What are Troche's
Sublingual medication is to be administered under the tongue where it will be absorbed systemically into the bloodstream through the mucous membrane. Sublingual medications include:
Troches, which are a small tablet or lozenge
There are several advantages to using sublingual administration:
More Rapid Absorption: The on-set of action will be faster due to direct administration
More active ingredient available: To bypass liver metabolism (first-pass metabolism)
Ease delivery for those who have trouble swallowing pills
Less Stomach Upset: To bypass gastrointestinal degradation from stomach acid
Easier Custom Dosing and "Pill" Splitting
The convenience of not having to take it with water
Also some researchers believe that sublingual administration may allow men to get results with a lower dosage than when the tablet is swallowed whole.
Troche’s: Compounded Sublingual Medication
Studies on Sublingual Viagra
The website of the National Institutes of Health (NIH) National Center for Biotechnology Information (NCBI) provides access to information from peer-reviewed studies on sublingual administration of sildenafil.
One study, which was conducted in the Urology Division of the Ospedale De Lellis in Italy, was a six-month comparison of men taking Viagra as intended (swallowed whole) for three months, followed by three months of taking Viagra that had been crushed into a powder by placing it in the mouth under the tongue.
The result was that the time it took for the sublingual drug to be effective was basically cut in half: 62.8 minutes for Viagra swallowed whole vs. 29.3 minutes for crushed Viagra placed under the tongue.