frequently asked questions

• What is the difference between Libido Lift Rx & O-Cream Rx? Which one is more effective?
  Libido Lift Rx is a prescription-strength treatment that treats the emotional and physical symptoms of female sexual dysfunction. This oral medication is formulated to increase libido, blood flow and vaginal sensitivity. The active ingredients are Oxytocin, L-Citrulline, and Tadalafil.
  
  O-Cream RX is a prescribed compound medication for those experiencing difficulty climaxing, troubles with dryness, or pain during intercourse. It is a prescription strength topical cream formulated with the same active ingredient found in Viagra (Sildenafil) to increase blood flow and vaginal sensitivity. We offer a regular strength (1% Sildenafil) and an extra strength (3% Sildenafil).
  
  If you're still unsure which medication might be right for you, we suggest selecting the medication that you feel fits the symptoms you would like treated. You will need to complete this medical intake form and a doctor will review your form and determine if you are eligible for a prescription and which dosage is right for you. You are only charged if you are approved for a prescription.
• How do I know which treatment is right for me?
  While we highlight what symptoms each medication specifically treats, a doctor consultation is best in helping you navigate your needs. To get started, you will need to complete this medical intake form. Select the medication that you feel fits the symptoms you would like treated. A doctor will review your form and determine if you are eligible for a prescription and which dosage is right for you.
• Can you take Libido Lift Rx & O-Cream Rx together?
  When prescribed by a medical professional, Libido Lift Rx and O-Cream Rx can be taken in tandem. Please be sure to disclose all medications and supplements to the prescribing physician during your intake, and update them should any health changes or medications occur if subscribed.
• What are the main symptoms of Female Sexual Dysfunction?
  According to the Mayo Clinic, symptoms vary depending on what type of sexual dysfunction you're experiencing:
  • Low sexual desire. This most common of female sexual dysfunctions involves a lack of sexual interest and willingness to be sexual.
  • Sexual arousal disorder. Your desire for sex might be intact, but you have difficulty with arousal or are unable to become aroused or maintain arousal during sexual activity.
  • Orgasmic disorder. You have persistent or recurrent difficulty in achieving orgasm after sufficient sexual arousal and ongoing stimulation.
  • Sexual pain disorder. You have pain associated with sexual stimulation or vaginal contact.
  
• How many doses come in an order?
  6 doses come in an order. When you login to your account, you can select your preferred amount of packs and shipment cadence.
• Does the tablet have any flavor?
  Yes! They are minty fresh.
• How frequently can I take Libido Lift Rx?
  Libido Lift Rx can be taken daily unless otherwise prescribed. You can always check with your doctor via Cake’s messaging service to confirm.
• How long will Libido Lift Rx take to work?
  Libido Lift Rx will take effect in 15 - 30 minutes.
• How do I take the tablets?
  Let the tablets dissolve under your tongue.
• How long should I expect to feel the effects of Libido Lift Rx?
  On average, patients feel the effects for up to 36 hours
• Is Libido Lift Rx FDA-approved?
  Compound medications are customized prescriptions prepared by a compound pharmacy to meet the specific needs of an individual patient. Libido Lift Rx is a compound medication that combines active ingredients proven to be safe and effective in treating female sexual dysfunction symptoms. Oxytocin, commonly referred to as ‘the cuddle drug’ to help increase libido and desire; Tadalafil, a vasodilator to increase vaginal and clitoral blood flow for increased sensitivity; and L-Citrulline, also to increase blood flow and the likelihood of orgasm. Clinical research on the efficacy of each active ingredient below.
  
  Tadalafil efficacy:
  ‘PDE5is could be an effective treatment modality for female sexual dysfunction. Although there were significant increases in adverse events in comparison with placebo, PDE5is were still relatively safe.’
  National Library of Medicine - Systematic review and meta-analysis of phosphodiesterase type 5 inhibitors for the treatment of female sexual dysfunction
  National Library of Medicine - Phosphodiesterase inhibitors in female sexual dysfunction
  
  Oxytocin efficacy to treat female sexual dysfunction:
  ‘Our findings suggest that oral OXT enhances responses in both reward and emotional-processing networks in females as well as males, and additionally, in females, it strengthens coupling between reward and social cognition regions.’
  National Library of Medicine - Randomized Controlled Trial - Neuroendocrinology - Oral Oxytocin Facilitates Responses to Emotional Faces in Reward and Emotional-Processing Networks in Females
  National Library of Medicine - Oromucosal Administration of Oxytocin: The Development of ‘Oxipops’
  
