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Sildenafil / Tadalafil Capsule
This compounded capsule combines sildenafil and tadalafil — the two most popular ED medications — into one dose for the best of both worlds. Sildenafil (Viagra) brings fast onset for on-demand performance, while tadalafil (Cialis) adds long-lasting effect that can extend the window of readiness. Together they offer both quick action and lasting confidence, and compounding lets your prescriber balance the two to fit your needs.
Prescribers choose this combination for patients who want the rapid onset of sildenafil with the duration of tadalafil in a single capsule. We compound each capsule to the exact strengths your prescriber specifies, prepared individually for each prescription.
This is a compounded medication prepared to your prescription and used under a prescriber's guidance. Your prescriber will confirm it's right for you, set the doses, and review interactions, especially with nitrates. Every batch is pharmacist-compounded, quality-verified, and shipped nationwide. Prescription required.
Frequently asked questions
Why combine sildenafil and tadalafil?
Sildenafil offers fast onset while tadalafil adds long-lasting effect — together giving both quick action and an extended window.
Who is this best for?
Men who want the rapid response of sildenafil with the duration of tadalafil in a single, convenient capsule.
Why choose a compounded capsule?
Compounding lets your prescriber balance the two medications at the strengths that fit you, prepared fresh for each prescription.
Is it safe with other medications?
These medications should not be combined with nitrates and need prescriber review of your medications.
Do I need a prescription?
Yes. This capsule is compounded to your prescriber's order and requires a valid prescription. Our pharmacists prepare and verify every batch.
New to ED treatment options? Read our full guide: Men's Health, Testosterone & Sexual Wellness.
Patients? Request More Information Prescribers? Request Prescribing Access
This compounded capsule combines sildenafil and tadalafil — the two most popular ED medications — into one dose for the best of both worlds. Sildenafil (Viagra) brings fast onset for on-demand performance, while tadalafil (Cialis) adds long-lasting effect that can extend the window of readiness. Together they offer both quick action and lasting confidence, and compounding lets your prescriber balance the two to fit your needs.
Prescribers choose this combination for patients who want the rapid onset of sildenafil with the duration of tadalafil in a single capsule. We compound each capsule to the exact strengths your prescriber specifies, prepared individually for each prescription.
This is a compounded medication prepared to your prescription and used under a prescriber's guidance. Your prescriber will confirm it's right for you, set the doses, and review interactions, especially with nitrates. Every batch is pharmacist-compounded, quality-verified, and shipped nationwide. Prescription required.
Frequently asked questions
Why combine sildenafil and tadalafil?
Sildenafil offers fast onset while tadalafil adds long-lasting effect — together giving both quick action and an extended window.
Who is this best for?
Men who want the rapid response of sildenafil with the duration of tadalafil in a single, convenient capsule.
Why choose a compounded capsule?
Compounding lets your prescriber balance the two medications at the strengths that fit you, prepared fresh for each prescription.
Is it safe with other medications?
These medications should not be combined with nitrates and need prescriber review of your medications.
Do I need a prescription?
Yes. This capsule is compounded to your prescriber's order and requires a valid prescription. Our pharmacists prepare and verify every batch.
New to ED treatment options? Read our full guide: Men's Health, Testosterone & Sexual Wellness.
Patients? Request More Information Prescribers? Request Prescribing Access
Related Products
This compounded troche combines bremelanotide (PT-141) with tadalafil to support both desire and performance in a single dose. PT-141 works in the brain to boost libido and arousal, while tadalafil improves blood flow for firm, long-lasting erections (up to 36 hours). Together they address the two sides of sexual function that matter most — wanting and readiness — making this a powerful option for men who need help with both, delivered in a fast-dissolving, needle-free troche.
Prescribers choose this combination for patients whose concerns span both arousal and erectile function. We compound each troche to the exact strengths your prescriber specifies, prepared individually for each prescription.
This is a compounded medication prepared to your prescription and used under a prescriber's guidance. Your prescriber will confirm it's right for you, set the doses, and review interactions, especially with nitrates, and note PT-141 can cause temporary nausea or flushing. Every batch is pharmacist-compounded, quality-verified, and shipped nationwide. Prescription required.
Frequently asked questions
Why combine PT-141 and tadalafil?
PT-141 boosts desire and arousal in the brain while tadalafil improves blood flow and lasts up to 36 hours — together addressing both wanting and readiness.
