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Dominant  /  Sexual Health  /  SH-02 TRIGGER
⌖   SH-02 · ON-DEMAND PROTOCOL

ONE TROCHE.
90 MINUTES.
THE NIGHT OPENS.

A four-molecule sublingual troche, taken 90 minutes before. Sildenafil and tadalafil for vascular response. PT-141 for desire that doesn't need a cue. Oxytocin for the part that isn't mechanical. One tab covers the whole arc.

90min
⌖ TAKE BEFORE SEX
Place under tongue.
Don't swallow.
Onset 20–30 min · peak 60–90 min · window 8–10h
Onset
20m
first effect
Peak
90m
full window
Window
8–10h
on-demand
Cadence
PRN
when you need
⌖ Physician written
Real medicine, sized to you
Board-certified review before anything ships
⌖ 503A pharmacy
US-licensed compounding
Quad-molecule troche · not off-the-shelf
⌖ Avg. onset
22 min · n=1,840
Median time to first response
⌖ Discreet
Plain unmarked shipping
Cancel any time. Pause any time.
PHARMACOKINETICS

One troche.
Ten hours of open window.

Four molecules with overlapping curves. PT-141 lifts desire as silde­nafil opens the vasculature; tadalafil keeps the floor up; oxytocin closes the loop.
−90m
−60m
−30m
SEX
+1h
+2h
+3h
+4h
+6h
+8h
+10h
90 → 30 min before
Place. Dissolve. Wait.
Sublingual absorption. PT-141 begins crossing CNS. Sildenafil clears the gut.
First hour
Onset · arousal lifts
PT-141 desire response. Vascular response to PDE5 inhibition. The ramp.
1 → 4 hours in
Peak · the window
Full quad effect. Erection on demand. Desire on demand. Recovery between rounds.
+4h → +10h
Long taper
Tadalafil floor remains. Reduced ceiling, wider window. Second wind territory.
Active window Taper Onset and peak vary 15–30% by individual; values shown are population median, n=1,840.
A NIGHT IN THE WINDOW

Friday.
Dinner at eight.

An honest map of one Trigger night — not the marketing version. When you take it, what you'll feel, what to expect on each side of midnight.

6:3090 MIN BEFORE

Place under the tongue

One troche, dissolves in three to four minutes. Don't swallow saliva early. No food restriction, but skip the heavy steak — fats slow sildenafil absorption by ~30%.

7:0060 MIN BEFORE

Nothing yet

You won't feel anything for ~20 more minutes. This is normal. First-timers panic here. Don't redose. The curves are still climbing.

7:5010 MIN BEFORE

Warmth · faint flush

PT-141 ramping. Light flush across the chest, slight nasal awareness. Mood, not erection. Desire arrives before the vascular response does.

8:3030 MIN AFTER

Vascular response active

Sildenafil at peak. Erection responsive to stimulation — not spontaneous. You still need a cue. But the cue lands harder than usual.

10:002 HOURS IN

Full quad in effect

The middle of the window. Recovery between rounds is faster. Oxytocin peaking — most members report a stronger sense of presence and closeness.

12:304 HOURS IN

Ceiling drops · floor remains

PT-141 and silde­nafil tapering. Tadalafil holds the floor for hours yet. Sleep is fine. No grogginess. No next-day weight.

THE STACK

Four molecules.
One troche. Each does one job.

Most on-demand pills do one thing — open the plumbing. Trigger covers desire, response, duration, and connection. The whole arc of an evening, not just the mechanical piece.
01
⌖ DESIRE
PT-141
2.5mg · Bremelanotide

Melanocortin agonist acting on central arousal pathways in the hypothalamus — not vasculature. The molecule that addresses desire when sildenafil alone leaves you cold. FDA-approved for hypoactive desire in women; off-label here for men.

⌖ MC4R AGONIST · CNS-MEDIATED
02
⌖ RESPONSE
Sildenafil
60mg · Vascular onset

The fast PDE5 inhibitor. Onset 30–45 min, peak 60–90 min. Inhibits the enzyme that breaks down cGMP, holding the vasodilation that an erection requires. Sublingual route shaves ~15 min off oral onset.

⌖ PDE5 INHIBITOR · ½ LIFE 4H
03
⌖ DURATION
Tadalafil
11mg · Long floor

The same family as sildenafil but with a 17.5h half-life. Smaller dose than the daily Standby — its job here is to keep a floor under you for hours after sildenafil has tapered, so a second round at +3h doesn't restart from zero.

