Premier Clinical Network
ED - Compounded Troches (Rx)
Sildenafil troches (50mg)
Overview
Troches are compounded sublingual lozenges designed to dissolve in the mouth. Clinician screening is required to evaluate contraindications and interactions. Availability varies by state and pharmacy capabilities.
Potential benefits (not guaranteed)
- Sublingual format may be preferred by some patients (not guaranteed)
- May be easier for some patients than swallowing tablets
Potential risks and side effects (not complete)
- Common: headache, flushing, nasal congestion, indigestion, dizziness
- Low blood pressure risk, especially with certain medications or alcohol; caution with alpha blockers
- Contraindicated with nitrates and recreational ‘poppers’
- Rare: vision or hearing changes; priapism (erection lasting >4 hours)
- Taste/irritation in mouth possible; compounded formulations can vary by pharmacy
Pricing statement
Medication management: $100 every 60 days. Medication is billed separately by the dispensing pharmacy/manufacturer pharmacy. Prescription required; prescription is not guaranteed. Treatment must be medically necessary. Use only as prescribed. Dosage may vary. Results vary. Benchmark example: $100 per 10 doses (subject to change)
Internal reference links (for completeness/validation; do not publish as claims)
- Medication List -for sites (1) (5).pdf (Erectioncare.com section)
- https://mensdirectrx.com/oral-treatment-center/
Sildenafil troches (100mg)
Overview
Troches are compounded sublingual lozenges designed to dissolve in the mouth. Clinician screening is required to evaluate contraindications and interactions. Availability varies by state and pharmacy capabilities.
Potential benefits (not guaranteed)
- Sublingual format may be preferred by some patients (not guaranteed)
- May be easier for some patients than swallowing tablets
Potential risks and side effects (not complete)
- Common: headache, flushing, nasal congestion, indigestion, dizziness
- Low blood pressure risk, especially with certain medications or alcohol; caution with alpha blockers
- Contraindicated with nitrates and recreational ‘poppers’
- Rare: vision or hearing changes; priapism (erection lasting >4 hours)
- Taste/irritation in mouth possible; compounded formulations can vary by pharmacy
Pricing statement
Medication management: $100 every 60 days. Medication is billed separately by the dispensing pharmacy/manufacturer pharmacy. Prescription required; prescription is not guaranteed. Treatment must be medically necessary. Use only as prescribed. Dosage may vary. Results vary. Benchmark example: $100 per 10 doses (subject to change)
Internal reference links (for completeness/validation; do not publish as claims)
- Medication List -for sites (1) (5).pdf (Erectioncare.com section)
- https://mensdirectrx.com/oral-treatment-center/
Tadalafil troches (20mg)
Overview
Troches are compounded sublingual lozenges designed to dissolve in the mouth. Clinician screening is required to evaluate contraindications and interactions. Availability varies by state and pharmacy capabilities.
Potential benefits (not guaranteed)
- Sublingual format may be preferred by some patients (not guaranteed)
- May be easier for some patients than swallowing tablets
Potential risks and side effects (not complete)
- Common: headache, flushing, nasal congestion, indigestion, dizziness
- Low blood pressure risk, especially with certain medications or alcohol; caution with alpha blockers
- Contraindicated with nitrates and recreational ‘poppers’
- Rare: vision or hearing changes; priapism (erection lasting >4 hours)
- Taste/irritation in mouth possible; compounded formulations can vary by pharmacy
Pricing statement
Medication management: $100 every 60 days. Medication is billed separately by the dispensing pharmacy/manufacturer pharmacy. Prescription required; prescription is not guaranteed. Treatment must be medically necessary. Use only as prescribed. Dosage may vary. Results vary. Benchmark example: $100 per 10 doses (subject to change)
Internal reference links (for completeness/validation; do not publish as claims)
- Medication List -for sites (1) (5).pdf (Erectioncare.com section)
- https://mensdirectrx.com/oral-treatment-center
Sildenafil/Tadalafil troches (50mg/10mg)
Overview
Troches are compounded sublingual lozenges designed to dissolve in the mouth. Clinician screening is required to evaluate contraindications and interactions. Availability varies by state and pharmacy capabilities.