Who is it for?
Men who need support with both libido/arousal and erectile function in one dose.
Why a troche?
It dissolves in the mouth for convenient, discreet, needle-free dosing.
Any cautions?
Tadalafil should not be combined with nitrates, and PT-141 can cause temporary nausea or flushing; your prescriber sets the doses.
Do I need a prescription?
Yes. This troche is compounded to your prescriber's order and requires a valid prescription. Our pharmacists prepare and verify every batch.
New to arousal and sexual-wellness options? Read our full guide: Men's Health, Testosterone & Sexual Wellness.
Patients? Request More Information Prescribers? Request Prescribing Access
Compounded Bremelanotide (PT-141) troches take a fundamentally different approach to sexual wellness — targeting desire and arousal at their source in the brain rather than just blood flow. PT-141 activates melanocortin receptors involved in sexual response, which is why it's used to boost libido and arousal in both men and women. As a fast-dissolving troche, it's absorbed through the mouth for convenient, needle-free dosing ahead of intimacy.
Prescribers choose PT-141 troches for patients whose concern is low desire or arousal rather than erectile function alone, and it can complement traditional ED medications. We compound each troche to the exact strength your prescriber specifies, made to order for each patient in our pharmacy.
This is a compounded medication prepared to your prescription and used under a prescriber's guidance. Your prescriber will confirm it's right for you, set the dose, and review use, since PT-141 can cause temporary nausea or flushing. Every batch is pharmacist-compounded, quality-verified, and shipped nationwide. Prescription required.
Frequently asked questions
How does PT-141 work?
It activates melanocortin receptors in the brain involved in sexual response, targeting desire and arousal rather than just blood flow.
Who is it for?
Men and women whose concern is low libido or arousal; it can also complement traditional ED medications.
Why a troche?
It dissolves in the mouth for convenient, needle-free dosing ahead of intimacy.
Are there side effects?
PT-141 can cause temporary nausea or flushing; your prescriber sets the dose to fit you.
Do I need a prescription?
Yes. PT-141 troches are compounded to your prescriber's order and require a valid prescription. Our pharmacists prepare and verify every batch.
New to arousal and sexual-wellness options? Read our full guide: Men's Health, Testosterone & Sexual Wellness.
Patients? Request More Information Prescribers? Request Prescribing Access
Compounded Apomorphine troches take a different approach to erectile dysfunction and arousal. Rather than acting only on blood flow like the familiar ED pills, apomorphine works centrally — stimulating dopamine pathways in the brain that trigger the natural erection response. This makes it a valuable option for men who don't respond well to PDE5 inhibitors like sildenafil, or who want to address the arousal side of sexual function. As a fast-dissolving troche, it's absorbed through the mouth for quicker onset.
Prescribers choose apomorphine troches to offer a centrally acting alternative or complement to standard ED medications. We compound each troche to the exact strength your prescriber specifies, made to order in our pharmacy.
This is a compounded medication prepared to your prescription and used under a prescriber's guidance. Your prescriber will confirm it's right for you, set the dose, and review how to use it, since apomorphine can cause nausea or lightheadedness at higher doses. Every batch is pharmacist-compounded, quality-verified, and shipped nationwide. Prescription required.
Frequently asked questions
How is apomorphine different?
It works centrally in the brain to trigger the erection response, rather than acting only on blood flow like PDE5 inhibitors.
Who might it help?
Men who don't respond well to sildenafil or tadalafil, or who want to address the arousal side of sexual function.
Why a troche?
It dissolves in the mouth and is absorbed through the oral tissues for quicker onset, discreetly and without needles.
Are there side effects?
Apomorphine can cause nausea or lightheadedness at higher doses, so your prescriber sets the dose carefully.
Do I need a prescription?
Yes. Apomorphine troches are compounded to your prescriber's order and require a valid prescription. Our pharmacists prepare and verify every batch.
New to ED treatment options? Read our full guide: Men's Health, Testosterone & Sexual Wellness.
Patients? Request More Information Prescribers? Request Prescribing Access
Compounded gonadorelin ODT is a prescription-only orally disintegrating tablet formulated to support hypothalamic-pituitary signaling and regulate the release of luteinizing hormone (LH) and follicle-stimulating hormone (FSH). Gonadorelin, a synthetic analog of gonadotropin-releasing hormone (GnRH), is used in hormone optimization protocols to assess or stimulate pituitary function. The ODT dosage form offers a convenient, rapidly absorbed alternative for patients needing short-acting, prescriber-directed interventions. Our pharmacy compounds gonadorelin ODT in customized strengths to support individualized treatment plans in men’s health, fertility care, and HRT settings.