⌖ PDE5 INHIBITOR · ½ LIFE 17.5H
04
⌖ CONNECTION
Oxytocin
50IU · Bonding

The neuropeptide governing bonding, presence, and post-coital connection. At this dose, members report stronger emotional engagement and a more present headspace — the part of sex that PDE5 drugs famously do not touch.

⌖ NEUROPEPTIDE · CNS + PERIPHERAL
⌖ COMPOUNDED FORMULA
PT-141 + SILDENAFIL + TADALAFIL + OXYTOCIN
→ ONE TROCHE
CHOOSE YOUR PROTOCOL

Standby or Trigger?

Two answers to the same question, sized to two different lives. Most members start with one and add the other later. The Dual pack carries both.
Standby SH-01 · 3-in-1 Troche
Trigger SH-02 · Quad Troche
Best for
Members who want the simplest stack — three molecules, one troche, before sex.
Members who want the fullest stack — desire, response, duration, and connection in one troche.
Stack
Apomorphine · Sildenafil · Tadalafil
PT-141 · Sildenafil · Tadalafil · Oxytocin
Desire pathway
Apomorphine
D2 dopamine agonist
PT-141
MC4R melanocortin agonist
Adds
Oxytocin 50IU for the bonding / presence layer that PDE5 drugs don't touch.
Onset · window
~30 min · 24h+ (tadalafil floor)
~20 min · 8–10h active window
From
$7.29/dose
3-month cadence · 24 troches
$16.40/dose
3-month cadence · 20 troches
Not sure which fits? Take the Protocol Match on the Sexual Health page — or your physician will recommend one at intake.
PROCESS

From intake to first night, in five days.

A board-certified physician reviews your cardiovascular history, current meds, and goals. Your protocol is compounded to your strength and shipped discreetly. Day-five usable.
01

Intake

10-minute medical and goals questionnaire. Cardiovascular history, current meds, and a few performance specifics.

⌖ STEP · ~10 MIN
02

Physician review

A board-certified physician reviews your file personally. Not an algorithm. They may request labs.

⌖ STEP · 24–48 HR
03

Compounded to you

503A licensed pharmacy compounds your strength. Four molecules, balanced into one sublingual troche.

⌖ STEP · 2–3 DAYS
04

Discreet ship

Plain unmarked package. Day-one usable. Cancel or change strength any time from your member portal.

⌖ STEP · ARRIVES DAY 5
QUESTIONS

Common questions.

How early do I really need to take it? +
90 minutes is optimal. Sildenafil hits peak around 60–90 min sublingually, and PT-141's central-arousal effect needs ~45 min to land. You'll feel partial effects at 30 min, but the full quad doesn't seat itself until ~60–90. Don't redose if nothing's happening at 20 min — you're early, not under-dosed.
What does PT-141 actually feel like? +
Most members describe a subtle warmth, faint flush across the chest, and a noticeable lift in desire rather than mechanical response. Some get a brief nasal awareness or yawning around T+30 — both expected. Sildenafil and tadalafil are silent; PT-141 is the molecule you'll actually feel arrive.
Can I take Trigger if I'm also a Standby member? +
Not on the same night. Both contain sildenafil and tadalafil — stacking them in a single window doubles your PDE5 load. If you keep both protocols on hand, your physician will write explicit timing rules at intake. The most common pattern is alternating — Standby for one night, Trigger for the next, never both at once.
Will I be wired all night? +
No. PT-141 tapers cleanly inside 4 hours. Sildenafil's gone by 6. Tadalafil keeps a low floor for ~24h but at this dose it's subclinical. Members report no sleep disturbance, no next-day weight, no grogginess.
What about food and alcohol? +
A heavy fatty meal slows sildenafil absorption ~30% — keep dinner moderate. Two drinks is fine. Beyond that, alcohol blunts the entire response (it's a CNS depressant; PT-141 is a CNS lift). The trade-off cuts in fast.
How is this billed? +
Stripe processes the first shipment when your physician approves. Subsequent shipments bill on the cadence you picked — monthly or every three months. Cancel or pause from the portal any time. Strength and quantity changes are free.
What if Trigger isn't right for me? +
Try Standby — the 3-in-1 troche built around apomorphine instead of PT-141. Same sublingual format, simpler stack, lower per-dose price. Strength and protocol changes never carry a fee.
⌖ STRIPE HANDOFF · DEMO
Sending to Telehealth + Stripe