Arousal 1: Aminophylline 30 mg/mL, Ergoloid Mesylate 0.5 mg/mL, Pentoxifylline 50 mg/mL, Sildenafil Citrate 10 mg/mL, Testosterone 1 mg/mL, L-Arginine 60 mg/mL 30 mL Pump

Arousal 2: Aminophylline 30 mg/mL, Ergoloid Mesylate 0.5 mg/mL, Pentoxifylline 50 mg/mL, Sildenafil Citrate 10 mg/mL, Testosterone 1 mg/mL 30 mL Pump

Arousal 3: Aminophylline 30 mg/mL, Ergoloid Mesylate 0.5 mg/mL, Pentoxifylline 50 mg/mL, Testosterone 1 mg/mL, L-Arginine 60 mg/mL 30 mL Pump

Arousal 4: Aminophylline 30 mg/mL, Ergoloid Mesylate 0.5 mg/mL, Pentoxifylline 50 mg/mL, Sildenafil Citrate 10 mg/mL, L-Arginine 60 mg/mL 30 mL Pump

Arousal 5: Aminophylline 30 mg/mL, Ergoloid Mesylate 0.5 mg/mL, Pentoxifylline 50 mg/mL, Sildenafil Citrate 10 mg/mL 30 mL Pump

Arousal Cream, which may also go by the name of Scream Cream, is a topical cream that, when applied to the clitoris and/or external genitalia, can increase blood flow to the applied area and has been reported to improve sensitivity and rates of orgasm. Compounded from a mixture of prescription products, Arousal Cream is designed to act locally without substantial absorption into the blood stream. This transdermal (absorbed through the skin) cream is comprised of up to six different medications and products which include: aminophylline, ergoloid mesylate, L-arginine, pentoxifylline, sildenafil citrate, and testosterone. This synergistic medication draws upon the properties of each ingredient (one bronchodilator, four vasodilators, and the potent sex steroid hormone testosterone) that may provide female libido (sex drive) and sexual stimulation enhancement.

Arousal Cream’s four vasodilators contribute by relaxing the vascular smooth muscles, which consequently dilates peripheral blood vessels (arteries and especially veins). Dilatation (widening) of the blood vessels promotes peripheral pooling of blood and decreases venous return to the heart, thereby reducing left ventricular end-diastolic pressure and pulmonary capillary wedge pressure (preload). Such medications are primarily used to treat or prevent heart disease due to arterial plaque buildup, blood clots, platelet clumping, and to increase blood flow through the coronary artery. These medications are also used to ease migraines, improve blood pressure to organs and tissues, lessen recovery time after surgery, increase immune-boosting effects, and speed up tissue repair/wound healing. However, they contribute to the Arousal Cream complex by exerting effects on the female genitalia. The same vasoactive mechanisms used by these agents to improve blood flow to the heart, lungs, and many other bodily tissues and functions, is believed to also increase vaginal blood flow during stimulation, thereby effectively aiding in the treatment of sexual dysfunctions.

Transdermal application results is primarily localized action. As such, the expected pharmacokinetics for each of Arousal Cream’s six compounds mimics those of the individual compounds when administered topically. The differences resulting from simultaneous application have not been studied.

If you have contraindications with intercourse, you should consult your healthcare provider before using the medication and engaging in intercourse. You should not use this cream if you are allergic to any of the ingredients, have a history of genital herpes (*L-Arginine may facilitate replication of the herpes virus. An alternative formulation without L-Arginine is available.), chronic vaginal infections, or serious medical conditions such as heart disease or autoimmune disorder.
Additionally, despite acting almost exclusively locally, the contraindications for each of Arousal Cream’s compounds may apply. Provide your physician with information on Arousal Cream, as well as a list of your medical conditions before asking for a prescription.

DO NOT USE AROUSAL CREAM while pregnant or trying to become pregnant: one of Arousal Cream’s ingredients, Testosterone, is an FDA pregnancy risk category X (adverse fetal effects are expected). An alternative formulation without testosterone is available.

As a testosterone-containing product, Arousal Cream is contraindicated in women who are breast-feeding.

Arousal Cream acts synergistically via six distinct pharmacologically active compounds and each has its own list of compounds it interacts with. Interactions resulting from the combination of these compounds have not been studied and may include more than the sum of all compounds. Give your health care provider a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine.

Arousal Cream promotes blood flow to the applied area to improve sensitivity and rates of orgasm: it does not produce an orgasm. If not completely absorbed, it may cause irritation with your partner.
Arousal Cream is formulated to act locally so side effects are minimal, but may include skin irritation, headache, dizziness, and restlessness. However, possible side effects include but are not limited to those of each of Arousal Cream’s components. The side effects of these compounds in combination have not been studied.
Call your health care provider immediately if you are experiencing any signs of an allergic reaction: skin rash, itching or hives, swelling of the face, lips, or tongue, blue tint to skin, chest tightness, pain, difficulty breathing, wheezing, dizziness, red, swollen painful area on the leg

0.5 mL of Arousal Cream is most commonly applied onto the clitoris and/or external genital 15-30 minutes prior to sex. Arousal Cream should be massaged gently into the area until it is completely absorbed. Duration of effect is typically 30 minutes to 2 hours and reapplication may occur as needed.
Make sure to talk to your physician or pharmacist about how frequently you should be using Arousal Cream and how much you should apply.

Store this medication at 68°F to 77°F (20°C to 25°C) and away from heat, moisture and light. Keep all medicine out of the reach of children. Throw away any unused medicine after the beyond use date. Do not flush unused medications or pour down a sink or drain.

You can order Arousal Cream from MediLab’s compounding pharmacy in the following Florida regions:

North Florida	South Florida
Jacksonville	Miami	West Palm Beach	Weston
Pensacola	Hialeah	Pompano Beach	Delray Beach
Tallahassee	Fort Lauderdale	Davie	Homestead
Ocala	Port St. Lucie	Miami Beach	Tamarac
Gainesville	Pembroke Pines	Plantation	Sarasota
Fort Walton Beach	Hollywood	Sunrise	Wellington
Panama City	Miramar	Boca Raton	Jupiter
Palm Coast	Coral Springs	Deerfield Beach	Margate
Dunnellon	Miami Gardens	Boynton Beach	Coconut Creek
	Naples	Lauderhill	Broward
	Spring hill	Orlando

• Axiron (testosterone) topical solution, package insert. Indianapolis, IN: Lilly USA, LLC; 2011 Dec.
• Androderm (testosterone transdermal system) package insert. Corona, CA: Watson Phar.ma, Inc.; 2014 Jun.