Prescribers often use gonadorelin to support the body's own hormone signaling, including alongside testosterone therapy to help preserve testicular function and fertility. The orally disintegrating tablet is convenient and needle-free. We compound each ODT to the exact strength your prescriber specifies, made to order in our pharmacy.
Gonadorelin is a compounded medication prepared to your prescription and used under a prescriber's guidance. Your prescriber will set the dose and monitor your hormone levels over time. Every batch is pharmacist-compounded, quality-verified, and shipped nationwide. Prescription required.
Frequently asked questions
What is gonadorelin?
Gonadorelin is a form of GnRH that signals the pituitary to release LH and FSH, which drive the body's own testosterone production and support fertility.
Why is it used with testosterone therapy?
Prescribers use it to help preserve natural testicular function and fertility, which testosterone therapy alone can suppress. Your prescriber tailors the approach.
What is an ODT?
An orally disintegrating tablet dissolves quickly in the mouth without water, offering convenient, needle-free dosing.
Why compounded?
Compounding lets your prescriber set the exact strength, prepared fresh for each prescription in a convenient oral format.
Do I need a prescription?
Yes. Gonadorelin ODT is compounded to your prescriber's order and requires a valid prescription. Our pharmacists prepare and verify every batch.
Patients? Request More Information Prescribers? Request Prescribing Access
Compounded sildenafil troche is a prescription treatment for erectile dysfunction (ED) prepared as a lozenge that dissolves in the mouth. Sildenafil is a PDE5 inhibitor, the same active ingredient as the brand medication Viagra. It works by relaxing blood vessels and improving blood flow to support an erection when you are sexually aroused.
As a compounded troche, sildenafil is absorbed through the lining of the mouth, which bypasses first-pass processing in the liver. Some patients and prescribers prefer this route for a potentially faster onset and because it avoids swallowing a tablet. We can also compound sildenafil in combination with other agents when a prescriber directs it, and prepare custom strengths that are not available commercially.
Sildenafil is an FDA-approved medication for erectile dysfunction, though compounded troches are a custom formulation rather than the FDA-approved product. Important safety note: PDE5 inhibitors like sildenafil must not be used with nitrate medications (such as nitroglycerin) or certain other heart medications, because the combination can cause a dangerous drop in blood pressure. Use sildenafil only under a prescriber who can confirm it is safe for you. Common side effects include headache, flushing, nasal congestion, indigestion, and temporary changes in vision. Every batch is pharmacist-compounded, quality-verified, and shipped nationwide. Prescription required.
Frequently asked questions
What is a sildenafil troche used for?
Treating erectile dysfunction. Sildenafil is a PDE5 inhibitor (the same active ingredient as Viagra) that improves blood flow to support an erection with arousal.
How is a troche different from a tablet?
A troche dissolves in the mouth and is absorbed through the lining, bypassing first-pass liver processing. Many patients prefer it for potentially faster onset and easier use than swallowing a pill.
How long does sildenafil last?
Sildenafil typically works for about four to six hours, so it is usually taken before planned activity. Follow your prescriber's dosing.
Is it safe with my other medications?
Do not use sildenafil with nitrates (like nitroglycerin) or certain blood pressure or heart medications, as the combination can dangerously lower blood pressure. Always review your medications with your prescriber.
What are the side effects?
Common ones include headache, flushing, stuffy nose, indigestion, and brief changes in vision. Seek care for rare but serious effects like an erection lasting over four hours. Use under a prescriber's guidance.
New to ED treatment? Read our full guide: our full guide to men's sexual health and ED options.
Patients? Request More Information Prescribers? Request Prescribing Access
Compounded Sildenafil tablets deliver sildenafil — the fast-acting ED medication known by the brand Viagra — at a strength tailored to you. Sildenafil boosts blood flow to support firm, reliable erections, typically working within 30 to 60 minutes and lasting several hours. It's one of the most established and trusted ED treatments, and compounding lets your prescriber fine-tune the dose to balance effectiveness with comfort.
Prescribers choose compounded sildenafil to personalize the strength beyond the fixed commercial doses, tailoring it to your response. We compound each tablet to the exact strength your prescriber specifies, made to order in our pharmacy.
