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
ResearchBondingDissolving tablet
Bioidentical oxytocin as troches (dissolving tablets) for bonding, sexual wellness, and social connection. Dissolve under the tongue as needed. Convenient lozenge form.
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.
(oxytocin lozenges)
Oxytocin troches are small lozenges of bioidentical oxytocin that dissolve under your tongue. Troches allow slower, more prolonged absorption than tablets, potentially offering steadier effects. Use as needed before intimacy or social situations, or take daily for ongoing support. Evidence is early but emerging in human trials.
Lozenge form
bioidentical oxytocin as a dissolving troche
Allow one troche (4-8 IU) to dissolve under your tongue, as needed or once daily. Effects begin within 10-30 minutes of dissolving.
Adults who want a higher oxytocin dose in a mint troche.
300 IU, the highest oxytocin dose here.
Let it dissolve completely about 30 minutes before.
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
Troche formulations provide slower, more sustained absorption than tablets. This may produce more gradual, stable oxytocin levels, potentially improving sustained effects on bonding and mood.
Oxytocin is well-tolerated. Rare side effects include mild headache, dizziness, or facial flushing. Sublingual absorption is variable. Your physician monitors your response and adjusts as needed.
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 troches 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 troche (300 IU) each time. Your physician sets your own dose and it is printed on your label.
30 troches at the starting strength, shipped to your door from a licensed US pharmacy.
A troche dissolves slowly on or under your tongue, providing gradual absorption over several minutes. A tablet may dissolve faster. Troches may offer more sustained oxytocin levels, potentially longer-lasting effects on mood and connection. Your physician helps you choose the form that works for you.
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
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Topical cream for female sexual enhancement and orgasm support. Combination of arginine, ergoloid, pentoxifylline, sildenafil, and theophylline.
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Topical cream for female sexual arousal and pleasure. Contains oxytocin, theophylline, arginine, and sildenafil for enhanced sensation and response.
Cream
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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.
Oxytocin and human sexual behavior: a comprehensive review.
Front Psychiatry, 2019Intranasal oxytocin for social anxiety: a randomized controlled trial.
J Psychiatry Neurosci, 2013Oxytocin Trochesfrom $119/mo