Product image is for illustrative purposes only. Actual medication, packaging, and labeling may vary depending on the dispensing pharmacy.
Olympus RDT
Olympus RDT combines tadalafil, PT-141 and oxytocin in one rapid-dissolving dose, pairing an established blood-flow medication with ingredients aimed at desire and connection. The benefit of combining them hasn't been established in clinical studies, so a provider weighs whether it's appropriate for you. This compounded product is available in different supply quantities.
- Daily and as-needed options
- A provider who listens
- Discreet delivery
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Submit your free assessment
Step 1: Complete your medical assessment for review by a licensed medical provider. If appropriate, the provider will determine whether the treatment is right for you.
Get your plan and your order at home
Step 2: If approved, your provider selects a formulation and explains how and when to use it. Orders ship in plain, unbranded packaging.
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Step 3: Access your patient portal to communicate with your care team, ask questions, and get support throughout your treatment journey.
Olympus RDT
How Olympus RDT supports sexual wellness
The Olympus Troche is a compounded combination troche containing oxytocin 100 IU, tadalafil 5 mg and bremelanotide 2 mg, for as-needed (PRN) use. Sexual health concerns are common and deserve a judgment-free path to care. Your consultation is confidential and your order ships discreetly.
Daily and as-needed options
Tadalafil, Sildenafil, PT-141, and compounded troches are available through our pharmacy network in daily and as-needed formats.
A provider who listens
A licensed provider reviews your intake and health history privately and explains which option, if any, fits your needs.
Discreet delivery
Orders ship in plain, unbranded packaging with no pharmacy name on the outside.
Provider-guided from start to finish
A licensed provider reviews your health history, checks for contraindications, sets an appropriate starting plan, and monitors your progress over time.
How to use it
Clear instructions for your specific formulation arrive with your first order.
Real Medical Professionals. Personalized Care. Transparent Pricing.
Your health deserves more than a one-size-fits-all approach.
Medura connects you with licensed medical professionals who take the time to review your health history, evaluate your individual needs, and determine which treatments may be right for you.
We believe quality healthcare should come with professional oversight, personalized attention, and honest, transparent medication pricing.
No unnecessary medication markups. No confusing treatment pricing. Just a more straightforward approach to getting the care you deserve.
Licensed Medical Professionals
Your treatment is evaluated by qualified, licensed providers.
Personalized Medical Evaluations
Recommendations are based on your individual health needs.
Provider-Approved Prescriptions
Medication is prescribed only when clinically appropriate.
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Know the medication price before moving forward.
Connect with a licensed medical professional and discover whether treatment is right for you. Prescriptions require a medical evaluation and provider approval.
Quality and ingredient standards
Made in the U.S.A.
Some treatments are compounded by licensed U.S. pharmacies in facilities registered with the FDA. Registration does not mean a compounded medication is an FDA-approved finished medication.
USP <797>
Sterile compounding standards.
Documented handling.
Every batch released to spec.
ISO Class 7
Cleanroom-grade air.
Filtered environments.
Tighter contamination control.
Clean ingredients, careful delivery
- No heavy metals
- No added dyes
- Licensed U.S. pharmacies
- Provider-prescribed
- Cold-chain protection
- Plain, unbranded packaging
- Serves all 50 states
- HSA and FSA eligible
Medication guide
What to know about Olympus RDT
General education to help you prepare for a conversation with a licensed provider. It is not a prescription or personal medical advice.
- Generic name
- Oxytocin, tadalafil and bremelanotide
- Drug class
- Compounded combination (hormone, PDE5 inhibitor and melanocortin agonist)
- Form
- Troche dissolved in the cheek or under the tongue
- Regulatory status
- Compounded, not FDA-approved
This compounded troche combines three ingredients. It is not FDA-approved, and the combination has not been studied in clinical trials for safety or effectiveness. Tadalafil and bremelanotide are each FDA-approved in other forms for specific uses; oxytocin is FDA-approved only as an injection used in childbirth.
Compounded medications are not FDA-approved. FDA does not review them for safety, effectiveness or quality before they are dispensed. A compounded preparation can differ from approved products in strength, ingredients, dosage form and how it is absorbed, so it should not be assumed to work the same way as an approved medication. Compounding is meant for patients whose needs cannot be met by an FDA-approved drug.
Overview
A compounded combination troche (oxytocin 100 IU, tadalafil 5 mg, bremelanotide 2 mg) some providers prescribe for male sexual function. Its benefit as a combination has not been established.
Who may be evaluated for it
- Adults with sexual function concerns who have discussed approved options with a provider.
Who may not be a good fit
- Anyone taking nitrates in any form (nitroglycerin, isosorbide) or recreational “poppers” (amyl nitrite): the combination can cause a dangerous drop in blood pressure.
- Anyone taking riociguat (Adempas).
