Rapid dissolve tablet

Tadalafil 20mg
Sildenafil 70mg

One sublingual tablet, compounded by a licensed pharmacy, built for men who'd rather not schedule an erection two hours in advance. Melts under the tongue. Skips the water glass. Doesn't ask questions.

$2.75per tablet, billed monthly

Cancel anytime. You only pay for medication if a licensed provider prescribes it. Consultation fees and pricing are shown before you check out.

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At a glance

Form
Sublingual rapid-dissolve tablet
Actives
Tadalafil 20mg, Sildenafil 70mg
How to take
One tablet under the tongue, let it dissolve fully
Typical onset
Varies; sublingual absorption is generally faster than swallowed tablets
Duration
Tadalafil is long-acting; your provider will explain expected timing
Max frequency
As directed by your provider — never more than one dose in 24 hours
Status
Prescription only, compounded, not FDA-approved as a combination

How to take it without screwing it up

  1. 01

    Dry mouth, clean hands

    Handle the tablet with dry hands — it starts dissolving on contact with moisture, and your fingertip does not need an erection.

  2. 02

    Under the tongue, then wait

    Place it under your tongue and let it fully dissolve. Don't chew it, don't swallow it whole, don't wash it down.

  3. 03

    Give it time and stimulation

    PDE5 inhibitors only work with sexual arousal. If nothing's happening, that's not the tablet failing — that's biology waiting on you.

Ingredients

Active ingredients

  • Tadalafil 20 mg (PDE5 inhibitor)
  • Sildenafil citrate 70 mg (PDE5 inhibitor)

Inactive ingredients

Typically includes mannitol, microcrystalline cellulose, croscarmellose sodium, magnesium stearate, sucralose, and flavoring. The exact inactive ingredient list is determined by the dispensing compounding pharmacy and is printed on the label you receive. Tell your provider about any allergies or sensitivities before you order.

Side effects and who should skip it

Common side effects

  • Headache
  • Flushing
  • Indigestion or heartburn
  • Nasal congestion
  • Back or muscle aches
  • Dizziness or lightheadedness
  • Changes in vision, including a blue tinge or light sensitivity

Get emergency care if you have

  • An erection lasting more than 4 hours (priapism) — this can cause permanent damage
  • Chest pain, pressure, or symptoms of a heart attack or stroke
  • Sudden loss or decrease in vision in one or both eyes
  • Sudden loss or decrease in hearing, ringing in the ears, or dizziness
  • Fainting, severe dizziness, or a severe allergic reaction

Do not take this if

  • You take nitrates in any form — nitroglycerin, isosorbide mononitrate/dinitrate, or recreational "poppers" (amyl/butyl nitrite). The combination can cause a sudden, life-threatening drop in blood pressure.
  • You take a guanylate cyclase stimulator such as riociguat (Adempas).
  • Your provider has told you that sexual activity is unsafe for your heart.
  • You have had an allergic reaction to tadalafil, sildenafil, or any other PDE5 inhibitor.
  • You are under 18. This product is not for women or children.

Tell your provider about all medications, including alpha-blockers, other blood pressure medications, certain antifungals and antibiotics, HIV protease inhibitors, and any other ED medication. Full details are in the Important Safety Information.

Ready when you are

Complete the intake, get evaluated by a licensed provider, and if it's appropriate for you, your tablets ship discreetly.

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Read this part sober

Tadalafil and sildenafil are prescription medications. Treatment is only available after an evaluation by a licensed provider who determines it is appropriate for you. A compounded tadalafil/sildenafil rapid-dissolve tablet is prepared by a licensed compounding pharmacy and is not FDA-approved as a combination product; FDA does not review compounded drugs for safety, effectiveness, or quality.

Do not take this medication if you use nitrates (nitroglycerin, isosorbide) or guanylate cyclase stimulators such as riociguat — the combination can cause a sudden, unsafe drop in blood pressure. Seek emergency care for an erection lasting more than 4 hours. Not for use by anyone under 18, and not for women or children.