  L-Citrulline efficacy to treat female sexual dysfunction:
  ‘The study suggests that supplementation with Lady Prelox significantly improves sexual function across all domains evaluated by the FSFI in healthy women of late reproductive age. The improvement in FSD.
  National Library of Medicine - Clinical Trial - Lady Prelox® improves sexual function in generally healthy women of reproductive age: FI is also associated with a significant decrease in oxidative stress.’ Note: ‘Lady Prelox’ has the active ingredient L-Citrulline
• Can women safely take Tadalafil?
  Yes, the below research helps to detail the safety and effectiveness of Tadalafil in combating female sexual dysfunction. Note: side effects may include headache, flushing, vision changes, gastrointestinal upset Note: contradictions may include hypertension and renal insufficiency, and nitrate usage National Library of Medicine - Systematic review and meta-analysis of phosphodiesterase type 5 inhibitors for the treatment of female sexual dysfunction: ‘PDE5is could be an effective treatment modality for female sexual dysfunction. Although there were significant increases in adverse events in comparison with placebo, PDE5is were still relatively safe.’ Citation: Gao L, Yang L, Qian S, Li T, Han P, Yuan J. Systematic review and meta-analysis of phosphodiesterase type 5 inhibitors for the treatment of female sexual dysfunction. Int J Gynaecol Obstet. 2016 May;133(2):139-45. doi: 10.1016/j.ijgo.2015.08.015. Epub 2015 Dec 17. PMID: 26797204. National Library of Medicine - Phosphodiesterase inhibitors in female sexual dysfunction: ‘The convincing clinical data on the use of the orally active PDE5 inhibitors sildenafil (VIAGRA), vardenafil (LEVITRA) and tadalafil (CIALIS) in the treatment of erectile dysfunction are accompanied by boosting research activities on intracellular signal transduction and PDE characterisation in female genital tissues with the aid of immunohistochemistry and immunocytochemistry and molecular biology. The expression of various PDE isoforms in the human clitoris, vagina and labia minora was shown by means of immunohistochemistry and RT-PCR analyses and it was concluded from functional studies that an increase in cGMP or cAMP might be involved in the regulation of female genital blood flow and the control of genital non-vascular smooth muscle.’ Citation: Mayer M, Stief CG, Truss MC, Uckert S. Phosphodiesterase inhibitors in female sexual dysfunction. World J Urol. 2005 Dec;23(6):393-7. doi: 10.1007/s00345-005-0015-5. Epub 2005 Oct 25. PMID: 16247643. National Library of Medicine - Effect of sildenafil on subjective and physiologic parameters of the female sexual response in women with sexual arousal disorder: ‘Sildenafil appears to significantly improve both subjective and physiologic parameters of the female sexual response.’ Note: Cake Meds for Her have the PDE5 ‘Tadalafil’ not ‘Sildenafil’, this citation is to be used as reference only for effectiveness of PDE5 inhibitors in women. Citation: Berman JR, Berman LA, Lin H, Flaherty E, Lahey N, Goldstein I, Cantey-Kiser J. Effect of sildenafil on subjective and physiologic parameters of the female sexual response in women with sexual arousal disorder. J Sex Marital Ther. 2001 Oct-Dec;27(5):411-20. doi: 10.1080/713846815. PMID: 11554201. National Library of Medicine - Safety and efficacy of sildenafil citrate for the treatment of female sexual arousal disorder: a double-blind, placebo controlled study: ‘Sildenafil was effective and well tolerated in postmenopausal women with FSAD without concomitant HSDD or contributory emotional, relationship or historical abuse issues. Note: Cake Meds for Her have the PDE5 ‘Tadalafil’ not ‘Sildenafil’, this citation is to be used as reference only for effectiveness of PDE5 inhibitors in women. Citation: Berman JR, Berman LA, Toler SM, Gill J, Haughie S; Sildenafil Study Group. Safety and efficacy of sildenafil citrate for the treatment of female sexual arousal disorder: a double-blind, placebo controlled study. J Urol. 2003 Dec;170(6 Pt 1):2333-8. doi: 10.1097/01.ju.0000090966.74607.34. PMID: 14634409.
• Can women safely take Oxytocin?
  Yes, the below research helps to detail the safety and effectiveness of Oxytocin in combating female sexual dysfunction. Note: side effects include(s) nausea Note: contradictions may include hypertension and pregnancy National Library of Medicine - Randomized Controlled Trial - Neuroendocrinology - Oral Oxytocin Facilitates Responses to Emotional Faces in Reward and Emotional-Processing Networks in Females: ‘Our findings suggest that oral OXT enhances responses in both reward and emotional-processing networks in females as well as males, and additionally, in females, it strengthens coupling between reward and social cognition regions.’ Citation: Lan C, Chen Y, Zhang Y, Kou J, Huang L, Xu T, Yang X, Xu D, Yang W, Kendrick KM, Zhao W. Oral Oxytocin Facilitates Responses to Emotional Faces in Reward and Emotional-Processing Networks in Females. Neuroendocrinology. 2023;113(9):957-970. doi: 10.1159/000531064. Epub 2023 May 13. PMID: 37231816. National Library of Medicine - Oromucosal Administration of Oxytocin: The Development of ‘Oxipops’: ‘… may be an effective way of optimally increasing blood concentrations and offers considerable practical advantages over intravenous or intranasal routes…’ Xu D, Lan C, Kou J, Yao S, Zhao W, Kendrick KM. Oromucosal Administration of Oxytocin: The Development of 'Oxipops'. Pharmaceutics. 2024 Feb 27;16(3):333. doi: 10.3390/pharmaceutics16030333. PMID: 38543227; PMCID: PMC10975265. Xu D, Li Q, Zhuang Q, Zhang Y, Yao S, Zhao W, Kendrick KM. Oro-mucosal administration of oxytocin using medicated lollipops alters social attention, similar to intranasal and lingual routes: Implications for therapeutic use. Front Neurosci. 2022 Oct 25;16:1022101. doi: 10.3389/fnins.2022.1022101. PMID: 36389233; PMCID: PMC9641372.
• Can women safely take L-Citrulline?
  Yes, the below research helps to detail the safety and effectiveness of these ingredients in combating female sexual dysfunction. National Library of Medicine - Clinical Trial - Lady Prelox® improves sexual function in generally healthy women of reproductive age: ‘The study suggests that supplementation with Lady Prelox significantly improves sexual function across all domains evaluated by the FSFI in healthy women of late reproductive age. The improvement in FSFI is also associated with a significant decrease in oxidative stress.’ Note: ‘Lady Prelox’ has the active ingredient L-Citrulline Citation: Bottari A, Belcaro G, Ledda A, Luzzi R, Cesarone MR, Dugall M. Lady Prelox® improves sexual function in generally healthy women of reproductive age. Minerva Ginecol. 2013 Aug;65(4):435-44. PMID: 24051943.
• Can you use Libido Lift Rx or O-Cream Rx if you’re taking estrogen?
  Yes, these can be taken while on estrogen.
• Can you use Libido Lift Rx or O-Cream Rx with antidepressants?
  When prescribed by a medical professional, Cake Meds for Her can be taken in tandem with Sex Drive for Her. Please be sure to disclose all medications and supplements to the prescribing physician during your intake, and update them should any health changes or medications occur if subscribed.
• Can you use Libido Lift Rx or O-Cream Rx if pregnant or while trying to conceive?
  Yes, these can be taken while on antidepressants. One of the active ingredients, Tadalafil may be especially beneficial. Please be sure to always disclose all medications, including antidepressants during your intake process.
• Can you use Libido Lift Rx or O-Cream Rx if you’re taking birth control pills?
  No, you cannot use Libido Lift Rx or O-Cream Rx if pregnant or while trying to conceive. If you think you may be pregnant, or would like to become pregnant in the near future you should not take these prescription medications.
• Can I use this in tandem with other supplements like Sex Drive for Her?
  Yes, the Libido Lift Rx dissolvable tablets and O-Cream Rx would have no effect on birth control pills.
• Are there any key drug interactions to be aware of?
  Libido Lift Rx may have adverse drug interactions with: Nitrates, Riociguat, Prostaglandin, and/or Hypertension Medications.
  
