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Couple wellness and vitality

Reignite Passion and Intimacy

Personalized solutions for sexual wellness, featuring specialized arousal creams for women and advanced ED therapies for men.

Understanding Sexual Health

Sexual health is an essential component of overall wellness and quality of life. Our comprehensive approach combines cutting-edge compounds with personalized treatment protocols to address both physical and psychological aspects of sexual function. We specialize in unique formulations for women's arousal and satisfaction, including our popular Scream Cream and Climax Cream, alongside advanced ED treatments for men that go beyond traditional options.

Key Benefits

Specialized women's arousal creams (Scream Cream & Climax Cream)
Advanced ED medications with rapid-dissolve technology
Injectable therapies for severe or complex cases
Combination formulas for enhanced effectiveness
Hormone optimization to support healthy libido
Discreet packaging and convenient delivery options

Scientific Foundation

Clinical studies demonstrate that topical vasodilators can significantly improve female sexual arousal and satisfaction. For men, combination therapies and alternative delivery methods show superior outcomes compared to single-agent oral medications. Research published in the Journal of Sexual Medicine confirms the effectiveness of compounded formulations for both male and female sexual dysfunction.

Researched Sexual Wellness Ingredients

Our formulations feature evidence-based ingredients that address the complex nature of sexual health:

Theophylline & Arginine

Vasodilators in our women's formulations designed to support genital blood flow and sensitivity. Individual results vary.

Sildenafil (Topical)

Applied topically, may enhance clitoral and vaginal sensitivity, with less medicine reaching the rest of the body than an oral dose.

Tadalafil Combinations

Long-acting ED treatment (up to 36 hours) available in customized strengths and rapid-dissolve formulations for faster onset.

Tri-Mix Injections

Combination therapy for severe ED. Combines papaverine, phentolamine, and alprostadil for cases where oral medications are ineffective.

Your Personalized Sexual Wellness Journey

We provide comprehensive solutions tailored to your specific needs, whether you're seeking enhanced arousal, improved performance, or restored intimacy.

  1. 1Confidential consultation with your healthcare provider about symptoms and goals
  2. 2Review of medical history, current medications, and hormonal status
  3. 3Selection of appropriate treatment (topical creams, oral medications, or injections)
  4. 4Custom formulation with precise dosing for optimal effectiveness
  5. 5Discreet delivery with clear usage instructions
  6. 6Follow-up to assess response and make any necessary adjustments

Advanced Sexual Wellness Ingredients

Our formulations use ingredients used in sexual health care to address both the physical and psychological aspects of sexual health

For Women's Sexual Wellness

Theophylline & Arginine

Powerful vasodilators that may increase blood flow to genital tissues. Clinical studies suggest enhanced arousal and sensitivity within 15-30 minutes of topical application.

Featured in both Scream Cream and Climax Cream formulations

Sildenafil (Topical)

When applied topically, may provide localized blood flow enhancement without systemic effects. May improve clitoral and vaginal sensitivity for enhanced pleasure.

May be prescribed off-label by healthcare providers for topical use

Ergoloid Mesylate

May enhance nerve sensitivity and arousal response. Studies suggest improved orgasm intensity and frequency when combined with other vasodilators.

Exclusive to our Climax Cream formulation

Pentoxifylline

May improve microcirculation and tissue oxygenation. May help with arousal disorders and enhance natural lubrication response.

Works synergistically with other ingredients

PT-141 (Bremelanotide)

FDA-approved for women with low sexual desire. Works through brain pathways to increase libido and arousal, addressing the mental aspect of sexual wellness.

Injectable option for desire disorders

Scream Cream

Our most popular arousal enhancer combining theophylline, arginine, and sildenafil for increased sensitivity and pleasure.

  • May work within 15-30 minutes
  • May enhance natural arousal response
  • Applied topically

Climax Cream

Advanced formula with ergoloid mesylate and pentoxifylline for enhanced orgasm intensity and improved satisfaction.

  • May improve orgasm quality
  • May enhance nerve sensitivity
  • Ingredients used in sexual health care

For Men's Sexual Performance

Tadalafil

Long-acting PDE5 inhibitor that may provide up to 36 hours of effectiveness. Available in rapid-dissolve tablets for potentially faster onset and customizable dosing.

Daily or as-needed options available

Sildenafil + Combinations

Enhanced formulations combining sildenafil with other agents like papaverine for potentially improved effectiveness in difficult cases. RDT format allows sublingual absorption.

