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 · Once a day
ResearchConnectionIntimacy
Bioidentical oxytocin as orally dissolving tablets for bonding, connection, and intimate wellbeing. One tablet sublingually as needed or daily. Evidence is early and growing.
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.
(the bonding hormone)
Oxytocin is a hormone and neurotransmitter produced in your brain and released during social bonding, physical touch, and orgasm. It promotes trust, generosity, and emotional connection. Oxytocin is used off-label for sexual dysfunction, social anxiety, and relationship satisfaction. Evidence in humans is still early, but research is growing. Oxytocin ODT dissolves under the tongue for convenient dosing.
Emerging
research-stage evidence in humans; strong animal data
Take one tablet (4-8 IU) sublingually as needed before intimacy or social situations, or once daily. Effects begin within 10-30 minutes.
Adults who want help with closeness and arousal.
The bonding hormone, dissolved under the tongue. Two strengths.
Evidence in sexual function is limited and mixed. Not used in pregnancy.
many report deeper bonding and sexual satisfaction
oxytocin promotes openness and social warmth
some patients report improved mood and reduced anxiety
oxytocin may ease social anxiety and increase confidence
Day 1
A US-licensed physician discusses oxytocin's role in bonding and sexual function, and explains that evidence in humans is emerging.
1Week 1
Begin your oxytocin dose (as-needed or daily), typically in the evening or 30 minutes before intimacy. Effects may be subtle.
2Weeks 2-4
You may notice increased closeness, trust, or sexual satisfaction. Some people feel effects immediately; others take weeks. Your physician monitors your experience.
3Month 2
Check-in. Discuss whether oxytocin is helping with your goals. Adjust dose or timing if needed, or explore if oxytocin is right for you.
4Beyond
Continue oxytocin if it supports your bonding, intimacy, or social wellbeing. Your physician reassesses every 3 months.
5Individual 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.
This is the starting dose the pharmacy prints on the label. Your physician sets yours and adjusts it with you.
A sample week
Once a day
Oxytocin is well-established in animal models as critical for bonding, trust, and sexual function. Human trials are smaller and emerging. Nasal and subcutaneous oxytocin have shown effects on social behavior and sexual satisfaction in small studies.
Sublingual oxytocin has variable absorption and effects may be modest. Some people respond well; others do not. Your physician discusses realistic expectations and monitors your response.
Learn moreOxytocin is generally well-tolerated. Common effects are minimal; rare effects include mild headache, dizziness, or transient facial flushing. Oxytocin does not significantly increase blood clot risk or other major adverse effects at low doses. However, evidence in humans is limited compared to animal research. Oxytocin should not be used during pregnancy (high natural oxytocin). Tell your physician about any mood changes, dizziness, or unusual effects. Stop and seek care for severe headache or signs of allergic reaction.

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.

Oxytocin 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.
Dissolved under the tongue, once a day. The starting prescription is one tablet (50 IU) each time. Your physician sets your own dose and it is printed on your label.
The pharmacy carries 2: 50 IU, 250 IU. Your physician chooses which one you get.
30 tablets at the starting strength, shipped to your door from a licensed US pharmacy.
Oxytocin is FDA-approved as a medication to induce labor (Pitocin). Off-label use for intimacy, social anxiety, or sexual function is research-stage and not FDA-approved for these uses. Your physician prescribes it off-label based on emerging evidence and clinical judgment.
Some people feel effects within 10-30 minutes of taking oxytocin sublingually. Others notice effects over days or weeks of regular use. Effects are often subtle. Your physician discusses realistic timelines.
Both approaches are used. As-needed dosing (before intimacy or social events) is common. Daily dosing is less studied but some patients use it for ongoing mood and social support. Your physician helps you choose the schedule that fits your goals.
Oxytocin may support sexual function and satisfaction by increasing trust, arousal, and emotional connection. However, effects are variable and modest. Other factors, relationship health, stress, hormonal status, matter too. Your physician discusses realistic expectations.
Quad-mix troche combining three PDE5 inhibitors with apomorphine dopamine agonist for maximum potency and comprehensive mechanism.
Troche
from $79/mo
Combination of papaverine and phentolamine for intracavernosal injection. Vasodilator mix for erectile dysfunction. Priapism risk and rescue requirements.
Injection
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Topical cream for female sexual enhancement and orgasm support. Combination of arginine, ergoloid, pentoxifylline, sildenafil, and theophylline.
Cream
from $159/mo
Topical cream for female sexual arousal and pleasure. Contains oxytocin, theophylline, arginine, and sildenafil for enhanced sensation and response.
Cream
from $189/mo
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.
Oxytocin and human sexual behavior: a comprehensive review.
Front Psychiatry, 2019Intranasal oxytocin for social anxiety: a randomized controlled trial.
J Psychiatry Neurosci, 2013Oxytocin ODTfrom $119/mo