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Men are typically uncomfortable with speaking to anyone about sexual health, even though it is a course of concern for many men. While there are many men that assume that sexual problems are a normal part of aging, there are treatment options that can either improve or completely eliminate sexual dysfunction issues. Treatment for erectile dysfunction (ED) exists. Allz Well provides a wide range of ED, including products that increase a man’s testosterone using dosage forms such as pellets, customized topical gelsand ED injections. Our compounding pharmacists work hand-in-hand with urologists and other physicians to help men struggling with ED.


Erectile dysfunction (ED) and andropause (male menopause) are two conditions that have a major impact on a man’s quality of life. ED is defined as the inability to either achieve or maintain a firm enough erection for sexual intercourse.

What exactly is erectile dysfunction?

ED occurs when one of three things happens: (1) not enough blood is supplied to the penis to achieve an erection; (2) the penis does not retain the blood that flows into to maintain an erection; (3) the smooth muscle in the penis fails to relax.

Who does erectile dysfunction effect?

ED affects as many as 20% of men, crossing all ethnic and socioeconomic boundaries. It causes those men and their sexual partners to experience stress and frustration.

The likelihood of ED increases with age (5% of men having some degree of ED at age 40 and approximately 15%-25% at age 65 or older),but ED is associated with many factors including:

Physical Factors

  • Illness
  • Accidents
  • Injuries
  • Diabetes
  • High blood pressure
  • Side effects associated with medications
  • Heavy smoking
  • Excess alcohol

Psychological Factors

  • Unpleasant associations with past sexual activity
  • Stress
  • Depression
  • Anxiety

What is human sexual response?

Experienced by both men and women, the human sexual response is made up of four phases that include:

  1. Desire
  2. Excitement – sexual arousal occurs, including increased heart rate and blood pressure. It is during this phase when blood is sent to the genital area. In men, the increase in blood to the genital area creates an erection.
  3. Orgasm – muscle contractions, resulting in ejaculation of semen.
  4. Resolution – the body returns to its unexcited state.

Men also experience a “refractory period,” meaning the period of time after one orgasm when he is physically unable to have another orgasm. The refractory period is longer as a man ages.

What do you advice for men with erectile dysfunction?

Men are often embarrassed to discuss ED. But with all of the advances in research and medical treatment, the medical community has identified what caused ED and, based on that knowledge, found ways of treating ED. Allz Well advises any man experiencing ED to speak with his physician, as there are options available for treatment.

What treatment options are available to me with Allz Well Pharmacy?

a). Oral Tablets

Viagra (Sildenafil) is available as an oral tablet ranging from 25 mg to 100 mg.

Cialis (Tadalafil) is available as an oral tablet ranging from 5 to 20 mg.

Levitra (Vardenafil) is available as an oral tablet ranging from 2.5 to 20 mg.

B). Oral Suspensions

At Allz Well Pharmacy our compounding pharmacists are compounding Viagra suspension with ranging strengths from 2.5 to 100 mg / 5ml. Speak with one of our pharmacists about adding a flavor of your choice.

C). Injectable Medications
Bimix, Trimix or Quadmix

When oral therapy with common prescription medications fail or are contraindicated to provide a sustainable erection for selected patients, some urologists may suggest the use for intracevernosal injections.

Commonly known as Bimix, Trimix, or Quadmix, these preparations are customized for each individual’s specific needs. Your doctor, commonly your urologist, will first need to evaluate you, determine the appropriate dose, provide consultation and injection technique, and warn about side effects that may occur as a result of using the injection.

How the medication works:

The preparation is injected directly into the side of the penis and produces an erection anywhere from 5 to 15 minutes after the injection. It works by dilating the arteries of the penis and allowing blood to flow in. The erection can last anywhere from 30 minutes to an hour or longer.

Common formulations include:

Bimix – a mixture of phentolamine and papaverine). This combination is generally used for patients either new to ED injections or those are sensitive to alprostadil component of Trimix. Injections are generally less painful than with the other formulations.

Trimix– a mixture of alprostadil, phentolamine and papaverine. This combination is most commonly prescribed mixture, with varying doses depending on your physician’s orders. Alprostadil is a potent component of this mixture but may cause pain to some patients upon injection.

Quadmix– a mixture of alprostadil, phentolamine, papaverine and atropine. In this mixture atropine is added to increase the vasodilative effects of the other drugs to enhance its efficacy.

Trimix without alprostadil – a mixture of phentolamine, papaverine and atropine. This combination can be prepared if one is sensitive or cannot tolerate the pain associated with alprostadil.

Please consult your urologist to see which preparation is right for you. The above information is for educational purposes only. Allz Well Compounding Pharmacy solely compounds the preparations as prescribed by the physician for an individual patient. For more information please contact the pharmacy.

