Do I need a prescription for sildenafil/tadalafil troches?

Yes. This medication requires a valid prescription from a licensed healthcare provider. A provider will review your health history to determine whether this combination is safe and appropriate for you.

How does ordering and shipping work?

After you complete a brief online health questionnaire, a licensed provider reviews your information. If approved, your prescription is filled by a licensed U.S. pharmacy and shipped discreetly to your door.

How do I take a sildenafil/tadalafil troche?

Place the troche under your tongue or against your cheek and let it dissolve, typically 15–30 minutes before sexual activity. Do not take more than one troche in 24 hours, and follow your prescriber's directions.

Is the sildenafil/tadalafil combination FDA-approved?

The combination troche itself is compounded and not FDA-approved as a single product, though sildenafil and tadalafil are each FDA-approved medications for erectile dysfunction. Compounded medications are prepared by licensed pharmacies to meet individual prescriptions.

Who should not take sildenafil/tadalafil?

Do not take this medication if you use nitrates (such as nitroglycerin) or riociguat, as the combination can cause a dangerous drop in blood pressure. People with serious heart conditions, recent stroke or heart attack, or severe liver or kidney disease should discuss risks with their provider first.

What are the most common side effects?

Common side effects include headache, flushing, nasal congestion, indigestion, dizziness, and muscle or back aches. Contact a healthcare provider right away for an erection lasting more than 4 hours, sudden vision or hearing loss, or chest pain.

Sildenafil/Tadalafil 50mg/10mg Troche

Name: Sildenafil/Tadalafil 50mg/10mg Troche
Brand: All Family Pharmacy
SKU: sildenafil-tadalafil-50mg-10mg-troche
Availability: InStock

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Sildenafil/Tadalafil 50mg/10mg Troche — All Family Pharmacy

Sildenafil/Tadalafil 50mg/10mg Troche is a compounded medication that combines two FDA-approved PDE5 inhibitors — sildenafil and tadalafil — in a single dissolvable troche used to treat erectile dysfunction (ED). After an online review by a licensed provider, your prescription ships discreetly from a licensed U.S. pharmacy.

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30-day supply · $2.33/troche

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Buy Sildenafil/Tadalafil 50mg/10mg Troche Online

A compounded PDE5 inhibitor troche for erectile dysfunction (ED)

Medically reviewed by David Paul Mackarey, RPh, Pharmacist-in-Charge

Sildenafil/Tadalafil 50mg/10mg 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 50mg/10mg Troche?

Sildenafil/tadalafil troche is a compounded prescription medication that pairs sildenafil (the active ingredient in Viagra) with tadalafil (the active ingredient in Cialis) in one lozenge that dissolves in the mouth. Both drugs are phosphodiesterase type 5 (PDE5) inhibitors, which increase blood flow to the penis to help achieve and maintain an erection with sexual stimulation. The troche form is designed to dissolve under the tongue or against the cheek, offering an alternative for people who prefer not to swallow tablets. Because it is compounded, this exact combination is not itself FDA-approved, though each ingredient is FDA-approved individually.

What Does Sildenafil/Tadalafil 50mg/10mg Troche Treat?

Erectile dysfunction (ED)
Difficulty achieving an erection
Difficulty maintaining an erection
ED not adequately managed with a single PDE5 inhibitor (per prescriber judgment)

Sildenafil/Tadalafil 50mg/10mg Troche Dosage

Dissolve 1 troche (sildenafil 50mg/tadalafil 10mg) under the tongue or in the cheek approximately 15–30 minutes before sexual activity.
Do not use more than 1 troche in 24 hours.
Use only as directed by your prescriber; dosing may be individualized.

Your prescriber will determine the dose and duration that are right for you. Always follow the directions on your prescription label.

Sildenafil/Tadalafil 50mg/10mg Troche Side Effects

Common side effects

Headache
Flushing
Nasal congestion
Indigestion or heartburn
Dizziness
Muscle aches or back pain
Vision 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 hearing loss or ringing in the ears
Chest pain or symptoms of a heart attack
Severe drop in blood pressure (fainting, severe dizziness)
Allergic reaction (rash, swelling, trouble breathing)

Warnings & Interactions

Do not use with nitrates (e.g., nitroglycerin, isosorbide) — can cause a dangerous drop in blood pressure
Do not use with guanylate cyclase stimulators (e.g., riociguat)
Use caution with alpha-blockers or other blood pressure medications
Not recommended if sexual activity is inadvisable due to heart problems
Avoid combining with other PDE5 inhibitors or ED treatments
Grapefruit juice and certain drugs (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 50mg/10mg troche.