Tadalafil + Oxytocin Troches for Intimacy Support (Clinician Reviewed)
A clinician-guided troche option that may support confidence, intimacy, and connection for eligible patients, fulfilled by a pharmacy and shipped discreetly.
Prescription required. Treatment is provided only if a licensed clinician determines it is appropriate based on your medical history, medications, and symptoms.
Starting at $149.99
Final price depends on the dose your provider prescribes. Your full total, including any visit fee, is shown before you pay.
Clinician review + safety screening
Pharmacy fulfillment + discreet delivery
Transparent 6-week options (no subscription required)
Available in eligible states.
Choose your Tadalafil + Oxytocin Troche plan
Starting at $149.99
Final price depends on the dose your provider prescribes. Your full total, including any visit fee, is shown before you pay.
- Form
- Oral
- Dosage
- Tadalafil 5mg/Oxytocin 100IU troche before sexual activity
- Form
- Oral
- Dosage
- Tadalafil 10mg/Oxytocin 100IU troche before sexual activity
- Form
- Oral
- Dosage
- Tadalafil 10mg/Oxytocin 100IU/PT-141 1000mcg troche before sexual activity
- Form
- Oral
- Dosage
- Tadalafil 20mg/Oxytocin 100IU troche before sexual activity
- Form
- Oral
- Dosage
- Tadalafil 20mg/Oxytocin 100IU/PT-141 1000mcg troche before sexual activity
- Form
- Oral
- Dosage
- Tadalafil 40mg/Oxytocin 100IU troche before sexual activity
What this combination is designed to support
Who may be a good fit
This option may be considered if you:
- Want ED support with a longer window of flexibility (tadalafil-based)
- Prefer a troche format
- Want an option that may support intimacy and connection alongside confidence
- Want clinician review and discreet delivery
Who may NOT be a candidate
Your clinician may recommend avoiding this if you:
- Take **nitrates** (chest pain/angina meds)
- Take certain heart/blood pressure medications with unsafe interactions
- Have a condition where sexual activity is not advised
- Have uncontrolled cardiovascular disease or severe low blood pressure
- Are pregnant, trying to become pregnant, or breastfeeding (relevant for oxytocin use)
- Have allergies/sensitivities to any ingredient
What you get with StemVera
Included:
- Secure online intake + symptom review
- Medication safety screening (health history + current meds)
- Clinician review + prescription if appropriate
- Pharmacy fulfillment + discreet delivery
- Ongoing support via secure communication
- Want standard ED options? See ED Medication
How to start tadalafil + oxytocin troches
- 1
Complete intake
Share symptoms, goals, and your full medication list.
- 2
Clinician review
A licensed clinician evaluates safety and recommends the right option.
- 3
Discreet delivery
Your prescription ships discreetly with tracking where available.
- 4
Follow your prescribed instructions
Use only as directed. Message your care team with questions.
Possible side effects
Common
- Headache
- Flushing
- Nasal congestion
- Indigestion
- Mild dizziness
- Back or muscle aches
Stop and seek urgent medical care
- Chest pain, fainting, severe shortness of breath
- Vision changes or sudden vision loss
- Sudden hearing changes
- Erection lasting longer than 4 hours (priapism)
- Signs of allergic reaction (hives, swelling, trouble breathing)
Important safety notes
- **Never combine** PDE5 inhibitors with nitrates
- Tell your clinician about all medications (including alpha-blockers)
- Alcohol can worsen sexual performance and increase side effects for some people
- Use only as prescribed and do not exceed your directed frequency
- Do not use oxytocin products in pregnancy unless specifically directed by a clinician for an approved medical reason
Explore related sexual health options
ED Medication (Tadalafil or Sildenafil)
Standard pill-based options for erection support.
PT-141 (Bremelanotide) Injection
Libido-focused option for select patients.
Oxytocin Nasal Spray
Intimacy support option for eligible patients.
Sexual Health Hub
View all sexual health treatments.
Ready to start your order?
Share your name, mobile and email, then finish on our secure ordering site with a licensed provider review.
Starting at $149.99
Final price depends on the dose your provider prescribes. Your full total, including any visit fee, is shown before you pay.
Frequently Asked Questions
From the StemVera blog
Background reading on the conditions, side effects, and decisions this treatment is tied to.