D). Nasal Sprays

Oxytocin is commonly prescribed for:

  • Sexual Arousal
  • Delayed Orgasm in Men
  • Postorgasmic Penile Detumescence
E). Gels, Creams and Ointments

Testosterone gels and creams can be compounded to restore testosterone to more youthful levels to promote libido, enthusiasm, confidence and sense of well-being.

Topical doses ranging from 25mg to 100mg (or more) usually twice daily.

F). Capsules

We also prepare slow-release, dry-powder capsules. A few examples include triiodothyronine, DHEA, Pregnenolone, melatonin, and hydrocortisone.

G). Sublingual lozenges and drops

We compound many natural hormones in a sublingual form. We provide handy oral syringes for accurate dosing and use sweeteners such as stevia, xylitol and glycerin to sweeten without risk of damaging a person’s teeth.

H). Lollipops, Gummies and Troches

Lollipops, gummies and troches are flavored dosage forms that are either slowly dissolved in the mouth (or chewed in the case of gummies).

I). Topical and Urethral Injection

Topical and urethral injections encourage blood flow into the penis. Topical products are applied directly onto the penis, and urethral injections are applied through the urethra opening just before intercourse. Many are disappointed with the results from topical and urethral injections.

Viagra, Cialis and Levitra are very expensive and not covered by my insurance. Can Allz Well Pharmacy help me?

Yes! Almost all of our compounded products are much less expensive when compared to these commercially available products. Call Allz Well today to discuss different treatment options that we can design with you and your doctor that will suit your needs and budget.

Research suggests that more than 40% of women in America experience little or no sexual satisfaction from clitoral orgasm, and only 25% achieve orgasm with intercourse. Many women over the age of 18 have never experienced an orgasm or know it is achieved.

Diminished libido is something that affects millions of women on a daily basis. Women can experience low sex drive at various stages of life. For example, younger women may experience it after the birth of a child in their 20’s and 30’s, or perimenopausal women usually during their late 30’s and 40’s, or both menopausal and postmenopausal woman throughout the rest of their lives can all experience low libido.

What are some of the symptoms of low libido?

Some of the most common symptoms of diminished or low libido in women include the lack of desire or interest in sexual activity, the lack of emotional connection with a partner and lack of motivation.

What causes a drop in libido or sex drive in women?

Many factors can play a role in a woman’s drop in sex drive: physical causes, hormonal changes, psychological causes and relationship issues all contribute to a woman’s lack of libido.

Sexual problems

vaginal dryness, pain during sex and the inability to achieve orgasm

Medical diseases

high blood pressure, coronary artery disease, asthma, neurological diseases, chronic pain, fibromyalgia, arthritis, cancer, diabetes, chronic fatigue syndrome, etc.


anti-seizure medications, hormonal contraception (birth control pills, patches, IUD), synthetic hormone replacement therapy, blood pressure, cholesterol lowering, sleeping pills, pain medications, narcotics, psychiatric (used for depression, anxiety, bipolar disorder, OCD, ADHD and schizophrenia), etc.

Alcohol and recreational drugs
Hormone changes
  • Hormone imbalances: estrogen, progesterone, DHEA and/or testosterone
  • Thyroid imbalances
  • Menopause
  • Peri-menopause
  • PMS
  • Pregnancy
  • Breast-feeding
  • Adrenal insufficiency
Psychological causes
  • Anxiety
  • Depression
  • Stress
  • Poor body image
  • Low self-esteem
  • History of physical or sexual abuse
Relationship issues
  • Lack of connection with your partner
  • Unresolved conflicts or fights
  • Poor communication of sexual needs and preferences
  • Infidelity or breach of trust

What about testosterone? Can testosterone help women?

Women produce only 10% of the amount of testosterone produced by men.

By the time a woman reaches her late 40’s, her blood testosterone levels are nearly one-half of that produced while in her 20’s.

Research suggests that testosterone in women has shown many beneficial effects in women, including increased frequency of sexual activity, orgasm and arousal.

Can a deficiency in other hormones like estrogen, progesterone, DHEA or thyroid affect libido as well?

Absolutely! Hormone imbalances at any age or stage of life can affect libido. Most people believe that testosterone is the only hormone that affects libido, but either a deficiency or excess amounts of estrogen, progesterone, DHEA or even thyroid can affect libido as well.

What options are available for women?

Ask your pharmacist or doctor if any of your current medications impact libido. If yes, then making changes in your current medication regimen may be the first step. Additionally, there are prescribed medications and over-the-counter products to help with this issue.

What products and services does Allz Well offer to help women suffering from libido?

The pharmacists at Allz Well offers private one-on-one consultations with women to discuss hormone imbalances, female sexual dysfunctionand other women’s health related issues. In fact, we work with women and couples to educate them about their options, as well as make recommendations for therapy if necessary. As a pharmacy, we compound customized hormone creams, gels, lozenges and capsules for each woman’s individual needs. We also carry a wide variety of moisturizers, stimulants, lubricants and other products designed to help woman with low libido and vaginal dryness.

