Sexual HealthLicensed U.S. providers · Real prescriptions · Free consultation
Licensed U.S. providers · Real prescriptions · Free consultation
Prescription Strength · Doctor-Prescribed
Dual Action Spray is a prescription nasal spray that supports firmer, longer-lasting erections. Reviewed and prescribed by licensed U.S. healthcare providers. No office visit required.
Doctor-prescribed
✓ Free assessment
Discreet shipping
American-made
HIPAA compliant
Dual Action Spray is a compounded, prescription-only nasal spray that combines Sildenafil (the active ingredient in Viagra) and Tadalafil (the active ingredient in Cialis). Both medicines increase blood flow to support firmer, longer-lasting erections. Sildenafil works quickly, while Tadalafil keeps working for up to 36 hours. A quick spray in the nose means no pills, no water, and no waiting for anything to dissolve.
The Dual Action Spray (Sildenafil + Tadalafil) is a prescription compounded nasal spray combining Sildenafil (PDE5 inhibitor, generic Viagra) and Tadalafil (long-acting PDE5 inhibitor, generic Cialis). A quick spray in the nose delivers both fast onset and up to 36 hours of coverage. Only available after medical evaluation by a licensed provider.
Each ingredient targets the same PDE5 mechanism on a different timeline, giving you both speed and duration in one spray.
Fast-acting. Increases blood flow to the genitals, typically within about 30 minutes, to support erections.
FDA-Approved PDE5 Inhibitor
Long-lasting. Keeps blood flow support going for up to 36 hours, so you don't have to time things perfectly.
Clinically Validated · Long-Acting Formula
This compounded nasal spray may be appropriate for adult men experiencing any of the following.
Important: This spray is not intended for recreational use and is not appropriate without a genuine medical need. All prescriptions are issued by licensed telehealth providers after a proper evaluation.
Each benefit is a direct result of how the two active ingredients interact with your physiology, not marketing language.
Fast-acting Sildenafil plus long-lasting Tadalafil in one spray.
Tadalafil's long half-life reduces the pressure of precise timing, allowing more natural, spontaneous activity without clock-watching, a significant quality-of-life improvement over on-demand-only pills.
A small, pocket-sized spray. No pills, no water.
Absorbed through the lining of the nose, bypassing the digestive system.
Compounded at a U.S.-based, licensed pharmacy under pharmaceutical-grade quality controls, not manufactured overseas.
This is not a supplement. Every prescription is reviewed and issued by a licensed provider before your spray is compounded and shipped.
Your provider will give you specific dosing instructions. The following reflects general administration guidance for this compounded nasal spray format.
Most side effects are mild and short-lived. This information helps you recognize what is expected versus what requires prompt medical attention.
Always share your full medical history with your provider. The following contraindications and cautions apply to this compounded nasal spray.
Always disclose all medications, supplements, vitamins, and medical conditions to your Green Cap provider before starting treatment. This is not a complete list of drug interactions.
Green Cap is a licensed telehealth provider. The process is fully online, private, and takes less than 10 minutes to begin.
Fill out our brief, HIPAA-compliant online health questionnaire. No appointment needed.
A licensed doctor reviews your information and determines if this treatment is right for you.
If approved, your provider writes a prescription for your Dual Action Spray.
Your medication ships directly to your door in discreet packaging. No pharmacy trip. No waiting room.
Not all telehealth ED providers offer the same level of care, clinical rigor, or compounded formula options.
| Feature | Green Cap Health | Generic/Single-Ingredient ED Services | Brand-Name Retail Options |
|---|---|---|---|
| Dual-Action Spray (Sildenafil + Tadalafil) | ✓ | ✗ | ✗ |
| American-Made Compounded Formula | ✓ | Varies | ✗ |
| Licensed physician review | ✓ | Varies | ✗ |
| Compounded by a Licensed U.S. Pharmacy | ✓ | Varies | Some |
| Free Online Medical Evaluation | ✓ | Some | ✗ |
| Quick, Discreet Nasal Spray Format | ✓ | ✗ | ✗ |
| HIPAA-Compliant Patient Privacy | ✓ | Varies | ✓ |
| Discreet Home Delivery | ✓ | ✓ | ✗ |
Every prescription is reviewed by a licensed healthcare provider, a real clinician who evaluates your health profile, not an auto-approval script.
Green Cap's formulas are compounded in U.S.-based, licensed pharmacies under pharmaceutical-grade quality controls, not manufactured overseas.
Your health data, consultation responses, and prescription records are protected under full HIPAA compliance. Your information stays yours.
Honest answers to the questions patients ask most before starting treatment.
What is Dual Action Spray and how is it different from a pill?
It's a compounded prescription nasal spray with Sildenafil and Tadalafil. Instead of swallowing a pill, you spray it into your nose, where it's absorbed through the nasal lining. No water needed.
How long does it last?
Sildenafil typically starts working in about 30 minutes, and Tadalafil can keep working for up to 36 hours. Individual response varies.
Do I need an in-person doctor's visit?
No. Complete a free online assessment. A licensed U.S. provider reviews it and, if appropriate, sends your prescription to a licensed compounding pharmacy. Your spray ships to your home in discreet packaging.
Can I use this if I have high blood pressure?
Tell your provider about any blood pressure condition and all medications you take. Many people with well-managed blood pressure can use it safely, but it should never be combined with nitrates.
Why choose a dual-action spray instead of Sildenafil or Tadalafil alone?
Combining both gives you fast onset and a longer window of effect in one simple spray.
Is it covered by insurance?
No. It's a cash-pay compounded prescription. Plans start at $44.99/month, and your initial consultation is free.
Medical Disclaimer: This page is for informational purposes only and does not constitute medical advice. Dual Action Spray (Sildenafil + Tadalafil) is a prescription medication available only following a medical evaluation by a licensed provider. Results vary. This product is not intended to diagnose, treat, cure, or prevent any disease. Always consult your physician before starting, changing, or stopping any medication.
Green Cap Health is a licensed telehealth platform. All providers are licensed physicians. HIPAA-compliant. SSL-secured. Privacy Policy · Terms & Conditions
Dual Action Spray is a prescription nasal spray that supports firmer, longer-lasting erections.
It’s easy, fast and free to get doctor approved treatment options at Green Cap. Our providers will give you options after determining what’s right for you.
Individual results may vary.
Dual Action Spray works quickly through the nose, no swallowing or dissolving.
American Made | Prescription Strength | Experienced Doctors | |
|---|---|---|---|
Green Cap | |||
Others | Almost unknown | Few | Few |
Take control of your sexual health with our prescription Dual Action Spray. We make it easy and convenient for you.
