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 is it compounded?

  • Variety of doses
  • Consider patients’ allergies
  • Use Troche Base NS
  • Variety of flavors: vanilla, chocolate, mint, etc…
Commonly prescribed drugs:

  • Estradiol
  • Sildenafil
  • Estriol
  • HCG
  • Biest (E3/E2)
  • Tadalafil