Licensed Texas providers – Real prescriptions – Free consultation
A compounded sublingual troche combining Tadalafil, a clinically proven PDE5 inhibitor, with Oxytocin — the bonding hormone — to enhance arousal, emotional connection, orgasm intensity, and overall sexual satisfaction in women. Prescribed by licensed physicians. No clinic visits required.
Tadalafil increases blood flow to the clitoral and vaginal tissues, supporting physical arousal and orgasmic response. Oxytocin — naturally released during intimacy — reduces performance anxiety, deepens emotional connection, and enhances libido and orgasm intensity. Together, dissolved sublingually under the tongue for rapid absorption, they address the full spectrum of female sexual dysfunction in a single, doctor-prescribed troche.
Female sexual wellness is shaped by both physical and emotional factors — blood flow, hormonal signaling, stress, and emotional safety all play a role. This troche addresses them together, not in isolation.
The sublingual troche dissolves rapidly under the tongue, bypassing first-pass metabolism for faster, more efficient absorption than oral tablets. Most patients feel effects within 30–60 minutes.
As a PDE5 inhibitor, Tadalafil increases nitric oxide levels, relaxing smooth muscle and enhancing blood flow to the clitoral and vaginal tissues — supporting natural arousal and sensation.
Oxytocin — naturally released during touch and intimacy — is administered directly, amplifying feelings of closeness, reducing performance anxiety, increasing libido, and enhancing orgasm intensity.
Tadalafil's mean terminal half-life exceeds 17 hours — significantly longer than other PDE5 inhibitors — allowing for spontaneity without the pressure of timing.
Both active ingredients serve a specific, clinically meaningful purpose. No fillers. No guesswork. Each compounded to the dose your licensed provider determines appropriate for you.
A phosphodiesterase type 5 (PDE5) inhibitor that works by enhancing blood flow to the clitoral and vaginal areas during sexual stimulation. In women, this supports arousal, improved sensation, and orgasmic response. Tadalafil's extended half-life (>17 hours) makes it uniquely suited to spontaneous intimacy.
A nonapeptide hormone secreted by the pituitary gland that plays a central role in social bonding, sexual arousal, and orgasm. Administered via troche, it amplifies feelings of closeness, reduces stress, increases libido, and can enhance orgasm intensity and frequency in women.
Both ingredients have distinct timelines. Here is what most patients experience when using the Tadalafil with Oxytocin Troche as directed by their Green Cap provider.
| Time | What's Happening | What You Notice |
|---|---|---|
| 30 min | Oxytocin reaches systemic circulation via sublingual absorption | Calming, bonding sensation; reduced performance anxiety; heightened sensitivity to touch and emotional closeness |
| 30–60 min | Tadalafil reaches peak plasma concentration; PDE5 inhibition increases nitric oxide and vasodilation | Improved genital blood flow; stronger, more consistent physical arousal; enhanced sensation and orgasmic response |
| Up to 36 hr | Tadalafil's long half-life (>17 hr) maintains elevated levels in plasma | Sustained physical readiness; no timing pressure; spontaneous intimacy without planning around a dosing window |
| Several hr | Oxytocin levels taper gradually from peak; bonding and mood effects persist | Continued emotional warmth, elevated mood, and relationship satisfaction extending beyond the encounter |
| Ongoing use | Cumulative neurochemical and vascular conditioning with consistent treatment | Deeper improvements in baseline libido, emotional intimacy, and overall sexual satisfaction; provider adjusts dose as response evolves |
Your Green Cap provider will review your health history and goals before prescribing. The consultation is free and takes under 5 minutes.
Single-ingredient options cannot address the interconnected physical and emotional dimensions of female sexual health. This compounded troche does both simultaneously.
Tadalafil increases blood flow to the clitoral and vaginal tissues during stimulation, supporting stronger, more consistent physical arousal responses. Unlike topical options, systemic absorption ensures full coverage of genital vasculature.
Oxytocin reduces performance anxiety and emotional disconnection, helping women feel more present, bonded, and emotionally safe during intimacy. Clinical evidence links oxytocin to improved relationship trust and reduced stress reactivity.
Oxytocin amplifies sexual desire by acting on both central (brain) and peripheral pathways — addressing the hormonal and neurological dimensions of low libido that PDE5 inhibitors alone cannot reach.
Clinical evidence indicates that oxytocin can improve both the intensity and frequency of orgasm — particularly in women affected by antidepressant-induced sexual dysfunction, where orgasmic response is most commonly suppressed.
Tadalafil's extended half-life of over 17 hours creates a 36-hour window of enhanced physical response. One troche on a Friday evening means no timing pressure through the weekend — intimacy on your terms, not the medication's.