Multiple strength options from 110mg to 150mg

Tri-Mix Injections

Gold standard for severe ED, combining papaverine, phentolamine, and alprostadil. Clinical studies report high success rates when oral medications fail.

Customizable concentrations based on response

Vardenafil + Paroxetine

Dual-action therapy for ED and premature ejaculation. Vardenafil may provide erection support while paroxetine may help delay climax for improved control.

Available in customized RDT combinations

Conditions We Address

Female Sexual Arousal Disorder

Difficulty achieving or maintaining arousal despite adequate stimulation, affecting up to 40% of women.

Common symptoms:

  • •Decreased genital sensitivity
  • •Reduced lubrication
  • •Difficulty achieving arousal
  • •Decreased sexual satisfaction
  • •Loss of interest in intimacy

Erectile Dysfunction

Inability to achieve or maintain an erection sufficient for sexual activity, affecting over 30 million men in the US.

Common symptoms:

  • •Difficulty achieving erection
  • •Inability to maintain erection
  • •Reduced erection firmness
  • •Decreased sexual confidence
  • •Performance anxiety

Low Libido

Decreased sexual desire that can affect both men and women due to hormonal, psychological, or medical factors.

Common symptoms:

  • •Lack of sexual interest
  • •Reduced sexual thoughts
  • •Relationship strain
  • •Hormonal imbalances
  • •Fatigue affecting intimacy

Orgasmic Dysfunction

Difficulty achieving orgasm or reduced orgasm intensity, particularly common in women and men over 50.

Common symptoms:

  • •Delayed orgasm
  • •Inability to climax
  • •Reduced pleasure intensity
  • •Frustration with sexual activity
  • •Partner relationship concerns

Don't see your condition listed? Contact us to discuss how personalized compounding might help you.

Get in touch →

Frequently Asked Questions

Have more questions about sexual health treatments?

Send us your question through our contact page and our pharmacists will get back to you.

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Get personalized information about sexual health treatments and how they can help you.

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Available Treatment Options

Our pharmacists can customize these medications to meet your specific needs. All prescriptions require consultation with your healthcare provider.

Scream Cream
COMPOUND

Scream Cream

Scream Cream is a prescription topical medication made to improve female sexual arousal and pleasure. It combines three vasodilators— theophylline 3%, arginine 6%, and sildenafil 2%— in a smooth, fast-absorbing cream. When applied to the external genital area, the formula boosts blood flow, heightens sensitivity, and may lead to stronger, more satisfying intimacy. The cream is dispensed in a 30-gram metered pump for easy, mess-free dosing.

3% | 6% | 2%
Sildenafil Citrate Rapid Dissolve Tablet
COMPOUND

Sildenafil Citrate Rapid Dissolve Tablet

Sildenafil Citrate rapid dissolve tablets are custom-made tablets that melt on your tongue. They are used to treat erectile dysfunction by helping blood flow into the penis so you can get and keep an erection when sexually aroused. The fast-dissolve form starts working quicker than regular tablets, giving many men more flexibility.

17 mg36 mg60 mg+2
Oxytocin Nasal Spray
COMPOUND

Oxytocin Nasal Spray

Oxytocin Nasal Spray is a compounded intranasal solution that delivers the natural hormone oxytocin through the lining of the nose. It is being used under a prescriber’s direction to support sexual intimacy, bonding, and to ease social anxiety. The spray allows the hormone to enter the bloodstream quickly while avoiding needles or pills. This product is only available with a valid prescription and should be used exactly as directed by a licensed healthcare provider.

15 IU/mL50 IU/mL100 IU/mL+1
Tri-Mix Injection
COMPOUND

Tri-Mix Injection

Tri-Mix is a sterile compounded injection used to treat erectile dysfunction (ED) in adult men who do not respond well to oral medicines. It contains three vasodilator drugs that relax blood vessels in the penis and improve blood flow. Your healthcare provider will choose the exact strength that is right for you and will teach you how to give the injection safely at home.

