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Urology

At Restorative Compounding Pharmacy + Wellness, we recognize the crucial role of collaboration with providers to better patient outcomes. Within the field of urology, where conditions involving the urological and reproductive systems require privacy, sensitivity, and professionalism, we play a pivotal role. Working closely with our physician partners, we specialize in compounding medications tailored to individual needs. This includes solutions for conditions such as erectile dysfunction, Peyronie's disease, and more, ensuring the most effective form of treatment for each patient.

Common dosage forms include: troches, rapid dissolve tablets (RDTs), capsules, creams, and gels.

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Bremelanotide (PT-141) / Oxytocin Nasal Spray

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This compounded nasal spray combines bremelanotide (PT-141) with oxytocin to enhance desire, arousal, and connection. PT-141 acts in the brain to boost libido and sexual arousal, while oxytocin — often called the "bonding hormone" — supports feelings of closeness, relaxation, and satisfaction. Together they address the emotional and physical sides of intimacy, and the nasal spray offers fast, convenient, needle-free absorption ahead of intimacy.

Prescribers choose this combination for patients seeking support with desire and connection, for both men and women. We compound each nasal spray to the exact strengths your prescriber specifies, made to order in our pharmacy.

This is a compounded medication prepared to your prescription and used under a prescriber's guidance. Your prescriber will confirm it's right for you, set the dose, and review use, noting PT-141 can cause temporary nausea or flushing. Every batch is pharmacist-compounded, quality-verified, and shipped nationwide. Prescription required.

Frequently asked questions

Why combine PT-141 and oxytocin?
PT-141 boosts desire and arousal in the brain while oxytocin supports closeness, relaxation, and satisfaction — addressing both the physical and emotional sides of intimacy.

Who is it for?
Men and women seeking support with libido, arousal, and connection.

Why a nasal spray?
It offers fast, convenient, needle-free absorption ahead of intimacy.

Are there side effects?
PT-141 can cause temporary nausea or flushing; your prescriber sets the dose to fit you.

Do I need a prescription?
Yes. This nasal spray is compounded to your prescriber's order and requires a valid prescription. Our pharmacists prepare and verify every batch.

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Tadalafil Troche

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Compounded tadalafil troche is a prescription treatment for erectile dysfunction (ED) prepared as a lozenge that dissolves in the mouth. Tadalafil is a PDE5 inhibitor, the same active ingredient as the brand medication Cialis. It works by relaxing blood vessels and improving blood flow to support an erection when you are sexually aroused. Tadalafil is known for its long duration of action, which is why it is sometimes called the weekend option.

As a compounded troche, tadalafil is absorbed through the lining of the mouth, which bypasses first-pass processing in the liver. Some patients and prescribers prefer this route for a potentially faster onset and because it avoids swallowing a tablet. We can also compound tadalafil in combination with other agents when a prescriber directs it, and prepare custom strengths that are not available commercially.

Tadalafil is an FDA-approved medication for erectile dysfunction, though compounded troches are a custom formulation rather than the FDA-approved product. Important safety note: PDE5 inhibitors like tadalafil must not be used with nitrate medications (such as nitroglycerin) or certain other heart medications, because the combination can cause a dangerous drop in blood pressure. Use tadalafil only under a prescriber who can confirm it is safe for you. Common side effects include headache, flushing, nasal congestion, and indigestion. Every batch is pharmacist-compounded, quality-verified, and shipped nationwide. Prescription required.

Frequently asked questions

What is a tadalafil troche used for?
Treating erectile dysfunction. Tadalafil is a PDE5 inhibitor (the same active ingredient as Cialis) that improves blood flow to support an erection with arousal.

How is a troche different from a tablet?
A troche dissolves in the mouth and is absorbed through the lining, bypassing first-pass liver processing. Many patients prefer it for potentially faster onset and easier use than swallowing a pill.

How long does tadalafil last?
Tadalafil is known for a long duration of action, often up to a day or more, which is why it is sometimes called the weekend option. Follow your prescriber's dosing.

Is it safe with my other medications?
Do not use tadalafil with nitrates (like nitroglycerin) or certain blood pressure or heart medications, as the combination can dangerously lower blood pressure. Always review your medications with your prescriber.

What are the side effects?
Common ones include headache, flushing, stuffy nose, and indigestion. Seek care for rare but serious effects like an erection lasting over four hours. Use under a prescriber's guidance.

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Scream Cream

$0.00

Compounded Scream Cream is a prescription topical designed to support arousal and sensation for women. Applied directly to the external genital area, it combines ingredients that increase local blood flow, such as sildenafil and L-arginine, which work through the nitric-oxide pathway to relax blood vessels and promote engorgement of the clitoris and surrounding tissue. Because it acts locally where it is applied, it is designed for a fast, targeted effect with minimal absorption into the rest of the body.

Women use Scream Cream to help with arousal, sensitivity, and satisfaction, including for concerns like female sexual arousal difficulty. It is typically applied a short time before intimacy, following your prescriber's instructions. Because it is compounded, we can prepare it in the combination and strengths your prescriber selects.

There is no FDA-approved product for this use, so Scream Cream is prepared as a compounded medication and used off-label under your prescriber's direction. It is applied topically and generally well tolerated, with possible mild irritation or warmth at the application site. Use it under a prescriber who can confirm it is right for you, especially if you take nitrate medications or have heart conditions. Every batch is pharmacist-compounded, quality-verified, and shipped nationwide. Prescription required.

Frequently asked questions

What is Scream Cream used for?
Supporting arousal, sensitivity, and satisfaction for women, including female sexual arousal difficulty. It is a topical applied to the genital area to boost local blood flow.

How does it work?
Ingredients like sildenafil and L-arginine increase blood flow through the nitric-oxide pathway, promoting engorgement and sensitivity where it is applied.

How is it used?
It is applied to the external genital area a short time before intimacy, per your prescriber's instructions.

Is it absorbed into the body?
It is designed to act locally, so systemic absorption is minimal. Still, if you take nitrate medications or have heart concerns, review this with your prescriber.

Are there side effects?
It is generally well tolerated topically. The most common is mild irritation or warmth at the application site. Use under a prescriber's guidance.

Patients? Request More Information Prescribers? Request Prescribing Access