Troche
Apomorphine / Sildenafil / Tadalafil / Vardenafil Troches
Quad-mix troche combining three PDE5 inhibitors with apomorphine dopamine agonist for maximum potency and comprehensive mechanism.
4, 8 or 12 troches per month
Starting at $69/mo
ResearchConnectionIntimacy
RxPrescription onlyDissolved under the tongue · Once a day · 50–250 IU · Research · Connection · Intimacy
Starting at $129/mo
Bioidentical oxytocin as orally dissolving tablets for bonding, connection, and intimate wellbeing. One tablet sublingually as needed or daily. Evidence is early and growing.
How many tablets per month?
You'll receive 30 tablets per month. $149 billed monthly. Cancel anytime.
Real prices from our pharmacy. Longer plans cost less per month and are billed up front. Pause or cancel anytime.
Every plan includes
(the bonding hormone)
Oxytocin is a hormone and neurotransmitter produced in your brain and released during social bonding, physical touch, and orgasm. It promotes trust, generosity, and emotional connection. Oxytocin is used off-label for sexual dysfunction, social anxiety, and relationship satisfaction. Evidence in humans is still early, but research is growing. Oxytocin ODT dissolves under the tongue for convenient dosing.
Emerging
research-stage evidence in humans; strong animal data
Take one tablet (4-8 IU) sublingually as needed before intimacy or social situations, or once daily. Effects begin within 10-30 minutes.

Day 1
A US-licensed physician discusses oxytocin's role in bonding and sexual function, and explains that evidence in humans is emerging.
Week 1
Begin your oxytocin dose (as-needed or daily), typically in the evening or 30 minutes before intimacy. Effects may be subtle.

Weeks 2-4
You may notice increased closeness, trust, or sexual satisfaction. Some people feel effects immediately; others take weeks. Your physician monitors your experience.

Month 2
Check-in. Discuss whether oxytocin is helping with your goals. Adjust dose or timing if needed, or explore if oxytocin is right for you.

Beyond
Continue oxytocin if it supports your bonding, intimacy, or social wellbeing. Your physician reassesses every 3 months.
Enhanced intimacy and connection
many report deeper bonding and sexual satisfaction
Increased trust and generosity
oxytocin promotes openness and social warmth
Mood and wellbeing
some patients report improved mood and reduced anxiety
Social ease
oxytocin may ease social anxiety and increase confidence
Individual results vary. Benefits reflect what Zepym Health members commonly report to their physician at check-ins; they are not the results of a clinical trial.
Important safety information and common side effects
Oxytocin is generally well-tolerated. Common effects are minimal; rare effects include mild headache, dizziness, or transient facial flushing. Oxytocin does not significantly increase blood clot risk or other major adverse effects at low doses. However, evidence in humans is limited compared to animal research. Oxytocin should not be used during pregnancy (high natural oxytocin). Tell your physician about any mood changes, dizziness, or unusual effects. Stop and seek care for severe headache or signs of allergic reaction.
Oxytocin is the bonding hormone. The sexual-function trials we could check are few and small, and the one we found in women reported no change in its sexual-function score. We found no trial of the sublingual tablets and troches sold here.
In a triple-blind placebo-controlled trial of 64 breastfeeding women, 200 IU vaginal oxytocin gel daily for eight weeks did not change the total FSFI sexual function score.
Mesbahi et al., BMC Pregnancy and Childbirth 2022In the same trial, the contentment subscale of sexual satisfaction rose by 1.56 points more than placebo (P = 0.017), while total satisfaction did not differ significantly.
Mesbahi et al., BMC Pregnancy and Childbirth 2022We found no published trial of sublingual oxytocin tablets or troches for sexual function. The sold products use doses that were not the ones studied.
PubMed search, oxytocin sublingual sexual function (2026)What the studies found
The trial used a vaginal gel in breastfeeding women, not the sublingual tablets or troches sold here. Its doses and population do not match these products, and it does not show that sublingual oxytocin improves sexual function.
What this does not say
Oxytocin is well-established in animal models as critical for bonding, trust, and sexual function. Human trials are smaller and emerging. Nasal and subcutaneous oxytocin have shown effects on social behavior and sexual satisfaction in small studies.
Sublingual oxytocin has variable absorption and effects may be modest. Some people respond well; others do not. Your physician discusses realistic expectations and monitors your response.
Connect with a physician
Answer a few questions online and a US-licensed physician reviews your health, history and goals to make sure treatment is right for you. 100% online. No in-person visit required.
Get your discreet shipment
If approved, your treatment is compounded by a US-licensed, LegitScript-certified pharmacy, inspected for quality, and shipped discreetly to your door.
Receive continuous support
Start with one goal, then keep building over time. Unlimited physician messaging, easy refills and dose adjustments, all from the Zepym Health app.
Dissolved under the tongue, once a day. The starting prescription is one tablet (50 IU) each time. Your physician sets your own dose and it is printed on your label.
The pharmacy carries 2: 50 IU, 250 IU. Your physician chooses which one you get.
30 tablets at the starting strength, shipped to your door from a licensed US pharmacy.
Oxytocin is FDA-approved as a medication to induce labor (Pitocin). Off-label use for intimacy, social anxiety, or sexual function is research-stage and not FDA-approved for these uses. Your physician prescribes it off-label based on emerging evidence and clinical judgment.
Some people feel effects within 10-30 minutes of taking oxytocin sublingually. Others notice effects over days or weeks of regular use. Effects are often subtle. Your physician discusses realistic timelines.
Both approaches are used. As-needed dosing (before intimacy or social events) is common. Daily dosing is less studied but some patients use it for ongoing mood and social support. Your physician helps you choose the schedule that fits your goals.
Oxytocin may support sexual function and satisfaction by increasing trust, arousal, and emotional connection. However, effects are variable and modest. Other factors, relationship health, stress, hormonal status, matter too. Your physician discusses realistic expectations.

Oxytocin educational content reviewed by our physician
Scott Nass, MD Doctor of Medicine, board-certified in Family Medicine
Charles R. Drew University and David Geffen School of Medicine at UCLA. Family Medicine residency at Ventura County Medical Center.
Troche
Quad-mix troche combining three PDE5 inhibitors with apomorphine dopamine agonist for maximum potency and comprehensive mechanism.
4, 8 or 12 troches per month
Starting at $69/mo
Injection
Combination of papaverine and phentolamine for intracavernosal injection. Vasodilator mix for erectile dysfunction. Priapism risk and rescue requirements.
Starting at $171/mo
Cream
Topical cream for female sexual enhancement and orgasm support. Combination of arginine, ergoloid, pentoxifylline, sildenafil, and theophylline.
Starting at $116/mo
Cream
Topical cream for female sexual arousal and pleasure. Contains oxytocin, theophylline, arginine, and sildenafil for enhanced sensation and response.
Starting at $138/mo
Prescription products require an online evaluation with a licensed medical professional who will determine if a prescription is appropriate. Products are compounded by a licensed pharmacy. The FDA has not reviewed or approved compounded products for any use for safety, efficacy, or quality. Compounded medications are not FDA-approved brand-name products.