A hand holding an illustrative, unbranded scream cream product; prescription onlyCompounded in the U.S.A.Rx only

A topical option
for women.

Illustrative, unbranded scream cream product on a small pedestal; prescription onlyCompounded in the U.S.A.
  • Blood flow support
  • Arousal response
  • On your timing
Woman relaxing on a sofa in a bright living room

Appliedbefore intimacy.

Illustrative image — not a CAPO Health patient

Illustrative image; actual packaging may vary.

Coming soon · Compounded aminophylline + L-arginine cream

Scream Cream

A topical cream with two ingredients that act on blood flow where it's applied, used before intimacy.

  • LegitScript Certified
  • Licensed U.S. providers
  • State-licensed pharmacy
  • HIPAA-secure & 100% online

Description

Aminophylline relaxes smooth muscle, and L-arginine is an amino acid the body uses to make nitric oxide, which is involved in blood flow.

Read more

Combined in a cream, they are applied to the external genital area before sexual activity. This is an off-label, compounded preparation: it is not approved by the FDA, and evidence for this use is limited.

Form
Topical cream
How often
Before sexual activity
Active ingredients
Aminophylline + L-arginine
Dispensed by
State-licensed 503A compounding pharmacy
Prescription
Required · licensed provider review

Applied where it works

A topical cream applied to the external genital area before sexual activity, as your provider directs. No pills and no needles.

Two ingredients that act on blood flow

Aminophylline relaxes smooth muscle, and L-arginine is an amino acid the body uses to make nitric oxide, which is involved in blood flow.

Used before intimacy

Applied before sexual activity, on the timing your provider recommends. This is an off-label, compounded preparation, and evidence for this use is limited.

Read full safety information

What's included with your plan

Provider consultation, medication and supplies, shipping and your patient portal — in every plan.

  • Provider consultation

    A licensed provider reviews your short intake and follows up through your portal. No separate consultation fee.

  • Your prescribed medication

    Topical cream dispensed by our partner pharmacy, as your provider directs.

  • Shipping included

    Shipped to your door by our partner pharmacy, with tracking sent by email.

  • No hidden fees

    No separate enrollment, consultation or membership fees. Your plan price is the price.

  • Secure patient portal

    Messages with your care team, refill requests and order tracking, HIPAA-secure.

  • Full refund if not prescribed

    If the provider decides treatment is not appropriate, nothing is dispensed and your order is refunded in full.

Accepted payment methodsHSA / FSAHSA/FSA cards accepted · No insurance required. Payment is collected at checkout. HSA/FSA eligibility depends on your plan administrator.

Features and services are subject to availability and eligibility. Portal preview is illustrative.

Contact us →

Potential benefits

The Benefits of Scream Cream

Scream Cream combines aminophylline and L-arginine in a cream you apply before intimacy. If your provider prescribes it, here is what it brings:

Individual results vary. Benefits are not guaranteed and depend on your provider's evaluation and your plan. Evidence for this off-label use is limited.

Why it matters

Arousal Concerns Deserve Attention

Changes in arousal and sensation are common for women, especially with stress, some medicines, childbirth and the hormonal shifts around menopause.

They can lead to:

  • Less pleasure during intimacy
  • Difficulty becoming aroused
  • Less sensitivity
  • Stress in your relationship

These signs have many possible causes. A licensed provider reviews your online form before recommending Scream Cream or another option.

What does it do

How Does Scream Cream Work?

Your formulation

What's in your cream.

Two active ingredients in one topical cream.

Aminophylline

Relaxes smooth muscle and may increase local blood flow where it is applied.

L-Arginine

An amino acid the body uses to make nitric oxide, which widens blood vessels.

Your provider determines the formulation, strength and directions that are appropriate for you. Personalized options are not guaranteed.

From first question to follow-up

A clear path to care.

01

Tell us about you.

Complete a short online form about your goals and the medicines you take — it takes a few minutes — then check out.

02

A provider reviews.

A provider licensed in your state reviews your form and decides whether treatment is appropriate. If it is not, your order is refunded in full.

03

Your care continues.

If prescribed, your medication is dispensed by our partner pharmacy and shipped to you. Check-ins continue through your patient portal.

Pharmacy & compliance

Compounded by a licensed 503A pharmacy.

