Apomorphine / Sildenafil / Tadalafil / Vardenafil Troches
Quad-mix troche combining three PDE5 inhibitors with apomorphine dopamine agonist for maximum potency and comprehensive mechanism.
Troche
from $79/mo
Dissolved under the tongue · As needed, 20–30 min before
Women's healthDesireCompounded
Female Desire Troches
A berry troche with apomorphine, bremelanotide (PT-141), oxytocin and L-theanine, dissolved under the tongue 20 to 30 minutes before intimacy.
- Acts on desire pathways in the brain
- As needed, no daily pill
- Dissolves under the tongue
- Monthly$99/mo
- Every 3 months$237 billed up front$79/mo
- Every 6 monthsBest value$414 billed up front$69/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
- Dissolved under the tongue
- How often
- As needed, 20–30 min before
- Each shipment
- 8 troches
- Strength
- 2 mg / 0.3 mg / 20 IU / 50 mg Troche
What is in the troche?
(desire troche)
Bremelanotide and apomorphine act on brain pathways tied to desire and arousal; oxytocin supports bonding; L-theanine is added for calm.
What's in it
- ApomorphineArousal signal in the brain
- BremelanotideActs on desire in the brain
- OxytocinBonding and arousal hormone
- L-TheanineCalming amino acid
Vyleesi
the approved injectable form of bremelanotide for low desire in premenopausal women
This troche is a compounded, off-label combination; absorption of peptides under the tongue is variable.
Is it right for you?
Who it's for
Women with low desire who want something taken only when needed.
What sets it apart
Four ingredients acting on desire in the brain, not on blood flow.
Worth knowing before you start
Nausea is the most common effect. Try the first one on a quiet evening.
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
- Dissolved under the tongue
- Dose
- one troche
- How often
- As needed, 20–30 min before
- Each shipment
- 8 troches
- Pharmacy label
- Dissolve one troche under the tongue 20 to 30 minutes before sexual activity as needed. Do not use more than one dose in 24 hours.
The science of women's sexual health
Bremelanotide injection improved desire and reduced distress in phase 3 trials in premenopausal women with low sexual desire.
Nausea, flushing and headache are the most common effects; avoid with uncontrolled high blood pressure.
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, 3-month and 6-month plans
- 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.
Female Desire 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 take Female Desire Troches?
Dissolved under the tongue, as needed, 20–30 min before. The starting prescription is one troche each time. Your physician sets your own dose and it is printed on your label.
What exactly is in it?
Apomorphine, Bremelanotide, Oxytocin, L-Theanine.
How much arrives in each shipment?
8 troches at the starting strength, shipped to your door from a licensed US pharmacy.
Is it the same as Vyleesi?
No. Vyleesi is an FDA-approved injection. This troche is compounded with several ingredients; it is prescribed off-label at your physician's judgment.
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.
What if it does not help?
Tell your physician. There are other options, including hormone therapy and approved medicines.
Intimacy, on your terms.
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Topical cream for female sexual arousal and pleasure. Contains oxytocin, theophylline, arginine, and sildenafil for enhanced sensation and response.
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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
Female Desire Trochesfrom $69/mo