Women’s Health

Compounded Climax, Euphoria, and Scream creams are not currently covered by insurance, and are only available at an OUT OF POCKET COST.  You can use your HSA or FSA card if you would like.  The pricing for a month’s supply of compounded medication includes a complimentary consultation with our staff is as follows:

• Scream Cream – 30 gram pump ($100)
• Climax Cream – 30 gram pump ($130)
• Euphoria Cream – 30 gram pump ($100)

These medications are only available through prescriptions from your provider. Please fill out our interest form at your earliest convenience, so we can establish a direct line of communication with you. Detailed next steps will be provided once the form is submitted. This allows us to better serve you by having some information on file, so when we get the script it can be processed at lightning speed.

Patients may choose to have their medication shipped to them at an additional fee of $30 or pick up their medication from the pharmacy at no additional cost.

After completing the payment form, it takes approximately 1-2 business days for the order to be processed.  We strive to process the orders as quickly as possible while still prioritizing accuracy and appreciate your patience.

Scream Cream (Theophylline 3% / Arginine 6% / Sildenafil 2%) – Heightened Sensitivity & Libido

• Theophylline: Known for its ability to dilate blood vessels, theophylline may increase blood flow, particularly to sensitive areas. This can help enhance sensation and promote a more noticeable response during intimate moments.
• Arginine: A naturally occurring amino acid, arginine plays a critical role in the production of nitric oxide, which helps to relax blood vessels. This relaxation improves circulation and may intensify sensitivity, particularly in the genital area, leading to heightened physical pleasure.
• Sildenafil: A potent vasodilator, sildenafil is most recognized for its use in erectile dysfunction treatments for men, but its effects are equally impactful for women. By increasing blood flow to the pelvic region, Sildenafil enhances arousal and amplifies the physical sensations that may lead to more intense orgasms.

Climax Cream (Theophylline 3% / Arginine 3% / Ergoloid Mesylate 0.05% / Pentoxifylline 5%) – Intense Arousal & Orgasm Enhancement

• Theophylline: This potent vasodilator improves circulation by relaxing the muscles in the walls of blood vessels, allowing more blood to flow to key areas. This increased blood flow may heighten sensitivity and responsiveness, making intimate moments more pleasurable.
• Pentoxifylline: Known for its ability to improve blood flow by reducing blood viscosity, pentoxifylline ensures that oxygen and nutrients reach the tissues that matter most during arousal. Its impact on circulation may help intensify pleasure and promotes stronger, longer-lasting orgasms.
• Arginine: As a precursor to nitric oxide, arginine plays a critical role in expanding blood vessels and improving circulation. This may result in enhanced sensitivity and responsiveness, making it easier to achieve and maintain arousal.
• Ergoloid Mesylate: This ingredient promotes microcirculation, ensuring that even the smallest blood vessels in sensitive areas are receiving the blood flow necessary for peak responsiveness. It may further amplify the physical sensations that lead to heightened pleasure and more satisfying intimate experiences.

Euphoria Cream (Arginine 6% / Papaverine 5% / Alprostadil 0.2%) – Enhanced Arousal & Sensation

• Arginine: A naturally occurring amino acid, arginine is used in the body to make nitric oxide, a compound that helps blood vessels relax and widen. These boosted nitric oxide levels improves blood circulation, especially to intimate areas. This increased blood flow enhances physical sensitivity and makes it easier to become aroused, intensifying the overall experience.
• Papaverine: This ingredient is a vasodilator, meaning it relaxes the smooth muscles in blood vessels to increase blood flow. This makes it easier to achieve and maintain arousal. Patients may experience heightened arousal, better performance, and more consistent satisfaction during intimacy.
• Alprostadil: This ingredient is a form of prostaglandin, a natural substance in the body that helps regulate blood flow and muscle tone. It increases blood flow to sensitive areas by relaxing muscles and widening blood vessels. This creates a warm, tingling sensation that enhances physical pleasure and responsiveness.

As with any medication, each person responds differently to any medication they take.  Everyone’s situation is a little bit different, so we always recommend speaking to your health care provider and getting their thoughts.

YES, we believe in the products’ quality and safety.  Our team diligently assessed many options for compounding pharmacy partners and have chosen a partner we fully trust. 

Traditional compounding pharmacies are regulated by state boards of pharmacy. Community and hospital compounding pharmacists are allowed exemptions to the Federal Food, Drug, and Cosmetic Act of 1938 if they comply with the regulations outlined in Section 503A. All pharmacists and pharmacies engaged in compounding are subject to oversight by both federal and state authorities.

Pharmacists engaged in compounding are expected to follow applicable standards and regulations for the types of preparations that are compounded. FDA has oversight for the integrity and safety of the drugs (called Active Pharmaceutical Ingredients, or APIs, by FDA) used in compounded preparations. The Drug Enforcement Administration (DEA) has oversight for any controlled substances used in the preparation of compounded medications. Controlled substances include narcotics such as hydrocodone, amphetamines, and similar drugs, and drugs such as those used for anxiety and sleep disorders.