Can you give me some examples of medications and formulations that Allz Well Pharmacy can provide for treatment of low libido?


1). Libido Enhancement Cream

Topical libido enhancers are an appealing alternative to oral medications. Inconsistent dosing and possible side effects can be eliminated with topical creams that are applied locally to increase sensitivity and blood flow. The Libido Enhancement Cream compounded at Allz Well combines prescription and non-prescriptions components described. The formulation can be custom tailored to each individual’s needs upon request.

Sex is beneficial to your health. A healthy sex life decreases heart disease and stress. Libido Enhancement Cream can only be obtained with a prescription from a licensed physician. Take the first step by speaking with your OBGYN.

2). Testosterone Cream

Testosterone is commonly prescribed for treatment of low testostorone levels. Multiple dosage strengths of Testosterone Cream available:

Testosterone 1-200mg/mL

The dosage forms available for testosterone include transdermal creams and gels.

How is it best taken? This medicine is applied at the same time daily to a skin area that is clean, dry and intact skin on the wrists, inner thighs or as directed by your physician.

What do I do if I miss a dose? If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose. Take your next regularly scheduled dose. Do not take two doses at the same time.

What are some possible side effects of this medicine? Some of the possible side effects include acne, hair loss, headache and a noticeable change in sex drive or performance.

Call your healthcare provider immediately if you are experiencing any signs of an allergic reaction: swelling of the face, lips, or tongue; breast encol-lgment; breathing problems; changes in mood, especially anger or depression; dark urine; general ill-feeling or flu-like symptoms; light-colored stools; loss of appetite, nausea; nausea, vomiting; right upper belly pain; stomach pain; swelling of ankles; too frequent or persistent erections; trouble passing urine or change in the amount of urine; skin rash, itching or hives, unusually weak or tired; yellowing of the eyes or skin. Additional side effects that can occur in women include deep or hoarse voice, facial hair growth, or irregular menstrual periods.

3). Oxytocin Nasal Spray

Oxytocin nasal spray is prescribed for milk letdown in breastfeeding, treatment of autism, sexual arousal, delayed orgasm in men and post-orgasmic penile detumescence.

Strength of Oxytocin Nasal Spray available:50 IU/mL in a 10mL Spray Actuator (0.1 mL/spray)

The dosage form available for Oxytocin Nasal Spray is Nasal Solution. Our quality-assurance process ensures the uniformity, consistency, potency, and beyond use dating of every compound we dispense.

What is this medicine used for? OXYTOCIN is a man-made form of a natural hormone that causes the uterus to contract.Ocytocin is used to increase the strength of contractions of the uterus, and is often used during childbirth to speedup delivery or after childbirth to control bleeding. It is also used to clear the uterus after an incomplete abortion or miscarriage.

4). Estradiol

Estradiol is commonly prescribed for the relief of moderate to severe vasomotor symptoms associated with menopause, maintenance treatment of postmenopausal atrophic vaginitis, ovarian failure (primary, premature menopause, other), female hypogonadism/other ovarian dysfunction and atrophy of vulva, and for the prevention of osteoporosis.

Multiple strength combinations of Estradiol are available:Estradiol from 0.5mg to 8mg

Estradio is available in either transdermal (creams or gels) and capsules (immediate or sustained release). Allz Well’s non-sterile solutions are compounded under the stringent national guidelines.

5). Dehydroepiandrosterone (DHEA)

DHEA is commonly prescribed for strengthening a person’s immune system, promoting weight loss, increasing strength and energy, and treatment of lupus, multiple sclerosis, and Alzheimer disease.

Dosage strengths of Dehydroepiandrosterone available:

  • 5mg to 50mg Capsules
  • 1mg/mL to 100mg/mL Cream

Allz Well’s creams and capsules are compounded under federal guidelines to ensure the uniformity, consistency, potencyand beyond use dating of every compound we dispense.

How is it best taken? The cream formulation is for external use only, whereas the capsule/tablet formulation is for oral use. It is important to take the medicine at regular intervals as prescribed. Do not take your medicine more often than directed.

What do I do if I miss a dose? If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose. Take your next regularly scheduled dose. Do not take two doses at the same time.

What are some possible side effects of this medicine? Call your health care provider immediately if you are experiencing any signs of acne; trouble passing urine or change in the amount of urine; dark urine; general ill feeling or flu-like symptoms; hair growth in unusual places; hoarseness of the voice; light-colored stools; nausea, vomiting; menstrual changes; right upper belly pain; breast pain, swelling, or change in breast appearance; unusually weak or tired; yellowing of the eyes or skin.

How should I store this medicine? Store this medication at 59°F to 86°F (15°C to 30°C) and away from heat, moisture and light. Keep all medicine out of the reach of children. Throw away any unused medicine after the expiration date. Do not flush unused medications or pour down a sink or drain.