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PT-141 Side Effects At the recommended dose of 1.75 mg, bremelanotide may produce the following common side effects [2]: Nausea (40% particularly with the first injection) Flushing (20%) Injection site reactions (13%) Headaches (11%) Uncommon adverse reactions include [2]: Increases in blood pressure Severe nausea Vomiting Arthralgia Restless leg syndrome Local hyperpigmentation Due to the risk of the peptide causing an increase in blood pressure and reduction in heart rate, it should not be administered to subjects who are [16]: Pregnant or suspected of being pregnant Suffering from cardiovascular disease Diagnosed with uncontrolled hypertension In rare instances, PT-141 may lead to elevated serum enzyme levels, and in even rarer cases, cause acute liver damage [2]