Troches
Troches are a medicated lozenge that easily dissolves in the mouth. This route of administration makes it easier for the hormone to enter the body directly into the blood stream whilst avoiding the liver. This allows the hormone to work quickly on the body.
Troches can be tailored to your liking with a large range of flavours to choose from. Due to Troches being compounded after your appointment, it usually can take a couple of days to be ready. The pharmacist needs to measure your exact dose, combine it with the appropriate base and add your requested flavour. Finally, after waiting for the troche to set, the pharmacist must ensure that there are no air bubbles, and each troche contains the same amount of active ingredient.
Troches contain the Bio-identical hormone in a base that can be easily cut into 1/2’s and 1/4’s. The usual dose is 1/2 or 1/4 of a troche up to twice daily (refer to your personal prescription for your recommended dose). They may take up to 40 mins to dissolve, but is usual sped up by having a hot drink prior to your dose. Do not eat or go to sleep with a troche as it will be wasted.
Storage: Keep in a cool, dry place, away from light. In summer it is best to keep in the refrigerator in an air tight container.
TROCHE BASE
A free flowing, pre-sweetened powder, easily weighed and convenient to work with. The ingredients are released slowly and uniformly, producing a pleasant taste. Troche Base is a polyethylene glycol base sweetened with Stevia 90% that was developed to be easy to work with, easily administered, and widely compatible. Both water soluble liquid and powder flavours can be readily incorporated into the base.
Troches have regained tremendous popularity for the absorption of medications, especially hormones. They are effective because the lining of the mouth is thin and rich in blood supply. Troches are small lozenges that dissolve between the cheek and gum or even in the vagina. A well made “Base A” troche provides the best absorption; it dissolves slowly over a period of about 20 to 40 minutes. As it dissolves, the hormones are gradually absorbed into the blood stream, resulting in physiologically natural hormone blood levels.
Because these are bioidentical to the hormones your body has produced, they are efficiently recognized, utilized, metabolized and excreted by the body. Since your own hormones only last about 10 to 14 hours, your natural hormone replacement should be dosed twice a day to give adequate and sustained blood levels. A word of caution – if you are going to use the troches in the vagina – be certain that they are not flavored with mint! Mint causes a burning sensation in the vagina that you will want to avoid!
List of Ingredients
- Polyethylene Glycols
- Stevia Powder
- Acacia Gum
- Silica Gel
Commonly used flavours for troches and suspensions:
- Aniseed
- Banana Cream
- Butterscotch
- Caramel
- Chocolate
- Crème de Menthe
- Lemon
- Lemon/Lime
- Lime
- Orange
- Peppermint
- Vanilla
- Vanilla Butternut
- Raspberry
- Spearmint
- Strawberry
- Tutti-Frutti
- Pina Colada
- Grape
- Peanut butter
This list is not exhaustive, as we also have flavours for Veterinary medicines or special flavours requested by patients.