This is a compounded medication prepared to your prescription and used under a prescriber's guidance. Your prescriber will confirm it's right for you, set the dose, and review interactions, especially with nitrates. Every batch is pharmacist-compounded, quality-verified, and shipped nationwide. Prescription required.
Frequently asked questions
What is sildenafil used for?
Erectile dysfunction — it improves blood flow to support firm, reliable erections, usually working within 30 to 60 minutes.
How long does it last?
Sildenafil typically lasts several hours, making it a dependable on-demand option.
Why choose compounded sildenafil?
Compounding lets your prescriber set the exact strength to balance effectiveness and comfort, beyond fixed commercial doses.
Is it safe with other medications?
Sildenafil should not be combined with nitrates and needs prescriber review of your medications.
Do I need a prescription?
Yes. Sildenafil tablets are compounded to your prescriber's order and require a valid prescription. Our pharmacists prepare and verify every batch.
New to ED treatment options? Read our full guide: Men's Health, Testosterone & Sexual Wellness.
Patients? Request More Information Prescribers? Request Prescribing Access
Compounded tadalafil troche is a prescription treatment for erectile dysfunction (ED) prepared as a lozenge that dissolves in the mouth. Tadalafil is a PDE5 inhibitor, the same active ingredient as the brand medication Cialis. It works by relaxing blood vessels and improving blood flow to support an erection when you are sexually aroused. Tadalafil is known for its long duration of action, which is why it is sometimes called the weekend option.
As a compounded troche, tadalafil is absorbed through the lining of the mouth, which bypasses first-pass processing in the liver. Some patients and prescribers prefer this route for a potentially faster onset and because it avoids swallowing a tablet. We can also compound tadalafil in combination with other agents when a prescriber directs it, and prepare custom strengths that are not available commercially.
Tadalafil is an FDA-approved medication for erectile dysfunction, though compounded troches are a custom formulation rather than the FDA-approved product. Important safety note: PDE5 inhibitors like tadalafil must not be used with nitrate medications (such as nitroglycerin) or certain other heart medications, because the combination can cause a dangerous drop in blood pressure. Use tadalafil only under a prescriber who can confirm it is safe for you. Common side effects include headache, flushing, nasal congestion, and indigestion. Every batch is pharmacist-compounded, quality-verified, and shipped nationwide. Prescription required.
Frequently asked questions
What is a tadalafil troche used for?
Treating erectile dysfunction. Tadalafil is a PDE5 inhibitor (the same active ingredient as Cialis) that improves blood flow to support an erection with arousal.
How is a troche different from a tablet?
A troche dissolves in the mouth and is absorbed through the lining, bypassing first-pass liver processing. Many patients prefer it for potentially faster onset and easier use than swallowing a pill.
How long does tadalafil last?
Tadalafil is known for a long duration of action, often up to a day or more, which is why it is sometimes called the weekend option. Follow your prescriber's dosing.
Is it safe with my other medications?
Do not use tadalafil with nitrates (like nitroglycerin) or certain blood pressure or heart medications, as the combination can dangerously lower blood pressure. Always review your medications with your prescriber.
What are the side effects?
Common ones include headache, flushing, stuffy nose, and indigestion. Seek care for rare but serious effects like an erection lasting over four hours. Use under a prescriber's guidance.
New to ED treatment? Read our full guide: our full guide to men's sexual health and ED options.
Patients? Request More Information Prescribers? Request Prescribing Access
Compounded Tadalafil tablets deliver tadalafil — the long-acting ED medication often known by the brand Cialis — in a strength tailored to you. Tadalafil improves blood flow to support firmer, more reliable erections, and because it lasts up to 36 hours, it offers a spontaneity that shorter-acting options can't match. It's also used at lower daily doses for around-the-clock readiness and for symptoms of an enlarged prostate. Compounding lets your prescriber dial in the exact dose that works for you.
Prescribers choose compounded tadalafil to personalize the strength — whether a higher on-demand dose or a low daily dose — beyond the fixed commercial options. We compound each tablet to the exact strength your prescriber specifies, made to order in our pharmacy.
This is a compounded medication prepared to your prescription and used under a prescriber's guidance. Your prescriber will confirm it's right for you, set the dose, and review any interactions, especially with nitrates. Every batch is pharmacist-compounded, quality-verified, and shipped nationwide. Prescription required.
