NexArouse™ (30 Sublingual Tablets)

A Breakthrough for Mood-Induced Erectile Dysfunction

NexArouse™ is a doctor-formulated sublingual tablet designed for men who experience erectile dysfunction related to mood, anxiety, or stress. Created by a board-certified anesthesiologist in Los Angeles, California, and compounded at a licensed pharmacy, Novel Pharmacy in Sylmar, CA,  NexArouse™ works quickly to restore both confidence and connection — addressing both the psychological and physical sides of arousal.

Why NexArouse™ Is Different

Unlike traditional oral ED pills that can take up to an hour to work and only target blood flow, NexArouse™ delivers a balanced blend of mood, motivation, and circulation support in a rapid-dissolving sublingual form for faster absorption and onset.  When placed under the tongue, the active ingredients bypass the digestive system and enter the bloodstream within minutes — allowing for a smoother, faster, and more natural experience.

The Science Behind NexArouse™

Each NexArouse™ tablet contains a precise, low-dose combination of four synergistic ingredients:

1. Ketamine (Low Dose) – 15 mg: A well-researched NMDA receptor modulator that promotes calmness, relaxation, and reduced performance anxiety. The ultra-low dose is designed to ease psychological tension without sedation, helping you feel present and connected.
2. Oxytocin — The “Happy Connection” Hormone: Known as the bonding or love hormone, oxytocin enhances emotional closeness and intimacy. It supports the natural release of feel-good neurotransmitters that deepen emotional connection during intimacy.
3. Apomorphine — Dopamine Agonist for Motivation: Apomorphine stimulates dopamine receptors, helping to restore drive, focus, and pleasure. It enhances both mental arousal and physical readiness, helping the body and mind work in sync.
4. Sildenafil — Improved Blood Flow: A proven PDE5 inhibitor that promotes increased blood flow to the penis, helping achieve and maintain a firm erection. When combined with mood-enhancing ingredients, it creates a more holistic solution to mood-induced erectile dysfunction.  This is also the same compound sold under the brand name “Viagra.”

Key Benefits of NexArouse™

• Doctor-Formulated in Los Angeles, CA: Created by a licensed physician and compounded at a certified pharmacy for safety and precision.
• Rapid Sublingual Absorption: The under-the-tongue route allows faster onset compared to standard oral ED pills.
• Dual Action: Mind and Body: Helps with depression, anxiety, or stress during sexual situations, while improving blood flow and confidence.
• Neurochemical Balance: Combines oxytocin (the “happy hormone”), apomorphine (dopamine support), and low-dose ketamine (relaxation) for a synergistic, balanced effect.
• On-Demand Use Take as needed before sexual activity — with effects typically felt within 15–30 minutes.

Who It’s For

NexArouse™ is intended for men who experience difficulty with arousal or erection primarily linked to stress, anxiety, or emotional tension — not for those with purely vascular or structural causes of ED. It is not recommended for individuals with heart disease, schizophrenia, or recent stroke or heart attack.

Safety and Use Guidelines

• Take only one tablet sublingually as directed by your physician.
• Do not drive or operate machinery for at least two hours after use.
• Avoid mixing with alcohol, opioids, or sedatives.
• Use under medical supervision only.

Available Exclusively Through a Doctor

NexArouse™ is available only by prescription through Dr. David Mahjoubi and Novel Pharmacy in Sylmar, CA. Each dose is custom-compounded to your doctor’s specifications for safety and effectiveness.

Experience Confidence. Connection. Clarity.

Rediscover your confidence and intimacy with NexArouse™ — the first mood-focused sublingual arousal tablet developed by a physician for men seeking a natural yet effective boost in both mood and performance.

• Formulated in the United States of America
• Compounded at a licensed pharmacy
• Fast-acting, doctor formulated, and mood-balanced

Important Safety Information

NexArouse™ is a compounded prescription medication formulated under physician direction by a licensed compounding pharmacy (Novel Pharmacy, Sylmar, California). Compounded preparations are not FDA-approved as finished products, although the individual active ingredients — ketamine, apomorphine, and sildenafil — are FDA-approved for related uses. NexArouse™ is dispensed only after physician evaluation and is not a substitute for in-person medical care.

Ketamine is a Schedule III controlled substance under the federal Controlled Substances Act and carries a risk of dependence and misuse. Because controlled substances may only be prescribed in states where Dr. Mahjoubi is licensed, NexArouse™ is currently available only to patients residing in: Arizona, California, Connecticut, Florida, Illinois, Massachusetts, New Jersey, New Mexico, New York, Texas, Utah, Virginia, and Wisconsin. Prescriptions cannot be issued to patients in any other state.

NexArouse™ combines three active ingredients, each with distinct safety considerations. Apomorphine can cause severe nausea and vomiting (an anti-nausea agent is sometimes recommended), sudden drops in blood pressure that can lead to fainting (orthostatic syncope), excessive daytime sleepiness, and — as a dopamine agonist — rare but serious impulse-control disorders including pathological gambling, hypersexuality, compulsive shopping, and binge eating. Patients or their partners noticing any new or unusual urges should stop the medication and contact Dr. Mahjoubi immediately. Sildenafil can rarely cause non-arteritic anterior ischemic optic neuropathy (NAION) with sudden vision loss in one or both eyes, sudden hearing loss, and prolonged erection (priapism lasting more than four hours requires emergency care to prevent permanent injury). Sildenafil interacts dangerously with nitrate medications and can cause life-threatening hypotension. Ketamine at therapeutic sublingual doses is generally well tolerated but may cause dissociation, dizziness, transient elevated blood pressure or heart rate, nausea, and — with chronic misuse — bladder and cognitive effects.

Do not take NexArouse™ if you use any nitrate medication (including nitroglycerin, isosorbide, or recreational “poppers”), guanylate cyclase stimulators such as riociguat, opioids, or are actively consuming alcohol. Do not drive, operate machinery, or perform tasks requiring full alertness for at least 6 hours after a dose, or until any sedation, dizziness, or dissociation has fully resolved. Seek emergency medical care immediately for sudden vision loss, sudden hearing loss, an erection lasting more than four hours, chest pain, fainting, severe persistent nausea or vomiting, allergic reaction, or new compulsive behaviors. Discontinue use and contact Dr. Mahjoubi for any side effect you cannot tolerate. NexArouse™ is intended for adult patients only.