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Common Side Effects Nausea (very common approximately 40% of patients) Flushing Injection site reactions: pain, redness, bruising Headache Vomiting Cough Fatigue Hot flush Skin hyperpigmentation (focal dark patches, especially with repeated use) Seek Immediate Medical Attention For Severe, persistent increase in blood pressure Chest pain, shortness of breath, or irregular heartbeat Signs of severe allergic reaction Persistent or worsening skin darkening Drug Interactions Naltrexone: Bremelanotide may significantly decrease naltrexone exposure, potentially reducing its effectiveness for alcohol/opioid use disorder treatment Orally administered medications: Slowed gastric emptying may affect absorption of other oral drugs Use in Pregnancy Bremelanotide is contraindicated in pregnancy
Dietary supplementation with inulin can increase levels of alistipes and indole-3-acrylic acid, which are involved in tryptophan metabolism and improve obesity (47)
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**Nausea and Vomiting**: These are the most common side effects, especially when starting the medication or increasing the dose