Reddit threads about PT-141 (bremelanotide) range from careful to reckless, and most never say whether the poster used a prescribed product or a research vial labeled "not for human use." That distinction matters more than anything else in the thread.
What PT-141 is
A melanocortin-receptor peptide that acts on sexual desire pathways in the brain rather than on blood flow, which is why threads compare it to, rather than lump it with, sildenafil and tadalafil. Our article how PT-141 works covers the mechanism.
What the threads report
Nausea and flushing are the most common complaints, usually dose-related; timing questions are the most common how-to. Those are reasonable things to discuss with a provider, who sets the dose and the instructions for a compounded prescription.
Prescription vs. research vial
On this site PT-141 is a compounded prescription, issued after an evaluation by a licensed provider and filled by a licensed pharmacy. A vial from a research vendor is unregulated and not intended for people. Experiences from one do not apply to the other.
The treatment page is PT-141; the condition page is erectile dysfunction. More Reddit-sourced questions on GLP-1s, TRT and peptides: lessons from Reddit.