Sildenafil/Tadalafil 100mg/20mg Troche
Sildenafil/Tadalafil 100mg/20mg Troche is a compounded medication that combines two PDE5 inhibitors — sildenafil and tadalafil — in a dissolvable troche used to treat erectile dysfunction (ED). The troche form dissolves in the mouth rather than being swallowed as a tablet. It is available by prescription only and ships from a licensed U.S. pharmacy after review by a licensed provider.
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Buy Sildenafil/Tadalafil 100mg/20mg Troche Online
A combination PDE5 inhibitor troche for erectile dysfunction (ED)
Sildenafil/Tadalafil 100mg/20mg Troche Quick Facts
| Drug class | PDE5 inhibitor combination |
|---|---|
| Treats | Erectile dysfunction (ED) |
| Form | Troche |
| Typical dosing | Place 1 troche under the tounge 30 minutes prior sexual activity (take on empty stomach). Never take more than 1 troche in a 24 hour period. |
| Prescription required | Yes — prescription only |
What Is Sildenafil/Tadalafil 100mg/20mg Troche?
Sildenafil/Tadalafil Troche is a compounded prescription medication containing 100mg of sildenafil and 20mg of tadalafil in a single dissolvable lozenge. Both active ingredients are phosphodiesterase type 5 (PDE5) inhibitors, the same drug class found in Viagra and Cialis, which work by increasing blood flow to the penis to help achieve and maintain an erection with sexual stimulation. The combination pairs sildenafil's rapid onset with tadalafil's longer duration of action. Because it is compounded, this specific combination is prepared by a pharmacy based on a provider's prescription and is not an FDA-approved product; its individual ingredients are FDA-approved.
What Does Sildenafil/Tadalafil 100mg/20mg Troche Treat?
Erectile dysfunction (ED)
Difficulty achieving an erection
Difficulty maintaining an erection
ED not adequately managed by a single PDE5 inhibitor (as determined by your provider)
Sildenafil/Tadalafil 100mg/20mg Troche Dosage
Dissolve 1 troche (or partial troche as directed) under the tongue or in the cheek 30–60 minutes before sexual activity.
Do not exceed 1 dose in 24 hours.
Use only as directed by your prescriber; your provider may adjust the dose.
Your prescriber will determine the dose and duration that are right for you. Always follow the directions on your prescription label.
Sildenafil/Tadalafil 100mg/20mg Troche Side Effects
Common side effects
- Headache
- Flushing
- Nasal congestion
- Indigestion or upset stomach
- Back pain
- Muscle aches
- Dizziness
- Visual changes (e.g., blue tinge, light sensitivity)
Serious side effects
Stop taking this medication and seek medical attention right away if you experience:
- Erection lasting more than 4 hours (priapism)
- Sudden vision loss in one or both eyes
- Sudden decrease or loss of hearing
- Chest pain or symptoms of a heart attack
- Severe drop in blood pressure (fainting, severe dizziness)
- Allergic reaction (rash, swelling, difficulty breathing)
Warnings & Interactions
Do not use with nitrates (e.g., nitroglycerin) — can cause a dangerous drop in blood pressure
Do not use with riociguat (Adempas)
Use caution with alpha-blockers and other blood pressure medications
Not recommended if sexual activity is inadvisable due to heart problems
Avoid grapefruit juice; limit alcohol
CYP3A4 inhibitors (e.g., ketoconazole, ritonavir) can increase drug levels
Seek immediate care for an erection lasting more than 4 hours
Tell your prescriber about all medications, supplements, and health conditions before starting sildenafil/tadalafil 100mg/20mg troche.
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