Sildenafil + Tadalafil Combination

Compounded Sildenafil/Tadalafil is prepared by a licensed US pharmacy and is not FDA-approved. This combination of two PDE5 inhibitors has not been studied or approved as a combined product, and combining them may increase the risk of side effects, including low blood pressure. Prescription only; available only if a licensed provider determines it is appropriate for you. Do not take with any other ED medication. Tadalafil’s effects can last up to 36 hours. Do not use with nitrates (such as nitroglycerin), “poppers,” or riociguat, and tell your provider about any alpha-blockers or blood pressure medications.

Common side effects include headache, flushing, nasal congestion, indigestion and back or muscle aches. Serious risks include a sudden drop in blood pressure, priapism (an erection lasting more than 4 hours, which requires emergency care), and sudden vision or hearing loss — seek immediate medical attention if these occur. Not for use by anyone for whom sexual activity is inadvisable due to a heart condition. These medications do not protect against sexually transmitted infections. Individual results vary.

Sildenafil tends to work quickly. Tadalafil stays active for much longer. This compounded combination puts both in a single dose, for men whose provider decides that one medication on its own hasn’t been the right fit. It starts with a real medical review, because combining two ED medications is a decision that should be made carefully, not at a checkbox.

• Two medications, one dose — a faster-acting and a longer-lasting ED medication combined
• Provider-selected — prescribed only when a licensed provider decides it is appropriate
• Real medical review — heart health, blood pressure and medications checked first
• Discreet from end to end — online intake, plain packaging, no waiting room

• Complete a short intake — 3 minutes, covering heart health and current medications.
• A licensed provider reviews — and prescribes the right option and dose if appropriate.
• It ships discreetly — plain packaging, no product name on the outside.