What this medication is
This compounded Sildenafil + Tadalafil troche is a prescription medication used to treat
erectile dysfunction (ED) in adult men. It combines two well-known PDE-5 inhibitors to
provide both fast-acting and longer-lasting erectile support.
- Sildenafil helps improve blood flow to the penis for quicker onset.
- Tadalafil provides extended duration, allowing for greater flexibility and spontaneity.
The troche form allows the medication to dissolve in the mouth for convenient and efficient
absorption.
How It Works
Sildenafil and Tadalafil work by relaxing blood vessels and increasing blood flow to the penis
during sexual stimulation. This helps men achieve and maintain an erection sufficient for sexual
activity.
Sexual stimulation is required for this medication to be effective.
Who This Medication Is For
This treatment may be appropriate for adult men who:
- Experience erectile dysfunction
- Want both fast-acting and extended-duration support
- Prefer a troche over traditional tablets
This medication is prescription-only and should be used only under the supervision of a
licensed healthcare provider.
- Take one troche as prescribed by your healthcare provider.
- Place the troche under the tongue or between the cheek and gum.
- Allow it to fully dissolve—do not chew or swallow whole.
- Use approximately 30–60 minutes before sexual activity, unless otherwise directed.
- Do not take more than one dose in 24 hours unless instructed by your provider.
For best results, avoid heavy meals and excessive alcohol before use.
Side effects are usually mild to moderate and may include:
- Headache
- Facial flushing
- Nasal congestion
- Indigestion or upset stomach
- Dizziness or lightheadedness
- Muscle or back pain
Seek immediate medical attention if you experience:
- Chest pain
- Sudden vision or hearing loss
- An erection lasting longer than 4 hours (priapism)
- Severe dizziness or fainting
Do not use this medication if you:
- Take nitrates (such as nitroglycerin) for chest pain
- Have been advised to avoid sexual activity due to heart conditions
- Have severe or uncontrolled cardiovascular disease
Use caution and inform your provider if you:
- Take blood pressure or alpha-blocker medications
- Have liver or kidney disease
- Have a history of vision problems related to PDE-5 inhibitors
- Have low blood pressure or uncontrolled high blood pressure
Always inform your healthcare provider of all medications, supplements, and medical
conditions before starting treatment.