Potential benefits (not guaranteed)
- Sublingual format may be preferred by some patients (not guaranteed)
- May be easier for some patients than swallowing tablets
Potential risks and side effects (not complete)
- Common: headache, flushing, nasal congestion, indigestion, dizziness
- Low blood pressure risk, especially with certain medications or alcohol; caution with alpha blockers
- Contraindicated with nitrates and recreational ‘poppers’
- Rare: vision or hearing changes; priapism (erection lasting >4 hours)
- Taste/irritation in mouth possible; compounded formulations can vary by pharmacy
- Combination therapy may increase side effects for some patients; clinician guidance is required
Pricing statement
Medication management: $100 every 60 days. Medication is billed separately by the dispensing pharmacy/manufacturer pharmacy. Prescription required; prescription is not guaranteed. Treatment must be medically necessary. Use only as prescribed. Dosage may vary. Results vary. Benchmark example: $100 per 10 doses (subject to change).
Internal reference links (for completeness/validation; do not publish as claims)
- Medication List -for sites (1) (5).pdf (Erectioncare.com section)
- https://mensdirectrx.com/oral-treatment-center
Apomorphine troches (3mg)
Overview
Troches are compounded sublingual lozenges designed to dissolve in the mouth. Clinician screening is required to evaluate contraindications and interactions. Availability varies by state and pharmacy capabilities.
Potential benefits (not guaranteed)
- Sublingual format may be preferred by some patients (not guaranteed)
- May be easier for some patients than swallowing tablets
Potential risks and side effects (not complete)
- Common: headache, flushing, nasal congestion, indigestion, dizziness
- Low blood pressure risk, especially with certain medications or alcohol; caution with alpha blockers
- Contraindicated with nitrates and recreational ‘poppers’
- Rare: vision or hearing changes; priapism (erection lasting >4 hours)
- Taste/irritation in mouth possible; compounded formulations can vary by pharmacy
Pricing statement
Medication management: $100 every 60 days. Medication is billed separately by the dispensing pharmacy/manufacturer pharmacy. Prescription required; prescription is not guaranteed. Treatment must be medically necessary. Use only as prescribed. Dosage may vary. Results vary. Benchmark example: $100 per 10 doses (subject to change).
Internal reference links (for completeness/validation; do not publish as claims)
- Medication List -for sites (1) (5).pdf (Erectioncare.com section)
- https://mensdirectrx.com/oral-treatment-center/
Vardenafil troches (20mg)
Overview
Troches are compounded sublingual lozenges designed to dissolve in the mouth. Clinician screening is required to evaluate contraindications and interactions. Availability varies by state and pharmacy capabilities.
Potential benefits (not guaranteed)
- Sublingual format may be preferred by some patients (not guaranteed)
- May be easier for some patients than swallowing tablets
Potential risks and side effects (not complete)
- Common: headache, flushing, nasal congestion, indigestion, dizziness
- Low blood pressure risk, especially with certain medications or alcohol; caution with alpha blockers
- Contraindicated with nitrates and recreational ‘poppers’
- Rare: vision or hearing changes; priapism (erection lasting >4 hours)
- Taste/irritation in mouth possible; compounded formulations can vary by pharmacy
Pricing statement
Medication management: $100 every 60 days. Medication is billed separately by the dispensing pharmacy/manufacturer pharmacy. Prescription required; prescription is not guaranteed. Treatment must be medically necessary. Use only as prescribed. Dosage may vary. Results vary. Benchmark example: $100 per 10 doses (subject to change).
Internal reference links (for completeness/validation; do not publish as claims)
- Medication List -for sites (1) (5).pdf (Erectioncare.com section)
- https://mensdirectrx.com/oral-treatment-center/
Sildenafil troches (110mg)
Overview
Troches are compounded sublingual lozenges designed to dissolve in the mouth. Clinician screening is required to evaluate contraindications and interactions. Availability varies by state and pharmacy capabilities.
