Fem Max troche with a Vitascend label
Images are for illustration. Your medication is prepared and shipped directly by a licensed US pharmacy, so vials, labels and packaging may look different.
Route 03 · Sexual health · For women

Fem Max troche

Dissolving troche · Tadalafil 2.5 mg, oxytocin 100 IU, PT-141 1 mg × 30

Formulated for women, in one lozenge that dissolves in your mouth.

Popular for
  • Desire
  • Arousal
$119/mo

Billed $357 every 3 months. Renews only after your 90-day check-in.

  • $50 visit fee on your first order, only if you're approved
  • Your card is held, not charged, until a clinician prescribes
  • Shipping and your clinician's reviews included
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Just your email, used only for this. No health questions here.

Compounded medication, not FDA-approved. Prescribed only if a licensed clinician determines it's right for you.

How it's taken

A soft lozenge you let dissolve between your cheek and gum. Your clinician sets how often, and your pharmacy label spells out your exact dose.

Your plan

Tadalafil 2.5 mg, oxytocin 100 IU, PT-141 1 mg × 30. Your clinician reviews how it's going every 90 days and can adjust the dose or switch treatments.

What's included
  • Medication from a licensed US pharmacy
  • Shipping in plain packaging
  • Clinician reviews and messages
  • A check-in before anything renews
How it works

Four waypoints to your first order.

  1. 01 Base

    Tell us about you

    Answer a few health questions online, in about ten minutes. Your card is held for the $50 visit fee, not charged.

  2. 02 Ridge

    A clinician reviews

    A licensed clinician reviews your history and may message you with questions. Only if they prescribe is your card charged. If not, the hold is released.

  3. 03 Ascent

    Your plan ships

    A licensed US pharmacy prepares your medication and ships it to your door, cold-packed when it needs to be. Shipping is included.

  4. 04 Summit

    Check in every 90 days

    Around day 75 we ask how it's going, and your clinician adjusts the plan. Nothing renews without that check-in.

Know before you go

Safety, in plain words.

  • Compounded medications are not FDA-approved. Brand names are mentioned only to identify the active ingredient.
  • Never take tadalafil or sildenafil with nitrates (such as nitroglycerin) or with riociguat. The combination can drop blood pressure dangerously.
  • Get medical help right away for an erection lasting more than 4 hours.
Questions

Before you set out.

What if the clinician doesn't approve me?

Then you pay nothing. When you finish your health questions we place a $50 hold on your card, not a charge. It becomes a charge only if a clinician prescribes treatment. If they don't, the hold is released.

Is Vitascend a pharmacy or a medical practice?

Neither. Vitascend is the company you sign up and pay with. Your care comes from independent, licensed clinicians who make every prescribing decision, and your medication is prepared by a licensed US compounding pharmacy.

What does "compounded" mean, and is it safe?

A compounded medication is prepared by a licensed pharmacy for an individual patient's prescription. Compounded medications are not FDA-approved, which means the FDA doesn't review them for safety, effectiveness or quality before they're dispensed. Licensed pharmacies are regulated and inspected by their state boards, and your clinician will talk you through the risks.

What's included in the price?

Your medication, shipping (cold-packed when it needs to be) and your clinician's reviews for as long as you're on the plan. The one extra is the $50 visit fee on your first order, and only if you're approved. There's nothing to pay for renewals beyond the plan price.

How does the 3-month plan work?

You pay for three months at a time at a lower monthly price. Around day 75 we check in on how you're doing; your clinician reviews it and your next three months ship before you run out. Nothing renews without that check-in.