What are they?

  • 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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