- People told to avoid sexual activity because of heart disease, or who had a heart attack, stroke or life-threatening arrhythmia in the last 6 months.
- People with very low blood pressure, or a history of sudden vision loss from NAION.
- People with uncontrolled high blood pressure (bremelanotide raises blood pressure).
- Anyone who is pregnant.
How it works
Tadalafil improves blood flow during arousal by blocking PDE5.
Bremelanotide (PT-141) acts on melanocortin receptors in the brain involved in desire.
Oxytocin is a hormone involved in bonding and orgasm. Whether it is absorbed meaningfully through a troche, and whether it adds anything, is not known.
What is still uncertain
How much of each ingredient is absorbed from a troche, and whether the three interact, has not been studied.
Potential benefits and realistic timelines
What the evidence supports
- Each of tadalafil and bremelanotide has evidence on its own in its approved form.
Not established
- Any benefit of this specific combination.
- Absorption of oxytocin or bremelanotide through the cheek.
- Long-term safety.
- UnknownNo clinical studies define when this combination works. Follow your provider’s instructions.
Results vary from person to person. Your provider decides whether and how long to continue.
How it’s used
- Place in the cheek or under the tongue and let it dissolve fully; do not chew or swallow whole unless directed.
- Use as needed, no more than once in 24 hours unless directed.
If you miss a dose
Used as needed; never exceed the frequency on your label.
Storage and handling
Store as on the pharmacy label; some troches require refrigeration.
Your prescription label and provider instructions always take priority over this general information. Do not change your dose or stop without talking to your provider.
Side effects and safety
More common, usually manageable
- Headache
- Flushing
- Nausea
- Stuffy nose
- Indigestion
Less common but serious
- Sudden vision loss in one or both eyes (non-arteritic anterior ischemic optic neuropathy, NAION), which is rare.
- Sudden hearing loss or ringing in the ears.
- An erection lasting more than 4 hours (priapism), which can permanently damage the penis.
- A large drop in blood pressure, especially with nitrates or alpha-blockers.
- Blood pressure rise from bremelanotide
- Skin darkening with frequent bremelanotide use
Get medical help right away
- Chest pain during or after sex: stop and seek emergency care. Tell responders you took a PDE5 inhibitor, because nitrates must not be given.
- An erection lasting more than 4 hours.
- Sudden loss of vision or hearing.
Call 911 or go to the nearest emergency room for chest pain, trouble breathing, swelling of the face or throat, fainting, or signs of a stroke (sudden weakness, numbness, trouble speaking or seeing).
Pregnancy, breastfeeding and fertility
Not for use during pregnancy. Oxytocin can stimulate uterine contractions.
Interactions and combinations
Known interactions
- Nitrates and “poppers”: never combine.
- Alpha-blockers (doxazosin, tamsulosin, terazosin) and other blood pressure medicines: can add to blood pressure lowering. Your provider may start at a low dose.
- Strong CYP3A4 inhibitors (ketoconazole, itraconazole, ritonavir, clarithromycin) raise levels; lower doses or longer gaps are needed.
- Alcohol: heavy drinking adds to blood pressure lowering and can worsen erections.
- Grapefruit juice can raise levels.
- Oral naltrexone (bremelanotide can make it less effective).
Related treatments and options
Listed for education, not as a recommendation to combine. Any combination needs your provider’s approval.
The troche already contains tadalafil.
- PT-141Avoid
The troche already contains bremelanotide.
Monitoring and follow-up
- An initial review of your heart health, blood pressure and all medications, including any nitrates.
- ED can be an early sign of heart disease, diabetes or low testosterone; your provider may suggest related checks.
- Follow-up to review effect and side effects and adjust the dose if needed.
Lab tests and follow-up visits are not included in the medication price unless your plan says so. Your provider will tell you what is needed.
Alternatives to discuss
- Tadalafil
A single FDA-approved ingredient with well-established effects.
- PT-141
Bremelanotide on its own.
- Fem Max Troche
Lower-dose version of a similar combination.
Lab tested medications for quality and potency.
Every medication ships from a licensed U.S. pharmacy in our network, delivered straight to your door.
Third party quality control testing
Compounded in U.S. pharmacies
Dosage, Schedule & Supply
- Dosage
- Oxytocin 100 IU / tadalafil 5 mg / bremelanotide 2 mg.
- Schedule
- As needed, as directed by your provider.
- Supply
- Available in different supply quantities.
- Estimated Supply Duration
- Varies depending on how often the medication is used.
Supply duration is an estimate based on the prescribed treatment plan. Actual duration may vary depending on dosage, frequency of use, and medication expiration.
Treatment information is for educational purposes. Your licensed healthcare provider will determine the appropriate dosage and schedule. Always follow your prescription instructions.
Frequently Asked Questions
Has this combination been studied?
No. There are no published clinical trials of this troche.
