Troches are a small medicated lozenge designed to dissolve
Use trans-mucosal route of administration to deliver the medication into the bloodstream
This bypasses first pass metabolism by the liver
What are the benefits?
Smaller and thinner allows for faster melting
Less active pharmaceutical ingredient (API) lost in the saliva
Scored so they can be cut and ideal for titration
Increased patient comfort
Higher patient compliance
How are troches compounded?
Any dose your doctor prescribers
Options
Unsweetened options
Variety of flavors: strawberry, cherry, grape, watermelon, etc…
Commonly prescribed drugs:
Estradiol
Estriol
BiEst( (E3/E2)
Sildenafil
Tadalafil
Low-Dose Naltrexone (LDN)
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