Men's health · ED & TRT
Tadalafil, Sildenafil & TRT
Compounded ED troches from $39/mo and testosterone therapy from $109/mo, after a Michigan physician reviews your intake.
Erectile dysfunction
Compounded Tadalafil, Sildenafil & dual combination
Sublingual troches for Michigan patients. These are compounded programs, not commercially available tablets.
Sildenafil
Fast-Acting Troche
Rapid-onset sublingual troche for on-demand use. Dissolves under the tongue for faster absorption than swallowed pills.
Tadalafil
Extended-Duration Troche
Long-window sublingual troche for continuous readiness—up to 36 hours of support without timing pressure.
Sildenafil + Tadalafil
Dual-Action Combination
Dual-action troche combining fast Sildenafil onset with extended Tadalafil duration in one compounded lozenge.
Testosterone
Physician-supervised TRT
Injectable testosterone cypionate, topical cream, or enclomiphene. Cash-pay programs from $109/mo on quarterly billing.
Testosterone Cypionate
Injectable TRT
Physician-supervised testosterone replacement with weekly self-injection. Includes syringes, alcohol pads, and step-by-step guidance.
$109/mo
Start TRT intake
Testosterone Cream
Topical TRT
Daily topical testosterone for patients who prefer a needle-free option. Compounded for consistent absorption.
$129/mo
Start TRT intake
Enclomiphene
Oral testosterone support
Oral therapy that stimulates your body’s natural testosterone production—often chosen by men who want to preserve fertility.
$99/mo
Start TRT intakeLicensed pharmacy
Commercially available medications
Generic tablets and other commercially available prescriptions are filled by Clear Choice Pharmacy, a licensed pharmacy. OptiMedsRx compounded ED troches and TRT stay on this site.
Sildenafil
Generic for Viagra
Commercially available generic tablets, filled by Clear Choice Pharmacy.
$10 starting
Shop at Clear Choice PharmacyTadalafil
Generic for Cialis
Commercially available generic tablets, filled by Clear Choice Pharmacy.
$10 starting
Shop at Clear Choice PharmacyOther commercially available prescriptions are also filled by Clear Choice Pharmacy.
Dr. Dourra
Michigan-Licensed Physician · review usually within 2–4 hours during business hours
Private care
Confidential ED and TRT intakes with discreet fulfillment after approval
Prescription required
Compounded medication is prepared only after clinical approval
Michigan patients
Telehealth men's health for eligible Michigan residents
How compounded men's health care works
ED troches and TRT stay with OptiMedsRx
Choose a program
Review Sildenafil, Tadalafil, combination troches, or a TRT option.
Physician review
Dr. Dourra reviews your intake before any prescription is issued.
Compounded fulfillment
If approved, the compounded medication is prepared and shipped.
ED and TRT questions
Compounded Sildenafil, Tadalafil, and testosterone therapy
Start with ED or TRT
Compounded programs are reviewed here. Commercially available medications are filled at Clear Choice Pharmacy.
Compounded medications require a valid prescription after clinician review. OptiMedsRx serves eligible Michigan patients. Commercially available medications are dispensed by Clear Choice Pharmacy. Individual results vary. This page does not replace advice from your treating clinician.
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