Can I take it with Viagra or Cialis?
No. It already contains tadalafil; combining PDE5 inhibitors is unsafe.
What about nitrates?
Never combine with nitrates or poppers. Tadalafil’s effect lasts up to 2 days.
Do I need a prescription?
Yes. After your free, confidential consultation, a licensed provider reviews your intake and health history to decide what’s appropriate for you.
Is this confidential?
Yes. Your consultation is private, and orders ship in plain, unbranded packaging with no pharmacy name on the outside.
Can I use my HSA or FSA?
Yes. Medura accepts HSA and FSA cards at checkout, and we can provide documentation for reimbursement if you need it.
What happens after I request treatment through Medura?
You complete an online assessment about your health history, current medications and goals. A licensed provider reviews it and decides whether a prescription is appropriate. Completing the assessment does not guarantee a prescription. If one is written, a licensed pharmacy prepares and ships it, and your provider can adjust or stop treatment as needed. If lab work is needed, your provider will tell you; it may be ordered and billed separately.
What to expect and possible side effects
- 1
Start with a confidential consultation
A licensed provider reviews your intake and health history in a private setting to understand your concern and goals.
- 2
A discreet plan
If approved, your provider selects a formulation and explains how and when to use it. Orders ship in plain, unbranded packaging.
- 3
Ongoing support
Your provider is available to adjust your plan if your needs change.
Questions to ask your provider
- 1.Why this combination rather than an approved single medicine?
- 2.Is my blood pressure safe for it?
- 3.Do any of my medicines interact?
- 4.How will we judge if it is helping?
References
- Cialis (tadalafil) prescribing information (DailyMed)(opens in a new tab)
- Vyleesi (bremelanotide) prescribing information (DailyMed)(opens in a new tab)
- Compounding and the FDA: Questions and Answers (FDA)(opens in a new tab)
Sources last checked October 17, 2026. This page is for general education and does not replace advice from a licensed provider. Treatment requires a clinical evaluation, and a prescription is written only if a provider decides it is appropriate. Individual results vary.
No prescription needed
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Related Products & Treatments
Explore other options that may support your goals.
Fem Max RDTA different troche with its own ingredient strengths. Helps with low desire and arousal in women.View details for Fem Max RDT
Tadalafil Daily TabletTadalafil alone, as needed or daily. Helps men with erectile dysfunction get and keep an erection.View details for Tadalafil Daily Tablet
PT-141 InjectableBremelanotide (PT-141) alone, as an injection. Helps with low sexual desire in men and women.View details for PT-141 Injectable
Sildenafil PRN CapsuleSildenafil 55 mg capsules for as-needed use. Helps men with erectile dysfunction get and keep an erection.View details for Sildenafil PRN Capsule
Sildenafil Commercial TabletIt is commercially manufactured sildenafil taken before sexual activity.View details for Sildenafil Commercial Tablet
Tadalafil TrocheIt offers tadalafil as a dissolving troche instead of a pill.View details for Tadalafil Troche
Tadalafil PRN CapsuleIt is tadalafil taken only as needed, rather than every day.View details for Tadalafil PRN Capsule
Tadalafil FastSL Sublingual TabletIt is a fast-dissolving sublingual form of tadalafil.View details for Tadalafil FastSL Sublingual Tablet
Sildenafil/Tadalafil TrocheIt combines two PDE5 medications in one dissolving troche.View details for Sildenafil/Tadalafil Troche
Sildenafil/Tadalafil/Oxytocin FilmIt combines two PDE5 medications with oxytocin in one dissolving film.View details for Sildenafil/Tadalafil/Oxytocin Film
Sildenafil/Tadalafil/PT-141/L-Citrulline ODTIt combines two PDE5 medications with PT-141 and L-citrulline.View details for Sildenafil/Tadalafil/PT-141/L-Citrulline ODT
Sildenafil/Tadalafil/Vardenafil/Oxytocin ODTIt combines three PDE5 medications with oxytocin.View details for Sildenafil/Tadalafil/Vardenafil/Oxytocin ODT
Sildenafil/Vardenafil/PT-141/Oxytocin ODTIt combines sildenafil and vardenafil with PT-141 and oxytocin.View details for Sildenafil/Vardenafil/PT-141/Oxytocin ODT
Tadalafil/Vardenafil/PT-141/Oxytocin ODTIt combines tadalafil and vardenafil with PT-141 and oxytocin.View details for Tadalafil/Vardenafil/PT-141/Oxytocin ODT
Sildenafil/Theophylline/Pentoxifylline/L-Arginine CreamIt is a topical cream rather than a medication taken by mouth.View details for Sildenafil/Theophylline/Pentoxifylline/L-Arginine Cream
Trimix InjectableIt is a three-ingredient injectable option for erectile dysfunction.View details for Trimix Injectable
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