Sexual Health
Sildenafil / Tadalafil Capsule
Fast onset. Long duration. One capsule.
Sildenafil and tadalafil are the two most widely used medications for erectile dysfunction. They work the same basic way — by supporting nitric oxide, the natural signal that relaxes blood vessels and increases blood flow. But they behave differently in the body. Sildenafil kicks in fast and fades within hours. Tadalafil takes longer to start and keeps working for up to 36 hours.
This compounded capsule puts both in one dose. The idea is simple: get sildenafil’s quick onset and tadalafil’s long duration at the same time. Clinical data suggests the combination can outperform either medication on its own, especially for men with more severe erectile dysfunction.
Men choose this option when a single medication hasn’t been enough, or when they don’t want to plan around a short window of effect. It may also support blood flow for men with vascular health concerns. A licensed provider reviews your health history first and decides whether it’s the right fit.
Why people choose it
- Fast onset from sildenafil, long coverage from tadalafil
- Two proven ED medications working together
- May support nitric oxide production and healthy blood flow
- An option when one medication alone hasn't been enough
How it works
Sildenafil acts quickly — usually within 30 minutes to an hour — but fades in four to six hours. Tadalafil starts slower and can keep working for up to 36 hours. Together, they cover both windows: a quick response plus a long runway. Both support nitric oxide, the natural signal your body uses to relax blood vessels and increase blood flow.
Who it's for
This capsule is for men with erectile dysfunction — especially more severe ED, or men who have tried a single medication and want broader coverage. It may also make sense for men with vascular health concerns who want to support healthy blood flow. A licensed provider reviews your health history and decides if it's right for you.
Available forms
- Capsule
FAQ
Do I need a prescription?
Yes. A licensed provider reviews your health history and decides whether this medication is a good fit for you. If it isn't, they'll tell you straight.
Will I need lab work?
Sometimes. Your provider will let you know if labs are needed before or during treatment. Many men can start after a health review alone.
How is this different from taking sildenafil or tadalafil by itself?
Each medication covers a different window. Sildenafil works fast but fades within hours. Tadalafil starts slower and lasts up to 36 hours. Combining them covers both, which clinical data suggests may help when one alone hasn't been enough.
How does shipping work?
Your medication ships from the pharmacy straight to your door in discreet packaging.
Is this a subscription?
No. You order what your provider prescribes — no auto-renewals, no membership fees, no surprise charges.
Ready to get started?
Prescription medication. A licensed IAM provider determines if it's right for you.