
- LegitScript Certified
- US-licensed pharmacy
- Ships in 3 to 5 days
- Concentration
- Aminophylline / Ergoloid / Pentoxifylline / Sildenafil
- Purity
- Provider reviewed
- Unit
- 30g pump
- Category
- Sexual Health
Common questions
What is scream cream?
How does scream cream work?
Is scream cream prescription only?
Prescription Arousal Cream
Arousal, applied where you want it.
Prescription arousal cream · Aminophylline / Ergoloid / Pentoxifylline / Sildenafil
- Applied right where you want it
- Effects build over minutes
- Use only before intimacy
- Provider reviewed, real pricing up front
What's Included
- ✓Medication and supplies
- ✓Provider visit and unlimited follow-ups
- ✓Free expedited shipping
Pause, change, or cancel anytime from your account.
How Would You Like To Pay?
Choose Your Plan
1-Month Plan
$179- $179 Billed Today
- Then $179 Every Month
- Cancel Anytime
Or pay with
$179 billed today, then every month until canceled.
By completing your order, you agree to the HealthRX.com Terms & Conditions and Privacy Policy, and confirm you are 18 or older.
Your provider confirms the strength and dose after intake. Payment does not guarantee a prescription.
After checkout you complete a short medical review in your member portal, and a US-licensed provider reviews it before your arousal cream ships.
A straightforward path to care

Select your plan
Choose your treatment options and complete secure checkout. Then complete the online health intake.

Provider review
A licensed physician (MD) reviews your completed intake and decides whether the arousal cream is right for you.

Ships to your door
If approved, a US-licensed compounding pharmacy prepares your cream and ships it discreetly in 3 to 5 days.

Ongoing support
Message your care team any time. Your provider can fine tune the formula or strength based on how you respond.
Works where you apply it
This is a topical cream you apply to the genital area before intimacy. Its actives are designed to increase local blood flow to the tissue, right where you want it.
Four actives in one cream
Compounded by a US-licensed pharmacy with aminophylline, ergoloid, pentoxifylline, and sildenafil, blood-flow actives combined into a single application.
On your terms, before intimacy
You use it only when you want to, applied a short time before sex. There is no daily pill and nothing to take every day.
A provider reviews you first
A US-licensed provider reviews your health history and confirms the cream is appropriate for you, with transparent pricing before anything ships.
About Prescription Arousal Cream
This is a compounded topical cream that combines several actives to increase blood flow and sensation where it is applied, for arousal and responsiveness. Applied before intimacy rather than taken as a pill. Reviewed by a licensed provider, compounded by a US-licensed pharmacy.
- Topical, applied where you want it
- Combines several blood-flow actives
- Used before intimacy, fast-acting
- Provider-reviewed, real pricing up front
The cream combines vasodilating and blood-flow actives (including sildenafil and pentoxifylline) for local effect on tissue perfusion and sensation. Compounded by a US-licensed pharmacy.
You apply the cream
A small amount goes onto the genital tissue a short time before intimacy.
The actives relax local vessels
Vasodilating ingredients widen small blood vessels in the tissue where the cream sits.
Blood flow to the area increases
More local circulation can heighten sensation and warmth in that area.
More blood flow to the tissue where you apply it. The cream supports your natural arousal response and does not force one.
Arousal cream or Oral PDE5 pills
Two different approaches
| Arousal cream | Oral PDE5 pills | |
|---|---|---|
| Where it acts | Applied directly to the tissue | Works through your whole system |
| Format | Topical cream | Oral tablet |
| When you use it | Shortly before intimacy | About 30 to 60 minutes before |
| Main actives | Aminophylline, ergoloid, pentoxifylline, sildenafil | A single PDE5 inhibitor |
| Regulatory status | Compounded by a US-licensed pharmacy | FDA-approved medicines |
| Best for | People who prefer a topical, localized option | People who prefer a proven oral pill |
What to expect
Applied shortly before intimacy. Effects on sensation and blood flow are local and build over minutes.
Before intimacy
You apply it
Apply a small amount to the area a short time before sex, following your provider's instructions.
Within minutes
It builds
The actives work locally, so any effect builds over the minutes after you apply it.
During intimacy
Your window
Effects are meant for use around the time of intimacy and are local to where you applied the cream.
After a few uses
Dial it in
Your provider can adjust the formula or strength based on how you respond over your first several uses.
Safety and side effects
Reviewed by a licensed provider. Contains sildenafil; tell your provider about nitrate medications and your history. External use only.
Common
- Mild burning or tingling where applied
- Local redness or irritation
- Warmth at the application site
- Temporary skin sensitivity
Less common
- Headache
- Flushing
- Mild dizziness if the actives are absorbed
Seek care
- Allergic reaction to an ingredient
- Prolonged or painful effects that do not settle
For external use on the genital area only. Do not use during pregnancy or when trying to conceive. Wash your hands after applying and avoid transfer to a partner. Tell your provider about all medicines, especially nitrates, since the cream contains sildenafil. Stop and contact a provider if you have a severe or lasting reaction.
Frequently asked questions
How long does scream cream take to work?
Other sexual health options
Approval is never automatic.
An independent US-licensed clinician reviews every request. If they decide the treatment is not right for you, you get a full refund for the medication.
Prescriptions are filled by a US-licensed pharmacy and shipped free, in discreet packaging, on every plan.
LegitScript-certified · Cert 50087439
Compounded medications are prepared by a US-licensed pharmacy and are not reviewed by the FDA for safety or effectiveness. Products are dispensed only after a licensed provider determines they are appropriate. Information here is educational and is not a substitute for medical advice.