In addition, the United States Pharmacopeial (USP) Convention issues standards that apply to compounding. This private, nonprofit organization defines the chemical purity of drugs and also issues practice standards. USP develops standards for the identity, quality, strength, and purity of medicines, dietary supplements, and food ingredients that may be used in compounding preparations. These standards, in particular, are relevant to compounding pharmacists.

USP General Chapter <797> is a national standard for 503A compounding pharmacies for the process, testing and verification of any compounded sterile preparations. It provides guidance on preventing microbial contamination and other variances in compounded sterile preparations, regardless of setting (e.g., hospitals, community pharmacies) or who is performing the compounding (pharmacists, nurses, pharmacy technicians or others).

The Compounding Quality Act, passed in 2013, defined a new designation of compounding pharmacy, called a 503B FDA Outsourcing Pharmacy. This type of pharmacy, is a compounding pharmacy that is directly regulated by the FDA using cGMP regulations. cGMP are the same regulations followed by pharmaceutical manufacturers. Therefore, a 503B pharmacy is a compounding pharmacy that operates under cGMP guidelines, which are much more stringent than USP 797 guidelines that traditional 503A compounders operate under. There are less than eighty 503B pharmacies in the United States. Olympia is a 503B compounding pharmacy.

USP General Chapter <795> provides similar guidance for non-sterile preparations that are compounded in healthcare settings. It describes categories of compounding (simple, moderate, complex), defines concepts such as beyond-use date and stability, and provides criteria for compounding pharmacists to follow in preparing various drug preparations.

USP General Chapter <800> is a new standard developed by USP that establishes practice and quality standards of hazardous drugs to minimize the exposure to hazardous drugs within healthcare settings. This standard aims to promote worker safety (pharmacists, pharmacy technicians, veterinarians, veterinary technicians, and many others), patient safety, and environmental protection. This standard was published on February 1, 2016, but will not be officially implemented until July 1, 2018. The current list of hazardous drugs is available from the National Institute for Occupational Safety and Health (NIOSH).

Compliance with these and other USP guidelines is considered the minimum standard of practice in pharmacy.

Women’s Sexual Wellness can often feel overwhelming. Any woman who is experiencing sexual dysfunction, whether it is caused by stress, aging, or other factors that affect your body’s natural responses may find benefit from these prescription strength topicals that Skippack Pharmacy provides. These creams may help patients regain confidence, take control of your body and experience more fulfilling intimate moments. These formulations are crafted to enhance sensitivity, boost libido, and intensify orgasms.

For anyone without a provider/doctor, Skippack Pharmacy has worked with Physician 360 Health Clinic, which is a telemedicine service who can evaluate patients and write prescriptions for weight loss injectables (consult is $69.95).

Please visit our clinic page to learn more.

**we are not directly affiliated with Physician 360, and simply provide them as a cost-effective option for our patients to use**

Since these medications are topicals, they only impact local areas. Because of this they do not have many side effects, but patients may experience headache, flushing, dizziness, irritation, and numbness. Do not use if allergic to any ingredients. Avoid contact with eyes. Consult your provider before use if you have any medical conditions.

If extreme sensitivity reactions occur such as rash, shortness of breath, or swelling in your face or neck, report these to your prescriber/doctor immediately or go to the nearest urgent care, emergency room, or call 911.

Anyone with allergies to any of the ingredients in these formulations, patients with a history of genital herpes, chronic vaginal infections, and serious medical conditions such as heart disease or cancer should consult their doctor prior to using these products.

Yes, since the medication is a healthcare product/RX – this can be paid for with an HSA or FSA card.  You can use the HSA or FSA card when making a payment on our website: www.SkippackPharmacy.com/payment

Patients may be able to purchase multiple cream pumps at one time. These medications will have a beyond use date labeled on the bottle for when they can be used until. Keep these medications in a cool dry place at room temperature. Avoid sunlight.

Apply a pea-sized amount of cream onto the clitoris and/or external genital area 30 minutes prior to sexual activity or as directed by your healthcare provider. For best results, follow your provider’s recommendations for use.

As needed 30 minutes prior to sexual activity. Follow your providers instruction for best use.

Store at controlled room temperature. Keep away from direct sunlight.

The ingredients in each of the compounded topical creams are as follows:

This link is used each month when reordering.  Here is the link in case you cannot find it: REFILL LINK

You will have the option to select up to a 9-month supply and inform our team if you will continue the same cream or utilize a different option. We can use existing refills or scripts on hold to fill your next order. If no refills remain, your provider will need to send a new script.

If low sex desire concerns you, speak with your gynecologist or another member of your healthcare team. Conducing a pelvic exam, blood testing for hormones, thyroid, diabetes, high cholesterol, and liver disorders may be right for you. Another option includes speaking with a sex therapist or counselor skilled in addressing sexual concerns to aid with low sex drive.

Some medications may cause patients to experience sexual dysfunction as well. These include common antidepressants like SSRIs paroxetine (Paxil) and fluoxetine (Prozac).

Lifestyle changes include improved exercise, less stress, speaking with your partner, and setting aside time for intimacy. Visit the MayoClinic page for more details.