Frequently asked questions
What is tadalafil used for?
Erectile dysfunction and, at low daily doses, ongoing readiness and symptoms of an enlarged prostate. It improves blood flow to support reliable erections.
How long does it last?
Tadalafil can work for up to 36 hours, offering more spontaneity than shorter-acting ED medications.
Why choose compounded tadalafil?
Compounding lets your prescriber set the exact strength — on-demand or low daily — beyond fixed commercial doses.
Is it safe with other medications?
Tadalafil should not be combined with nitrates and needs prescriber review of your medications. Your prescriber will confirm it's right for you.
Do I need a prescription?
Yes. Tadalafil tablets are compounded to your prescriber's order and require a valid prescription. Our pharmacists prepare and verify every batch.
New to ED treatment options? Read our full guide: Men's Health, Testosterone & Sexual Wellness.
Patients? Request More Information Prescribers? Request Prescribing Access
Compounded Tadalafil capsules provide tadalafil — the long-acting ED medication known by the brand Cialis — in a convenient capsule at a strength tailored to you. Tadalafil improves blood flow for firmer, more dependable erections, and its up-to-36-hour duration makes intimacy feel more natural and less scheduled. Lower daily doses are also used for continuous readiness and for enlarged-prostate symptoms. A compounded capsule lets your prescriber match the dose precisely to your needs.
Prescribers choose compounded tadalafil capsules to personalize the strength beyond fixed commercial options, whether on-demand or low daily dosing. We compound each capsule to the exact strength your prescriber specifies, made to order for each patient in our pharmacy.
This is a compounded medication prepared to your prescription and used under a prescriber's guidance. Your prescriber will confirm it's right for you, set the dose, and review interactions, especially with nitrates. Every batch is pharmacist-compounded, quality-verified, and shipped nationwide. Prescription required.
Frequently asked questions
What is tadalafil used for?
Erectile dysfunction and, at low daily doses, ongoing readiness and enlarged-prostate symptoms, by improving blood flow.
How long does it last?
Up to 36 hours, offering more spontaneity than shorter-acting ED medications.
Why choose a compounded capsule?
Compounding sets the exact strength — on-demand or daily — tailored to you, prepared fresh for each prescription.
Is it safe with other medications?
Tadalafil should not be combined with nitrates and needs prescriber review of your medications.
Do I need a prescription?
Yes. Tadalafil capsules are compounded to your prescriber's order and require a valid prescription. Our pharmacists prepare and verify every batch.
New to ED treatment options? Read our full guide: Men's Health, Testosterone & Sexual Wellness.
Patients? Request More Information Prescribers? Request Prescribing Access


This compounded nasal spray combines bremelanotide (PT-141) with oxytocin to enhance desire, arousal, and connection. PT-141 acts in the brain to boost libido and sexual arousal, while oxytocin — often called the "bonding hormone" — supports feelings of closeness, relaxation, and satisfaction. Together they address the emotional and physical sides of intimacy, and the nasal spray offers fast, convenient, needle-free absorption ahead of intimacy.
Prescribers choose this combination for patients seeking support with desire and connection, for both men and women. We compound each nasal spray to the exact strengths your prescriber specifies, made to order in our pharmacy.
This is a compounded medication prepared to your prescription and used under a prescriber's guidance. Your prescriber will confirm it's right for you, set the dose, and review use, noting PT-141 can cause temporary nausea or flushing. Every batch is pharmacist-compounded, quality-verified, and shipped nationwide. Prescription required.
Frequently asked questions
Why combine PT-141 and oxytocin?
PT-141 boosts desire and arousal in the brain while oxytocin supports closeness, relaxation, and satisfaction — addressing both the physical and emotional sides of intimacy.
Who is it for?
Men and women seeking support with libido, arousal, and connection.
Why a nasal spray?
It offers fast, convenient, needle-free absorption ahead of intimacy.
Are there side effects?
PT-141 can cause temporary nausea or flushing; your prescriber sets the dose to fit you.
Do I need a prescription?
Yes. This nasal spray is compounded to your prescriber's order and requires a valid prescription. Our pharmacists prepare and verify every batch.
New to arousal and sexual-wellness options? Read our full guide: Men's Health, Testosterone & Sexual Wellness.
Patients? Request More Information Prescribers? Request Prescribing Access