Sildenafil is a PDE5 inhibitor that dramatically increases blood flow to the penis, producing and sustaining firm erections. Unlike pharmacy pills in fixed doses, our compounded sildenafil comes in custom strengths from 25mg to 175mg — capsules, troches, or sublingual dissolve tablets — so your physician can dial in exactly what works for you.

Tadalafil (the active ingredient in Cialis) provides up to 36 hours of erectile support — meaning you can be ready whenever the moment is right without timing your dose. Our compounded tadalafil comes in daily low-dose (5mg) or on-demand higher doses, in capsules, troches, or sublingual tablets.

PT-141 works entirely differently from PDE5 inhibitors. It activates melanocortin receptors in the brain to trigger genuine sexual desire from the central nervous system — not just physical response. This makes it uniquely effective for low libido in both men and women, where the problem is desire, not mechanics.

Oxytocin is the body’s natural bonding and connection hormone, released during intimacy, touch, and orgasm. Supplemental oxytocin deepens emotional intimacy, enhances orgasm intensity, reduces anxiety, and amplifies the physical pleasure of sexual experiences. Available as nasal sprays, sublingual tablets, troches, or injection.

Penile injection therapy with compounded mixtures of vasodilating agents is the gold standard for severe or medication-resistant erectile dysfunction. Bi-Mix (2 agents), Tri-Mix (3 agents), Quad-Mix (4 agents), and Super formulations provide powerful, reliable erections even when oral medications fail — including after prostatectomy or severe vascular disease.

Scream Cream is a specially compounded topical cream applied to the clitoris and labia that dramatically increases local blood flow, sensitivity, and arousal. It combines sildenafil, arginine, and papaverine to enhance clitoral engorgement and genital sensitivity — making it significantly easier to achieve arousal and orgasm. Available with or without testosterone.

Our most advanced formulations combine multiple active compounds in one convenient dose. Sildenafil + Tadalafil + Apomorphine + Oxytocin troches, Tadalafil + Oxytocin + PT-141 tablets, and more. These stacked formulations address erection quality, desire, bonding, and orgasm intensity simultaneously.

Apomorphine works through the brain’s dopamine system to enhance sexual desire and facilitate erections. Unlike PDE5 inhibitors which work peripherally, apomorphine activates central dopamine receptors to trigger erection through neural pathways. Particularly useful for psychogenic ED and when combined with sildenafil or tadalafil for enhanced results.