Potential benefits (not guaranteed)
- Sublingual format may be preferred by some patients (not guaranteed)
- May be easier for some patients than swallowing tablets
Potential risks and side effects (not complete)
- Common: headache, flushing, nasal congestion, indigestion, dizziness
- Low blood pressure risk, especially with certain medications or alcohol; caution with alpha blockers
- Contraindicated with nitrates and recreational ‘poppers’
- Rare: vision or hearing changes; priapism (erection lasting >4 hours)
- Taste/irritation in mouth possible; compounded formulations can vary by pharmacy
Pricing statement
Medication management: $100 every 60 days. Medication is billed separately by the dispensing pharmacy/manufacturer pharmacy. Prescription required; prescription is not guaranteed. Treatment must be medically necessary. Use only as prescribed. Dosage may vary. Results vary. Benchmark example: $100 per 10 doses (subject to change)
Internal reference links (for completeness/validation; do not publish as claims)
- Medication List -for sites (1) (5).pdf (Erectioncare.com section)
- https://mensdirectrx.com/oral-treatment-center
Sildenafil troches (150mg)
Overview
Troches are compounded sublingual lozenges designed to dissolve in the mouth. Clinician screening is required to evaluate contraindications and interactions. Availability varies by state and pharmacy capabilities.
Potential benefits (not guaranteed)
- Sublingual format may be preferred by some patients (not guaranteed)
- May be easier for some patients than swallowing tablets
Potential risks and side effects (not complete)
- Common: headache, flushing, nasal congestion, indigestion, dizziness
- Low blood pressure risk, especially with certain medications or alcohol; caution with alpha blockers
- Contraindicated with nitrates and recreational ‘poppers’
- Rare: vision or hearing changes; priapism (erection lasting >4 hours)
- Taste/irritation in mouth possible; compounded formulations can vary by pharmacy
Pricing statement
Medication management: $100 every 60 days. Medication is billed separately by the dispensing pharmacy/manufacturer pharmacy. Prescription required; prescription is not guaranteed. Treatment must be medically necessary. Use only as prescribed. Dosage may vary. Results vary. Benchmark example: $100 per 10 doses (subject to change).
Internal reference links (for completeness/validation; do not publish as claims)
- Medication List -for sites (1) (5).pdf (Erectioncare.com section)
- https://mensdirectrx.com/oral-treatment-center/
Tadalafil /Sildenafil/Apomorphine/Methyl-b12 troches (20mg/40mg/3mg/2mg)
Overview
Troches are compounded sublingual lozenges designed to dissolve in the mouth. Clinician screening is required to evaluate contraindications and interactions. Availability varies by state and pharmacy capabilities
Potential benefits (not guaranteed)
- Sublingual format may be preferred by some patients (not guaranteed)
- May be easier for some patients than swallowing tablets
Potential risks and side effects (not complete)
- Common: headache, flushing, nasal congestion, indigestion, dizziness
- Low blood pressure risk, especially with certain medications or alcohol; caution with alpha blockers
- Contraindicated with nitrates and recreational ‘poppers’
- Rare: vision or hearing changes; priapism (erection lasting >4 hours)
- Taste/irritation in mouth possible; compounded formulations can vary by pharmacy
- Combination therapy may increase side effects for some patients; clinician guidance is required
Pricing statement
Medication management: $100 every 60 days. Medication is billed separately by the dispensing pharmacy/manufacturer pharmacy. Prescription required; prescription is not guaranteed. Treatment must be medically necessary. Use only as prescribed. Dosage may vary. Results vary. Benchmark example: $100 per 10 doses (subject to change).
Internal reference links (for completeness/validation; do not publish as claims)
- Medication List -for sites (1) (5).pdf (Erectioncare.com section)
- https://mensdirectrx.com/oral-treatment-center/
Billing and Pricing Disclosure
Medication management fee: $100 every 60 days.
Medication cost is billed separately by the dispensing pharmacy/manufacturer pharmacy and may change.
Prescription required; prescription is not guaranteed. All treatment must be medically necessary after clinician review.
Global Disclaimers
- Prescription required; prescription is not guaranteed.
- Use only as prescribed. Dosage may vary.
- Results vary. Treatment must be medically necessary.
- Telehealth is not emergency care. If you have an emergency, call 911 or go to the nearest ER.
- If compounded medication is prescribed: compounded medications are not FDA-approved and are not reviewed by the FDA for safety, effectiveness, or quality.
- Medication cost is billed separately by the dispensing pharmacy/manufacturer pharmacy.
ED safety box
Important: Do not use erectile dysfunction medications with nitrates (for chest pain) or recreational ‘poppers.’ Tell your clinician about all medications, supplements, and medical conditions.
Seek urgent care for chest pain, severe dizziness/fainting, sudden vision/hearing changes, severe allergic reaction, or an erection lasting longer than 4 hours (priapism).