30mg/ml | 3 mg/ml | 60 mcg/ml8mg/ml | 0.29 mg/ml | 2.9 mcg/ml17.65mg/ml | 0.59 mg/ml | 5.9 mcg/ml+9
Tadalafil | Apomorphine HCl Rapid-Dissolve Tablets
COMPOUND

Tadalafil | Apomorphine HCl Rapid-Dissolve Tablets

This compounded rapid-dissolve tablet (RDT) combines Tadalafil with Apomorphine HCl to support erectile function in adult men. Each tablet is designed to dissolve quickly under the tongue, allowing the active ingredients to enter the bloodstream fast. The formulation is prepared in a licensed compounding pharmacy following USP <795> guidelines. It is dispensed by prescription only.

20mg | 3mg40mg | 6mg75mg | 10mg
Tadalafil Rapid-Dissolve Tablet
COMPOUND

Tadalafil Rapid-Dissolve Tablet

Tadalafil RDT (rapidly disintegrating tablet) is an oral medication used to treat erectile dysfunction (ED). The tablet melts on the tongue without water, making it easy to take. It works for up to 36 hours, giving flexibility in timing sexual activity.

3 mg6 mg8.5 mg+2
Sildenafil Citrate | Tadalafil Rapid Dissolve Tablets
COMPOUND

Sildenafil Citrate | Tadalafil Rapid Dissolve Tablets

This product combines sildenafil citrate and tadalafil in a fast-dissolving tablet that melts on your tongue for quick absorption. It is used to help men with erectile dysfunction get and keep a firm erection when sexually aroused. The rapid-dissolve form starts working faster than regular tablets for many users. A healthcare provider must prescribe and supervise use.

55 mg | 12.5 mg100 mg | 40 mg
Prostaglandin E1 (PGE) Injection
COMPOUND

Prostaglandin E1 (PGE) Injection

PGE1 (prostaglandin E1, also called alprostadil) is an intracavernosal injection used to treat erectile dysfunction (ED) in adult men. Each milliliter contains 40 micrograms of PGE1. The medication widens blood vessels in the penis, helping you achieve and keep an erection long enough for sexual activity. Use only as instructed by your healthcare provider.

80 mcg/mL
Euphoria Cream
COMPOUND

Euphoria Cream

Euphoria Cream is a topical prescription blend used to boost female sexual arousal. The combination of arginine, papaverine, and alprostadil widens blood vessels in sensitive tissues, helping increase warmth, sensation, and natural lubrication. It is applied directly to external genital skin to support satisfying intimacy when needed.

6% | 5% | 0.2%
Climax Cream
COMPOUND

Climax Cream

This compounded cream combines four blood-flow–enhancing agents—Theophylline 3%, Arginine 6%, Ergoloid Mesylate 0.05%, and Pentoxifylline 5%—to increase circulation when applied to intimate skin. It is dispensed in a 30-gram metered pump for easy, accurate dosing. The formula is designed for adults who want faster, stronger genital arousal. Use only as directed by your prescriber.

3% | 6% | 0.05% | 5%
Bi-mix Injection
COMPOUND

Bi-mix Injection

Bi-Mix is a sterile intracavernosal injection used to treat erectile dysfunction in adult men. Together, these medicines relax smooth muscle and widen blood vessels in the penis, helping men achieve and keep an erection when sexual stimulation occurs.

30 mg/mL | 3 mg/mL
Quad-Mix
COMPOUND

Quad-Mix

This compounded injectable medication (often called “Quad-Mix”) contains four active drugs that work together to improve erectile function in adult men. When injected into the side of the penis before sexual activity, the medicine relaxes smooth muscle, widens blood vessels, and reduces outflow so more blood stays in the erectile tissue. A very small volume is used, and the effect starts within about 5–20 minutes and can last 30–90 minutes. Because it is a sterile compound prepared for each patient, strength ratios and vial size may vary based on your prescriber’s order.

0.9mg/ml | 0.1mg/ml | 20mcg/ml | 0.01mg/ml1.8mg/ml | 0.2mg/ml | 18mcg/ml | 0.02mg/ml20mg/ml | 2mg/ml | 20mcg/ml | 0.2mg/ml+4

Important Information

• All medications require a valid prescription from a licensed healthcare provider.

• Compounded medications are not FDA-approved and should only be used when FDA-approved drugs cannot meet medical needs.

• Individual results may vary. Consult with your healthcare provider before starting any new treatment.

• The information provided is for educational purposes only and is not intended as medical advice.

• Kare Pharmacy is a licensed 503A compounding pharmacy operating in compliance with all applicable regulations.

These statements have not been evaluated by the Food and Drug Administration. Compounded products are not intended to diagnose, treat, cure, or prevent any disease.