/app?plan=63adebe7-fa6a-4621-9857-2fd261175573&gender=female&flow=payment-first&skipWelcome=true&source=treatments) Prescribed only if appropriate. Compounded medications are not FDA-approved. Review the full terms in checkout. Licensed cliniciansFree shipping ## What is PT-141 Nasal Spray? Bremelanotide acts on melanocortin receptors in the brain, supporting desire rather than blood flow. The nasal spray delivers the same mechanism without an injection. It is taken on demand, ahead of activity, and the frequency is capped rather than daily. ## What to expect - Plan ahead — Taken around 45 minutes before, not immediately prior. - Desire, not blood flow — A different pathway to the familiar oral tablets. - Nausea is common — The most frequently reported effect, and it varies a lot between people. - Capped frequency — On-demand use with a limit, not a daily medication. ### Your treatment Nasal spray Your prescription confirms the strength, quantity and dispensing schedule. ### Your routine Used before intimacy, following your prescribed spray instructions. Follow your clinician’s instructions and the pharmacy label. ### Delivered discreetly Free shipping, in discreet packaging. Treatment ships only after your clinician approves a prescription. ### Clinician-guided care A plan reviewed around your health. Your clinician determines whether treatment is appropriate for you. Your selected plan 84-day supply $249 every 84 days Prescribed only if appropriate. Billing frequency and shipment quantity may differ; your prescription confirms what is dispensed. ## What you’ll feel ### Reliable response Confidence that it works when you want it to. ### Renewed desire Libido supported at the root. ### Discreet dosing Taken only as needed and delivered privately. ### Confidence Less anxiety and more presence in the moment. ## How it works 1. ![Online consultation with a licensed clinician](https://static.vitalsvault.com/treatments/editorial/vv-step-clinician-neutral-6719a9b7f7adcdf4.webp)Step 1 ### Online visit and review Answer a few health questions. A licensed clinician reviews them online. No waiting rooms. Reviewed within 72 hours 2. ![Prescription approved](https://static.vitalsvault.com/treatments/editorial/vv-hiw-step3-delivered-v1-2792b7b7fff611e1.webp)Step 2 ### Ships to your door If prescribed, your medication ships free and discreetly. 2–5 business days 3. ![Feeling the difference](https://static.vitalsvault.com/treatments/editorial/6abf4b2432c40f3bd7fd4c7d-vv-step-outcome-sexual-men-eb485efe537dbad0.webp)Step 3 ### Feel the difference Your clinician checks in and adjusts your plan as you go. Ongoing support ## How to take it Administer 1 spray intranasally at least 45 minutes before anticipated activity; maximum 1 dose in 24 hours ## Side effects and safety Bremelanotide is FDA approved only for low sexual desire in premenopausal women. The label states it is not indicated in postmenopausal women, not in men, and not to enhance sexual performance. Tell your care team straight away if your blood pressure climbs or you get a severe headache after a dose, you cannot stop vomiting, you notice new dark patches on your face, gums or breasts, you get chest pain, or your heartbeat becomes very slow. Common side effects - nausea - flushing - a reaction where the injection was given - headache - vomiting Rare but serious - a temporary rise in blood pressure - a slower heart rate - darkening of the skin that may not fade - nausea severe enough to stop treatment Do not take this if you have high blood pressure that is not controlled, or you have known heart disease. This is not a complete list of side effects. Message your care team about any symptom that worries you. What we dispense is a compounded preparation made by a licensed US pharmacy. Compounded medications are not approved by the FDA for safety, efficacy or quality. ## More in this category ![Sildenafil tablets package](https://static.vitalsvault.com/treatments/editorial/6acaeb7650fa380ac8f4e7d4-lane61-mens-sildenafil-hero-1200-238a29a9cd8ebc63.webp) ### Sildenafil Tablet · 100 mg [Explore Sildenafil](https://www.vitalsvault.com/treatments/mens-sildenafil?audience=men&source=catalog) ![Tadalafil tablets package](https://static.vitalsvault.com/treatments/editorial/6acaeb76c0b874369ec19133-lane61-mens-tadalafil-hero-1200-4494b5deb1660f43.webp) ### Tadalafil Daily Tablet · 5 mg [Explore Tadalafil Daily](https://www.vitalsvault.com/treatments/mens-tadalafil?audience=men&source=catalog) ![PT-141 (Bremelanotide) injection package](https://static.vitalsvault.com/treatments/editorial/6acaeb7350fa380ac8f4e655-lane61-care-pt-141-cms-1200-2539f164dba73c0a.webp) ### PT-141 Injection Injection · 10 mg/mL [Explore PT-141 Injection](https://www.vitalsvault.com/treatments/care-pt-141?audience=men&source=catalog) ## Your questions, answered. How does this compare to the injection? Same mechanism, different route. The spray avoids a needle; absorption can be a little more variable, and nasal irritation is an added possibility. When do I take it? At least 45 minutes before activity. It is used on demand, not daily, and there is a cap on how often. What are the common side effects? Nausea is the most frequently reported and can be significant for some people, along with flushing, headache and irritation in the nose. Who should avoid it? Anyone with uncontrolled high blood pressure or established cardiovascular disease. Screening for this is part of your intake. ## Start your plan today 84-day supply · $249 every 84 days [Start as a man](https://www.vitalsvault.com/checkout/medications/app?plan=63adebe7-fa6a-4621-9857-2fd261175573&gender=male&flow=payment-first&skipWelcome=true&source=treatments)[Start as a woman](https://www.vitalsvault.com/checkout/medications/app?plan=63adebe7-fa6a-4621-9857-2fd261175573&gender=female&flow=payment-first&skipWelcome=true&source=treatments) ## The clinicians behind your care Your treatment is reviewed and prescribed by US-licensed clinicians in our network. ![Diana Kumar, MD, FACOG](https://static.vitalsvault.com/treatments/editorial/diana-kumar-md-c56d4b361d5774a7.webp) ### Diana Kumar, MD, FACOG Women's hormone health Board certified in obstetrics and gynecology and a Menopause Society Certified Practitioner. Works with members on perimenopause, menopause and hormone therapy. ![William Blackwell, MD](https://static.vitalsvault.com/treatments/editorial/william-blackwell-md-da493dcf19541ad1.webp) ### William Blackwell, MD Weight and metabolic health Board certified in emergency medicine and practicing telehealth since 2018. Focuses on weight management and metabolic health. ![Meenal Kheterpal, MD, FAAD](https://static.vitalsvault.com/treatments/editorial/kheterpal-md-faad-0719a17d75055313.webp) ### Meenal Kheterpal, MD, FAAD Dermatology Board certified dermatologist and Associate Professor of Dermatology at Duke University School of Medicine. Specializes in skin cancer and dermato-oncology. ![Shamail Tariq, MD](https://static.vitalsvault.com/treatments/editorial/shamail-tariq-md-18ac53212de5decd.webp) ### Shamail Tariq, MD Cardiometabolic health Board certified in cardiovascular disease and interventional cardiology. Focuses on preventive cardiology, blood pressure and cholesterol. ![Payel Gupta, MD](https://static.vitalsvault.com/treatments/editorial/payel-gupta-md-761421d304fefc01.webp) ### Payel Gupta, MD Allergy and immunology Triple board certified in allergy and immunology, internal medicine and pediatrics. Clinical instructor at the Icahn School of Medicine at Mount Sinai. --- Canonical HTML: https://www.vitalsvault.com/treatments/care-pt-141-nasal - [llms.txt](https://www.vitalsvault.com/llms.txt) - [sitemap.xml](https://www.vitalsvault.com/sitemap.xml) - [Developer portal](https://www.vitalsvault.com/developers)