Bypass Troches in Oklahoma City & Tulsa, OK


Many men find relief from their ED symptoms using Viagra, Levitra, or Cialis. Each of these come in a pill form and have standard strengths. When taken, these vasodilators open up the arteries in the penis allowing blood to flow more freely. Unfortunately, they cannot choose what arteries to dilate, so many blood vessels other than in the penis are also dilated. This is what causes many of the reported side effects like blurred vision, and upset stomach.


Understand that these medications are “residual drugs” meaning that you will build up a resistance to them over time. Both as your condition worsens, and the drug becomes residually less effective, you will require higher doses to achieve the same results. Viagra maximum dose is suggested at 150mg and 20mg for Levitra and Cialis, but if you need more than that to achieve an erection, then you will also increase the risk factors and side effects of the medication. At some point you will reach the maximum in which the medication can be taken safely and effectively orally. That is when you are forced to seek other therapies. We have the answer when that day comes.


Theses pills come in standard doses, so if you require more or less you must use a pill splitter. Pill splitters waste approximately 2mg or 10mg (2mg Cialis/Levitra & 10mg Viagra) of powder each time they are used. Considering the average cost of the pills is about $35 for (20mg of Cialis & Levitra & 100mg of Viagra) splitting of the pill could cost as much as $3.50. When splitting pills, you are rarely able to get a precise dose. Additionally, you may be taking more than you need when taking an entire tablet. 

These pills are taken orally, and absorbed into the blood stream through the gastral system. Because they enter the blood stream through the stomach, whatever stomach contents accompany them effect the way they work. Alcohol and eaten meals can dramatically affect the outcome of the medication. Too large of a meal or more than a couple of drinks could greatly delay the erection time, and directly affect the fullness of the erection. 

Often men take their significant other out for dinner and drinks, a barbeque, or maybe just a bottle of wine with dinner at home. These oral medications can be rendered ineffective after these pre-intercourse routines. Part of the joy of sex with your partner is the other things that you do pre-intercourse. So many men find it unfortunate that they miss that “perfect time” because the medication is either delayed or rendered ineffective.


Bypass’s are compounded medications using the base medications found in Viagra (Silenafil), Cialis (Tadalafil), and Levitra (Vardenafil). Just like facial tissue is often called Kleenex, these base chemicals are best known by a brand name. Our Oklahoma City and Tulsa clinics offer this male enhancement treatment which incorporates these base chemicals. We then enhance them with Apo morphine into a compounded tablet known as a troche. Apo morphine is a dopamine, which relaxes your mind. Many men can suffer from the anxiety of not knowing whether or not they can perform. The Apo morphine settles the mind and reduces the chance of sexual anxiety. 

For our Oklahoma City and Tulsa patients, Tadalafil troches are used to Bypass, meaning they are placed under the tongue, and absorbed into the body in the large artery’s under the tongue. It takes about 3-5 minutes for the troche to dissolve. This allows the medication to be more completely absorbed (about 30% better than a pill) directly into the blood system. So simply said, we bypass the gastral system, allowing you to eat and drink as you please (meals and drinks bypassed) and give you a quicker more complete response to the medication. This allows men to fully enjoy pre-intercourse activities. 

Troches are small squares which are pre-scored into 1/4ths. They are soft and mildly pliable and easy to cut with a sharp knife. They come in 80mg (Cialis/Levitra) and 150mg (Viagra) so they are able to be manipulated into many different doses customized to the user. A good example would be if you require 10mg of Cialis then you cut 1/4thtroche, then cut that ¼ in half losing absolutely no medication in the split. This is something you could never do with a pill. In this example a man could get 8 precise doses from one troche. By custom dosing you can increase or lower the dose easily to fit your situation and needs.



The Oklahoma Men’s Clinic Experience is specially designed to make it as easy, comfortable, and effective as possible to get the help you need to get back in the game, or get you back to being the old you! Once inside, you’ll enjoy the many concierge services and features we have added to make the experience as convenient, fun, and effective as possible, such as:

Big screen TV always on sports channels.

Men’s interest magazines

Same-day and walk-in service

24-hour patient assistance hotline

Possibly the Shortest waiting times you will ever experience at a doctor’s office

Coming Soon Digital patient files with the latest security encryption technology

Newly remodeled State-of-the-art facility


Our Oklahoma Men's Clinic Promise to You

Confidentiality – HIPPA Privacy – Respect – Understanding – The Latest Technology/Services

If you do not see results that first day your office Visit is FREE!!
Remember you have nothing to lose, and everything to gain


Appointment Hotlines

Tulsa New Patients:  (918) 900-2200
OKC New Patients:  (405) 428-3000

4415 S. Harvard Ave. Ste 201
Tulsa, OK 74135
Mo, Tu, We, Th, Fr 9:00am - 5:00pm

Clinic Calls Only

Tulsa Existing Patients:  (918) 895-9100
OKC Existing Patients:    (405) 622-4747

3727 NW 63rd St. Ste. 100
Oklahoma City, OK 73116
Mo, Tu, We, Th, Fr 9:00am - 5:00pm

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