Apomorphine / Sildenafil / Tadalafil / Vardenafil Troches
Quad-mix troche combining three PDE5 inhibitors with apomorphine dopamine agonist for maximum potency and comprehensive mechanism.
Troche
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Applied to the skin · As needed, 15–30 min before
Women's healthArousalTopical
Climax Cream
A compounded arousal cream with arginine, ergoloid, pentoxifylline, sildenafil and theophylline, applied to the clitoral area 15 to 30 minutes before intimacy.
- Supports local blood flow and sensitivity
- Applied only when needed
- Measured pump for a consistent dose
- Monthly$159/mo
- Free, discreet shipping
- Licensed U.S. pharmacy
- Board-certified physicians
Disclaimer: Prescription products require an online evaluation with a licensed medical professional who will determine if a prescription is appropriate. Products are compounded by a licensed pharmacy. The FDA has not reviewed or approved compounded products for any use for safety, efficacy, or quality. Compounded medications are not FDA-approved brand-name products.
- How
- Applied to the skin
- How often
- As needed, 15–30 min before
- Each shipment
- 1 tube
- Strength
- 30 mL Tube
What is Climax Cream?
(topical arousal cream)
A blend of ingredients that widen blood vessels and improve local circulation. More blood flow to the clitoris can increase sensitivity and arousal.
What's in it
- ArginineNitric oxide precursor: blood flow
- ErgoloidSupports blood flow
- PentoxifyllineSupports blood flow
- SildenafilPDE5 inhibitor: blood flow, about 4 hours
- TheophyllineSupports blood flow
15-30 min
applied before intimacy
Topical arousal creams are compounded and off-label; evidence is limited to small studies.
Is it right for you?
Who it's for
Men and women who want more sensation and blood flow, applied where it is needed.
What sets it apart
A cream with five vessel-opening ingredients, used on the skin instead of swallowed.
Worth knowing before you start
Wash it off before oral sex and tell your partner: it can affect them too.
Results that feel good
Desire and arousal
support where it starts
Sensitivity
better local response
Comfort
less dryness and discomfort
Physician oversight
a plan built around you
How it works
Day 1
A physician reviews your symptoms, cycle or menopause stage, medications and goals, and chooses the product.
1First uses
Use as directed; notice how your body responds and any local sensation.
2Weeks 2-4
Response becomes clearer. Daily moisturizers need a few weeks for full effect.
3Month 1
Check-in: adjust the product, add or change hormones if needed.
4Beyond
Regular reviews as your needs change.
5
Individual results vary. Benefits reflect what Zepym Health members commonly report to their physician at check-ins; they are not the results of a clinical trial.
How you use it
This is the starting dose the pharmacy prints on the label. Your physician sets yours and adjusts it with you.
- How
- Applied to the skin
- Where
- clitoral area
- Dose
- 1 pump (0.21 mL)
- How often
- As needed, 15–30 min before
- Each shipment
- 1 tube
- Pharmacy label
- Apply 1 pump (0.21 mL) to the clitoral area 15 to 30 minutes before sexual activity as needed.
The science of women's sexual health
Small studies of topical sildenafil and vasodilator creams suggest improved arousal and sensation in some women.
Effects vary; your physician reviews your symptoms, hormones and medications to choose the right approach.
Learn moreImportant safety information and common side effects
These products are used externally or dissolved in the mouth. Common effects are local warmth, tingling or irritation; with the desire troche, nausea, flushing and headache. Creams containing sildenafil must never be used with nitrates. Do not use during pregnancy or breastfeeding without your physician's approval. Stop and contact us if you have burning, a rash, or unusual discharge.
Every plan includes
- Personalized, physician-guided plan
- Monthly plan
- Dispensed by a US-licensed compounding pharmacy
- Unlimited protocol adjustments and messaging
- Ongoing support and check-ins
- Pause or cancel anytime
- Reviewed by our in-house physicians
How it works
1.Connect with a physician
Answer a few questions online and a US-licensed physician reviews your health, history and goals to make sure treatment is right for you. 100% online. No in-person visit required.
2.Get your discreet shipment
If approved, your treatment is compounded by a US-licensed, LegitScript-certified pharmacy, inspected for quality, and shipped discreetly to your door.
3.Receive continuous support
Start with one goal, then keep building over time. Unlimited physician messaging, easy refills and dose adjustments, all from the Zepym Health app.
Climax Cream educational content reviewed by our physician
Scott Nass, MDDoctor of Medicine, board-certified in Family Medicine
Charles R. Drew University and David Geffen School of Medicine at UCLA. Family Medicine residency at Ventura County Medical Center.
Frequently asked questions
How do I use Climax Cream?
Applied to the skin, as needed, 15–30 min before. The starting prescription is 1 pump (0.21 mL) each time. Your physician sets your own dose and it is printed on your label.
Where do I apply it?
Clitoral area.
What exactly is in it?
Arginine, Ergoloid, Pentoxifylline, Sildenafil, Theophylline.
How much arrives in each shipment?
1 tube at the starting strength, shipped to your door from a licensed US pharmacy.
Is it safe with my partner?
It is applied externally in a small amount. Condoms and partners are generally fine; stop if either of you has irritation.
What causes low desire or arousal?
Hormones, stress, sleep, medications (especially antidepressants), relationship factors and menopause all play a part. A physician looks at the whole picture.
Do I need blood work?
Sometimes. If hormones may be involved, your physician may order tests before choosing a treatment.
Can I use these with birth control?
Yes. None of these products affect contraception.
Intimacy, on your terms.
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The above statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease. Prescription products require an online evaluation with a licensed medical professional who will determine if a prescription is appropriate. Individual results vary.
Sources
- 1
Bremelanotide for hypoactive sexual desire disorder: two randomized phase 3 trials.
Obstet Gynecol, 2019 - 2
Hyaluronic acid vaginal gel versus estriol cream for vaginal dryness in postmenopausal women.
PubMed
Climax Creamfrom $159/mo