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How to Use Troches

Affordable and effective compounded troches

Troches are a medicated lozenge that easily dissolves in the mouth. This route of administration makes it easier for medications, like hormones, to enter the body by entering directly into the bloodstream. This allows the medication to work quickly in the body while also avoiding metabolism by the liver. 

Common Flavors: Peppermint, Spearmint, Cinnamon, Raspberry-Lemon, Vanilla Butternut

How to Use Troches

Open mouth

Step 1: Troches are marked in quarters. Depending on the dosage prescribed by your doctor (¼, ½, or full troche), place the indicated amount either under your tongue or in the cheek cavity – between the cheek and gums. 

Step 2: Leave the troche there until it dissolves completely, about 15 to 30 minutes. 

Step 3: It’s recommended to move the position of the troche to a different part of the mouth each time it’s taken to help improve absorption. 

Talk to your doctor or pharmacist

Provider and patient talking

Using troches should be painless and easy. Talk with your doctor or pharmacist if you have any questions or are having trouble using the cream properly. Discontinue use and check with your doctor or pharmacist if you notice any redness, itching, swelling, or other side effects not present before you started using this medicine.

Question mark

Question:  What flavor can you make the troches?
Answer: Flavor options include: Anise (black licorice), Bubble Gum, Chocolate, Coconut-Lime, Creme de Menthe, Grape, Lemon, Lemon-Lime, Lemon-Raspberry, Marshmallow, Orange, Peanut Butter, Peppermint, Raspberry, Spearmint, Vanilla Butternut, Washington Cherry, and Wintergreen.

Question:  Should I take a break from my hormone troches along with my monthly cycle?
Answer: You should follow the instructions provided for your medication, as directed by your physician.  Most commonly hormone troches are taken daily or twice daily. There are some circumstances where hormone troches are stopped for a few days to a week, according to your cycle or the dose is increased over each monthly cycle.  IF you have questions on how to take your specific prescription, contact the pharmacists or your prescriber’s office. 

Helpful Tips


  1. Troches can be easily cut into ½’s and ¼’s. The usual dose is ½ or ¼ of a troche once or twice daily. 
  2. Troches may take about 15-30 minutes to dissolve but can be sped up by having a hot drink prior to placing in the mouth. 
  3. At least 4-5 different sites in the mouth can be used – either cheek or under each side of the tongue. 
  4. It is best to wait 10-15 minutes after eating to use troches. 
  5. Do not swallow or chew the troche before it is dissolved and it is important not to eat, drink, or go to sleep with a troche in your mouth as it may not have enough time to get absorbed and work properly. 
  6. Placing the troche in the mouth when distracted, busy, or snacking may not allow it enough time to dissolve or maybe swallow before being fully absorbed.
  7. Keep in a cool, dry place, away from light. In summer it is best to keep in the refrigerator in an airtight container.

We can ensure your next medication is compounded with the same quality and care as this one.
When you approach the end of your compounded troches call:
Coast to Coast Compounding (303-237-4478)
*Please allow 24-48hr to prepare your troches*