If a provider prescribes treatment, your medication is prepared by a state-licensed compounding pharmacy operating under Section 503A of the Federal Food, Drug, and Cosmetic Act, and shipped to your door.

Our partner pharmacy is The Pharmacy Hub (Miami, FL). CAPO Health is not a pharmacy and does not compound, manufacture or dispense medications. Availability of certain medications or formulations can vary by state.

  • State-licensedCompounding pharmacy
  • Section 503APatient-specific prescriptions
  • Licensed providersIndependent medical group
  • Rx onlyAfter a medical evaluation

Pharmacy & provider details →

Sealed prescription bags and capped vials lined up on a pharmacy counter, ready for shipping

Illustrative image

Before you begin

Good questions.
Clear answers.

A little clarity goes a long way.

A small amount is applied to the external genital area before sexual activity, exactly as your provider directs. Do not apply it inside the body or to broken or irritated skin.

No. It is a compounded preparation made by a state-licensed 503A pharmacy for an individual patient. It is not approved by the FDA, and evidence for sexual wellness uses is limited.

Anyone allergic to aminophylline, theophylline, ethylenediamine or L-arginine, and anyone who is pregnant or breastfeeding. Tell your provider about heart rhythm problems, seizures, stomach ulcers, liver disease, herpes outbreaks and every medicine you take.

Warmth, tingling, redness, itching or irritation where it is applied. Stop using it and contact your provider if irritation is severe or does not go away.

No. Insurance is not required. Your price is shown in your online visit, before checkout, and your provider confirms the details after reviewing your file.

If the licensed provider decides that treatment is not appropriate for you, you are notified with the reason and no medication is dispensed. Any amount you have already paid is refunded in full to your original payment method. Not everyone qualifies, and the provider may recommend a different path.

Scream Cream side effects & safety.

Read the full safety information

Compounding and evidence

This cream is a compounded preparation. It is not approved by the FDA, and the FDA does not review it for safety, effectiveness or quality. Evidence for this use is limited.

Side effects

Warmth, tingling, redness, itching or irritation at the application site. Allergic skin reactions are possible.

Talk with your provider

Tell your provider about heart rhythm problems, seizures, stomach ulcers, liver disease, herpes outbreaks, pregnancy and every medicine you take.

Scream Cream is coming soon.

The online visit takes just a few minutes. If a licensed provider decides treatment isn't right for you, nothing is dispensed and you're refunded in full.

Questions? Call us at 1-833-772-7117

Important Safety Information

Compounded Scream Cream (Aminophylline + Arginine) Rx

Compounded drug notice

This cream is prepared by a state-licensed pharmacy for an individual patient. It is not approved by the FDA, and the FDA does not review compounded drugs for safety, effectiveness or quality. Evidence for sexual wellness uses is limited; this is an off-label use.

Do not use this cream if you

are allergic to aminophylline, theophylline, ethylenediamine or L-arginine, or are pregnant or breastfeeding.

Before starting, tell your provider if you

have a heart rhythm problem, seizures, a stomach ulcer, liver disease or herpes outbreaks, or take any prescription medicines, including other medicines that contain theophylline.

How it is used

Apply a small amount to the external genital area before sexual activity, only as your provider directs. Do not use it on broken or irritated skin. Use only the instructions on your pharmacy label.

Serious side effects

Severe allergic reactions (rash, swelling, trouble breathing), a fast or irregular heartbeat, or seizures. Get emergency help if they occur.

Common side effects

Warmth, tingling, redness, itching or irritation where the cream is applied.

Additional notice for this page

Compounded Scream Cream (Aminophylline + Arginine) is compounded by a state-licensed pharmacy under Section 503A of the Federal Food, Drug, and Cosmetic Act and is dispensed only with a patient-specific prescription issued after a medical evaluation. It is not approved by the FDA and is not a generic version of, or equivalent to, any branded medication. Your price is shown in your online visit, before checkout; if no prescription is issued, your order is refunded in full. This summary does not include everything you need to know — talk to your provider and read your pharmacy label. To report side effects, contact your provider or the FDA at 1-800-FDA-1088. Individual results vary.

The FDA does not review compounded medications for safety, effectiveness or quality, and treatment requires an individual evaluation and a prescription. CAPO Health is not a pharmacy: if prescribed, your medication is prepared by a state-licensed compounding pharmacy and your pharmacy label shows the concentration and directions prescribed for you.