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Sexual Health

Flex-Dose Tablet

RX ONLY

Olympus Peak Max

*
Oxytocin/Bremelanotide/Tadalafil
  • ACTIVE INGREDIENTS

    Bremelanotide

    • Nonselective melanocortin receptor (MCR) agonist

    Oxytocin

    • The "Love" hormone

    Tadalafil

    • PDE-5 inhibitor
  • HOW TO USE

    Suggested Dosing

    Tablets should be allowed to fully dissolve under the tongue. Dosing typically begins at a lower dose, suggested initiation of 1/4 tablet sublingually 30 minutes prior to sexual activity. Dose may be titrated up to 1 full tablet sublingually 30 minutes prior to sexual activity if needed.

    • Max dose of 1 tablet every 24 hours
    • Troche is available upon request
  • DISCLAIMER

    This compounded medication is only available when the commercially available product is unavailable or when a prescriber determines that there is a clinically significant difference for the patient.

FIND A PROVIDER

Medicine Information

  • Potential Benefits

    • Enhance libido
    • Increases sexual receptivity
    • Relaxes smooth muscle and increases blood flow
    • Induces rapid onset of arousal
    • Improves erection quality and sensitivity
    • Flexible dosing options for varied lifestyles
    • Prevents premature ejaculation
  • Treatment Protocol

    • The medication is designed to work when there is an initial sexual stimulus
    • Dose adjustments should aim for the lowest appropriate dose to limit side effects and improve adherence and increase to effect if needed
  • Legal

  • Storage Instructions

  • Warnings

    • Contraindicated in patients who current use nitrates such as Nitroglycerin
    • Not suitable for individuals with history of hypotension
    • Caution in patients with current history of any active ingredients
    • Contraindicated in individuals with a known hypersensitivity or allergy to methionine, inositol, choline, cyanocobalamin, or any component of the formulation
    • Discontinue use and seek medical evaluation if unexpected or severe reactions occur
    • Side effects such as nausea, flushing, headache, tachycardia, dizziness, nasal congestion, priapism, vision changes, hypotension, muscle or back pain have been reported
  • Manufacturer Info

  • How It Works

    • Increases sexual receptivity
    • Causes erection during sexual arousal
    • Affects sexual function via the hypothalamus, causing a more natural sexual response
    • Induces rapid onset of arousal
    • Increases erection in 80% of males who did not respond to traditional therapy
    • In women with low sexual desire, bremelanotide will promote increased vaginal blood flow and amplified sexual arousal
  • F.A.Q

    Q: How long does it take to see results? 

    A: Typical onset is 30 minutes after taking. If no effect is seen, you may need to increase your dose up to a max of 1 full tablet per 24 hours.

    Q: Can I use this with other medications? 

    A: It can be used with other medications, but it should not be used with Nitroglycerin or other blood pressure lowering agents as it may cause a severe decrease in blood pressure.

    Q: What if I miss a dose? 

    A: This medication is designed to be used as needed 30 minutes prior to sexual activity. There is no need to take it as a daily dosing unless needed.

  • References

    1. Melis MR, Argiolas A. Oxytocin, Erectile Function and Sexual Behavior: Last Discoveries and Possible Advances. Int J Mol Sci. 2021 Sep
      26;22(19):10376. doi: 10.3390/ijms221910376. PMID: 34638719; PMCID: PMC8509000.
    2. Oti T, Sakamoto H. Neuropeptidergic control circuits in the spinal cord for male sexual behaviour: Oxytocin-gastrin-releasing peptide systems. J
      Neuroendocrinol. 2023 Sep;35(9):e13324. doi: 10.1111/jne.13324. Epub 2023 Jul 29. PMID: 37515539.
    3. Diamond LE, Earle DC, Rosen RC, Willett MS, Molinoff PB. Double-blind, placebo-controlled evaluation of the safety, pharmacokinetic
      properties and pharmacodynamic effects of intranasal PT-141, a melanocortin receptor agonist, in healthy males and patients with mild- to-
      moderate erectile dysfunction. Int J Impot Res. 2004 Feb;16(1):51-9. doi: 10.1038/sj.ijir.3901139. PMID: 14963471.
    4. Kingsberg SA, Clayton AH, Portman D, Williams LA, Krop J, Jordan R, Lucas J, Simon JA. Bremelanotide for the Treatment of Hypoactive Sexual
      Desire Disorder: Two Randomized Phase 3 Trials. Obstet Gynecol. 2019 Nov;134(5):899-908. doi: 10.1097/AOG.0000000000003500. PMID:
      31599840; PMCID: PMC6819021.
    5. Caruso S, Cicero C, Romano M, Lo Presti L, Ventura B, Malandrino C. Tadalafil 5 mg daily treatment for type 1 diabetic premenopausal women
      affected by sexual genital arousal disorder. J Sex Med. 2012 Aug;9(8):2057-65. doi: 10.1111/j.1743-6109.2012.02777.x. Epub 2012 May 21. PMID:
      22612985.
    6. Coward RM, Carson CC. Tadalafil in the treatment of erectile dysfunction. Ther Clin Risk Manag. 2008 Dec;4(6):1315-30. doi: 10.2147/tcrm. s3336.
      PMID: 19337438; PMCID: PMC2643112.
    7. Mayer D, Lynch SE. Bremelanotide: New Drug Approved for Treating Hypoactive Sexual Desire Disorder. Ann Pharmacother. 2020 Jul;54(7):684-
      690. doi: 10.1177/1060028019899152. Epub 2020 Jan 1. PMID: 31893927.
    8. Lexicomp Online. Tadalafil: Drug Information. Wolters Kluwer. Accessed March 28, 2025. Available from: https://online.lexi.com
    9. Tadalafil. Prescribing information. DailyMed. National Library of Medicine. Revised October 10, 2025. Accessed February 26, 2026
    10. Oxytocin. Prescribing information. DailyMed. National Library of Medicine. Revised January 12, 2025. Accessed February 26, 2026
    11. Bremelanotide. Prescribing information. DailyMed. National Library of Medicine. Revised November 13, 2025. Accessed February 26, 2026
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