Product Overview
Sildenafil / Tadalafil Troches are compounded prescription medications used to treat erectile dysfunction (ED) in men.
A troche (also called a lozenge) is designed to dissolve slowly in the mouth, allowing medication to be absorbed through the oral mucosa. This may support faster onset and improved absorption compared to standard tablets in some individuals.
At Angel Pharmacy, Sildenafil / Tadalafil Troches are compounded by experienced pharmacists in accordance with your doctor’s prescription.
What This Medication Is Used For
Erectile Dysfunction (ED)
Sildenafil and Tadalafil belong to a group of medicines called phosphodiesterase type 5 (PDE5) inhibitors. They help:
- Improve blood flow to the penis
- Support achieving an erection
- Maintain an erection suitable for sexual activity
- Enhance sexual confidence
Sexual stimulation is required for the medication to work.
Why Combine Sildenafil & Tadalafil?
Your prescriber may recommend a combination formula to:
- Provide both faster onset (Sildenafil component)
- Offer extended duration (Tadalafil component)
- Support improved reliability and flexibility
- Personalise dosing based on individual response
Compounded troches allow customised strengths tailored to your medical needs.
How Sildenafil / Tadalafil Works
These medications work by:
- Relaxing smooth muscle in blood vessels
- Increasing blood flow during sexual stimulation
- Enhancing the body’s natural erectile response
They do not increase libido and will not cause an automatic erection.
Onset & Duration
Onset and duration may vary depending on dose and individual response.
Generally:
- Effects may begin within 15–45 minutes
- Sildenafil typically lasts 4–6 hours
- Tadalafil may last up to 24–36 hours
Your prescriber will guide you on timing and frequency.
How to Use Troches
Follow your doctor’s instructions carefully.
Directions:
- Place the troche under your tongue or between the cheek and gum.
- Allow it to dissolve slowly.
- Do not chew or swallow whole.
- Avoid eating or drinking until fully dissolved (usually 10–15 minutes).
Do not exceed the prescribed dose.
Important Safety Information
Before using this medication, inform your doctor if you have:
- Heart disease
- History of stroke or heart attack
- Low or uncontrolled high blood pressure
- Liver or kidney disease
- Eye disorders
- Blood disorders
Do NOT use this medication if you are taking nitrate medications (for chest pain), as this can cause a dangerous drop in blood pressure.
Possible Side Effects
Common side effects may include:
- Headache
- Flushing
- Nasal congestion
- Indigestion
- Dizziness
- Mild back pain
Less common but serious side effects:
- Chest pain
- Sudden vision or hearing loss
- Severe dizziness
- Erection lasting longer than 4 hours
Seek urgent medical attention if you experience chest pain or a prolonged erection (priapism).
Drug Interactions
Sildenafil / Tadalafil may interact with:
- Nitrates
- Alpha-blockers
- Blood pressure medications
- Antifungal medicines
- Certain antibiotics
- HIV medications
Always inform your healthcare provider of all medicines and supplements you are taking.
Alcohol & Lifestyle Considerations
Excess alcohol may:
- Increase dizziness
- Reduce effectiveness
- Worsen erectile dysfunction
Improving cardiovascular health through exercise, weight management, stress reduction, and smoking cessation may enhance treatment outcomes.
Storage Instructions
- Store below 25°C
- Keep away from moisture
- Store in original packaging
- Keep out of reach of children
- Do not use after the expiry date
Because troches are compounded, follow any additional storage instructions provided on the label.
Frequently Asked Questions
Is this stronger than regular tablets?
Not necessarily stronger — it is customised to your prescribed dose and may offer different absorption characteristics.
How quickly does it work?
Some patients notice effects within 15–30 minutes, but response varies.
Does it cause an automatic erection?
No. Sexual stimulation is required.
Can I take it daily?
Only if specifically prescribed for daily use.
Is this safe for long-term use?
When prescribed and medically supervised, it can be used safely for ongoing management.
Disclaimer
This compounded medication is supplied on prescription only and should be used strictly under medical supervision. The information above is for educational purposes and does not replace professional medical advice.
For personalised guidance regarding your prescription, speak with the pharmacists at Angel Pharmacy.
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