Every prescription is issued by a licensed Green Cap physician after reviewing your full health history. Dosages are adjusted to your specific needs — not a one-size-fits-all formula — and can be titrated over time as your response evolves.
"I had been dealing with low desire for over two years after starting antidepressants. This troche genuinely changed things. I noticed a difference within the first two uses — more connected, more responsive. The consultation was thoughtful and private."
"After perimenopause, intimacy felt like a chore. The oxytocin component really surprised me — it brought back that feeling of wanting to be close. Physical arousal improved too. My provider was professional and non-judgmental throughout."
"The sublingual delivery is fast and easy. No aftertaste. I appreciate that it lasts so long — there's no pressure around timing. 4 stars only because I wish I had started this sooner. Works exactly as described."
"Postpartum, I had zero interest in intimacy. My OB suggested looking into oxytocin-based options. Green Cap's assessment was thorough, and the troche was discreetly shipped within days. Two months in — genuinely helpful."
"I was nervous about trying a compounded medication online but the doctor spent time answering my questions. The 36-hour window is a real benefit — it felt natural, not medically timed. Highly recommend for women going through menopause."
"Stress had been making intimacy feel impossible. The anxiety-reducing effect of oxytocin hit me faster than I expected. Physical response followed. Shipping was discreet and the packaging gave nothing away."
This treatment is appropriate for adult women across a range of sexual health concerns. Your Green Cap provider will confirm suitability through your free health assessment.
Not all sexual wellness options are equal. Here is how Green Cap's prescription troche compares to OTC products and generic telehealth providers.
| Feature | Green Cap Troche | OTC Supplements | Typical Telehealth |
|---|---|---|---|
| Prescription-strength Tadalafil | ✓ | ✗ | Varies |
| Oxytocin (bonding hormone) included | ✓ | ✗ | ✗ |
| Sublingual fast-absorbing delivery | ✓ | ✗ | Rarely |
| Up to 36-hour effect window | ✓ | ✗ | Varies |
| Doctor-supervised, personalized dosing | ✓ | ✗ | ✓ |
| Free initial health assessment | ✓ | N/A | Varies |
| HIPAA-compliant telehealth platform | ✓ | ✗ | Varies |
| Discreet, unmarked shipping | ✓ | Varies | Varies |
Honest answers to the questions patients ask most before starting treatment.
It is a compounded sublingual troche — a small lozenge dissolved under the tongue — combining Tadalafil, a PDE5 inhibitor that increases blood flow to genital tissues, with Oxytocin, the bonding hormone that enhances emotional closeness, libido, and orgasm in women. Prescribed by licensed physicians and custom-compounded to each patient's appropriate dose.
The troche dissolves sublingually for rapid absorption. Tadalafil improves blood flow to the clitoral and vaginal areas within 30–60 minutes, supporting physical arousal and sensation. Oxytocin provides an almost immediate calming and bonding effect — reducing anxiety, increasing desire, and enhancing orgasm intensity and frequency.
Yes. Both Tadalafil and compounded Oxytocin are prescription-only. Green Cap's licensed physicians review your free online health assessment and issue a personalized prescription if appropriate. The entire process — assessment, consultation, prescription, and delivery — is handled online through our HIPAA-compliant telehealth platform. No clinic visit required.
Tadalafil has a mean terminal half-life of over 17 hours, with physical effects lasting up to 36 hours. Oxytocin's effects peak within 30–60 minutes and last several hours. The combination allows for spontaneous intimacy without time pressure.
The troche is used to address several conditions in women, including:
Your provider will determine the most appropriate use case during your assessment.
Sublingual delivery bypasses the digestive system and liver's first-pass metabolism, resulting in faster absorption and more efficient bioavailability compared to standard oral tablets — often 20–30 minutes faster onset. The troche format is also easy to use discreetly.
Tadalafil may cause headache, flushing, or low blood pressure (particularly if combined with nitrates — a key contraindication your doctor will screen for). Oxytocin is generally well-tolerated at compounded doses. A Green Cap provider reviews your complete health history before prescribing to confirm this treatment is appropriate and safe for you.
The 1-month supply is $59.99. The 3-month supply is $99.99 ($33.33/month — saving $80) and the 6-month supply is $159.99 ($26.67/month — saving $200). The initial health assessment is always free. Shipping is discreet and included.
Take the free 5-minute health assessment and our licensed physicians will review your profile and — if appropriate — send you a personalized prescription. Discreet. Compassionate. Entirely online.
✓ Free assessment · ✓ No commitment · 🩺 Licensed physicians · 🔒 HIPAA compliant · 📦 Discreet shipping