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01 / Services

Sexual health, handled

Six physician-supervised options for men and women. Some work on blood flow, one works on desire, and the troches do both. Here is exactly what separates them.

02 / How it works

Two pathways, one result

PDE5 inhibitors act on the plumbing. PT-141 acts on the brain. Knowing which one your issue lives in is the whole decision.

01

Desire

Melanocortin signalling in the brain raises arousal itself.

02

Signal

Nitric oxide is released in the vascular tissue.

03

Blood flow

PDE5 is blocked, vessels stay relaxed, blood stays in.

04

Window

How long that state holds — minutes to a day and a half.

03 / Who it's for

Built for men and women

Same clinic, two different physiologies. Look for the mark on every protocol below — men, women.

Men

Mostly a blood-flow problem.

Erectile response depends on vessels relaxing on cue. PDE5 inhibitors — sildenafil and tadalafil — keep that relaxation going, and the Olympus Troche adds desire and connection on top.

Women

Mostly a desire and sensitivity problem.

Low libido, difficulty getting aroused and reduced sensitivity start in the brain, not the vessels. PT-141 works there directly, and the Fem Max Troche pairs it with a low tadalafil dose for blood flow plus oxytocin for connection.

Both

Desire is shared ground.

PT-141 acts on melanocortin receptors in the brain, a pathway men and women share — so it is prescribed to both, only at different doses.

04 / The options

Pick a protocol. See the difference.

6 / 6 protocols

PDE5 inhibitorAs-needed capsuleFor men

Sildenafil 55mg

The fast, familiar option.

Blocks the PDE5 enzyme so blood vessels in the penis stay relaxed. More blood flows in and stays in — but only when arousal is already present. It does not create desire; it makes the physical response reliable.

Best for

Occasional use, planned intimacy, first-time treatment.

Relative on-demand strength74%

Onset: 30–60 minutes

Duration: 4–6 hours

ProgramsCost / month
  • Sildenafil 55mg PRN

    55mg capsule × 60 (as-needed)

    $34

05 / Side by side

The difference at a glance

 
MechanismBlood flowBlood flowBlood flowBrain / desireCombinedCombined
FormatCapsule PRNCapsule PRNDaily tabletInjection PRNTroche PRNTroche PRN
Onset30–60 min30–45 minAlways on45 min–2 hr15–30 min15–30 min
Duration4–6 hrs24–36 hrsContinuousUp to 24 hrsUp to 36 hrsUp to 24 hrs
ForFor menFor menFor menFor men & womenFor menFor women
Cost / month$34$28$37$42$25$25

Prices shown are monthly medication costs. Consultations are $0 and every plan is reviewed by a licensed physician before it ships.

06 / Packaging

The Allmighty RX kits

Every protocol arrives in discreet, physician-sealed packaging — labeled, dosed and ready to start on day one.

Men's Performance Kit

For men
Men's Performance Kit packaging by Allmighty RX
  • Sildenafil or Tadalafil
  • PT-141 vial + supplies
  • Sublingual troches
  • Dosing card & sharps pouch

Women's Intimacy Kit

For women
Women's Intimacy Kit packaging by Allmighty RX
  • PT-141 vial
  • Auto-injector pen
  • Sublingual troches
  • Dosing card & sharps pouch

07 / FAQ

Safety, eligibility, and what to expect

Every protocol is prescribed by a licensed physician after reviewing your intake, medications, and medical history. We screen for interactions — nitrates, certain blood pressure medications, and cardiac conditions are hard stops for PDE5 inhibitors — and start you at a conservative dose before adjusting.

See all FAQ

Discreet from first message to delivery.

Answer a short intake, talk to a licensed physician, and get the right protocol shipped in plain packaging — consultation at no cost.

Start free consultation

Important information

Medical disclaimer

This page is for general educational purposes only and is not medical advice, a diagnosis, or a treatment recommendation. No prescription is issued without an evaluation by a licensed physician, and treatment is not guaranteed. Individual results vary. Never start, stop, or change a medication based on this page alone — talk with your physician, especially if you take nitrates, alpha-blockers, or blood-pressure medication, or have cardiovascular disease.

Statements about compounded medications have not been evaluated by the FDA. Compounded products are not FDA-approved for safety or effectiveness. Prescription products require a valid prescription and are dispensed by a licensed pharmacy.

Privacy & confidentiality

Your intake, messages, and records are protected health information handled under HIPAA. Data is encrypted in transit and at rest, and access is limited to your care team. We never sell your personal health information or share it for advertising.

Orders ship in plain, unbranded packaging and billing descriptors are neutral. You can request a copy or deletion of your records at any time from the patient portal.

Emergencies & safety

Allmighty RX does not provide emergency care. If you experience chest pain, fainting, sudden vision or hearing loss, or an erection lasting more than four hours, stop the medication and call 911 or go to the nearest emergency room immediately.

Services are available to adults 18 and older in the United States. Medications are prescribed only when clinically appropriate and are for the prescribed patient only — never share them.

By using this site you agree to our terms of service and privacy policy. Telehealth services are provided by licensed physicians in your state; availability of specific protocols may vary by state law.

Sexual Health FAQ

10 questions on eligibility, protocols, safety and results — answered by our clinical team.

Read the FAQ