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Dream Cream

Aminophylline 3%: A vasodilator used to dilate (open) blood vessels, which allows blood to flow more easily.

Arginine HCl 6%: An amino acid with a hydrogen chloride molecule, used to increase oxygen delivery and blood flow during sexual activity. 

Sildenafil 2%: A PDE5 inhibitor that increases local blood flow to clitoris/genital tissue, improves genital response and overall sexual experience. 

If you are looking to increase pleasure in your sex life then Dream Cream is for YOU! Prescription arousal gels work where over-the-counter orgasm creams can’t. Sildenafil 2% is the female dose of Viagra and enhances sensation by boosting blood flow to the vagina and clitoris, increasing sensitivity and making it easier to tip you over the edge. 

It works by stimulating clitoral tissue, increases arousal, heightens sensitivity and enhances vaginal lubrication,

Use

Apply on the vaginal and clitoral areas as needed 30 mins before sexual activity, gently massage in. Should not be used on irritated areas or open wounds. Avoid using this medication on the vaginal area if you currently have a yeast or bacterial infection, resume usage once infection clears. Wash your hands before and after applying formula. You may experience warmth, redness, or a tingling feeling, which is common and normal.

Pricing

Contact for pricing.

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Dream Cream Clinical Information

What Dream Cream Is

Dream Cream is a compounded topical formulation prescribed for sexual-wellness use. It combines vasoactive and sensitizing ingredients (such as sildenafil, L-arginine, and others depending on the formulation) in a transdermal base. The exact composition is determined by the prescribing provider and the compounding pharmacy.

Indications (Off-Label, Compounded Use)

  • Localized support for arousal and response
  • Alternative or adjunct to oral PDE5 inhibitors

Contraindications

  • If your formulation contains sildenafil or another PDE5 inhibitor: do not use if you take nitrates (see Sildenafil/Tadalafil contraindications)
  • Known allergy to any of the formulation ingredients
  • Open wounds or skin breakdown at the application site
  • Pregnancy or breastfeeding

Common Side Effects

  • Local flushing, warmth, or tingling at application site
  • Headache
  • Transient skin irritation

How DMHealth Prescribes Dream Cream

  1. Free virtual consultation and review of your specific goals
  2. Cardiovascular & medication screen (especially nitrate use)
  3. Formulation chosen based on history and clinician judgment
  4. Provider evaluation by Diana Medina, MMS, PA-C, under Luis Campillo, MD’s direction
  5. Compounded prescription via verified pharmacy
  6. Application instructions and follow-up



Medically reviewed by: Diana Medina, MMS, PA-C — Florida-licensed Physician Assistant

Medical Director: Luis Campillo, MD

Last reviewed: May 20, 2026

This page is for educational purposes only and does not constitute medical advice. All treatments require an individualized medical evaluation. DMHealth provides services via telehealth to Florida residents under the medical supervision of Luis Campillo, MD, in accordance with Florida Statutes § 458.347 governing physician assistant practice. Some statements have not been evaluated by the U.S. Food and Drug Administration; products mentioned are not intended to diagnose, treat, cure, or prevent any disease.