Viagra (Sildenafil)

Increases blood flow to make an erection possible when aroused. Taken an hour before. FDA-approved, generic, cheap. Does nothing for low desire.

PT-141 (Bremelanotide)

A melanocortin peptide that raises desire and arousal in the brain, for men and women. Subcutaneous injection about an hour before. The brand (Vyleesi) is FDA-approved for women; compounded PT-141 is prescribed for both. $229 a month.

Which

Mechanical problem with normal desire: sildenafil. Low desire, or arousal that does not come: PT-141. Both: common, with provider guidance.

How to Get It

At Zen IV Spa every program is prescribed by our medical director, a licensed physician, after a $50 video consultation and labs drawn at your home. Medication ships overnight anywhere in New York or New Jersey from an FDA-registered 503A pharmacy, and a nurse can come for the first dose.

Common Questions

Side effects of PT-141?+

Nausea, flushing, a temporary blood-pressure rise. Not for uncontrolled hypertension.

Does it work for women?+

Yes; that is what the brand is approved for.

Can I take both?+

Often, with provider guidance.

All treatments are medical services. Every guest is screened, and every treatment is provided only under the clearance, prescription or standing protocol of a licensed medical provider. Nothing on this page is a diagnosis or a promise of results. For an emergency, call 911.