  Detailed interactions: • Nitrates and Riociguat cannot be taken with Tadalafil
  • Prostaglandin and Hypertension Medications cannot be taken with Oxytocin
  
• Can I use insurance for Hello Cake Meds?
  At this point we do not take insurance.
• Are there any age restrictions?
  Cake Meds for Her are to be prescribed for individuals 18+.
• Is Cake Meds For Her available in my state?
  At the moment our Cake Meds for Her only ship within the continental United States. Due to some restrictions, there are some states that we are unable to ship to. They are:
  Alabama
  California
  Guam
  Puerto Rico
  South Carolina
• I have an account on hellocake.com. Why do I need a separate login for my meds?
  We take privacy and security very seriously so all of your healthcare information is taken over our secure platform. Since we require information about your health to prescribe ED meds, we have a specialized platform to do so that is different from the one that enables you to buy any Cake toys, lubes, and condoms.
• How long does it take to be approved by a doctor?
  It generally takes less than 24hrs to find out if you are eligible for a prescription. Keep an eye on your inbox as you will be notified by email.
• When will I receive my order?
  If approved, it can take the pharmacy up to 2 -3 business days to fulfill your order. Once shipped, it takes 3-5 business days to be delivered.
• Do you offer expedited shipping?
  We do not offer expedited shipping at this time for prescribed medications.
• Can I pick this up from my pharmacy?
  Unfortunately, these cannot be picked up at a local pharmacy yet. We use a specific pharmacy that has compounding capabilities to fulfill each prescription.