Product Overview
Sildenafil / Tadalafil / Paroxetine Troches are compounded prescription medications used in the management of erectile dysfunction (ED) and premature ejaculation (PE).
This customised formulation combines:
- Sildenafil – supports erection quality
- Tadalafil – extends duration of effect
- Paroxetine – helps delay ejaculation
A troche (lozenge) is designed to dissolve slowly in the mouth, allowing absorption through the oral lining. This may provide faster onset for some individuals compared to traditional tablets.
At Angel Pharmacy, these 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 are phosphodiesterase type 5 (PDE5) inhibitors that:
- Increase blood flow to the penis
- Support achieving and maintaining erections
- Improve erectile reliability
Sexual stimulation is required for these medicines to work.
Premature Ejaculation (PE)
Paroxetine is a selective serotonin reuptake inhibitor (SSRI) that:
- Helps delay ejaculation
- Improves control
- May increase sexual satisfaction
In this compounded formulation, Paroxetine is prescribed specifically for PE management.
Why This Combination Is Prescribed
Your doctor may prescribe this combination to:
- Address both ED and PE simultaneously
- Improve erection strength and duration
- Increase ejaculatory control
- Personalise therapy to individual response
- Reduce the need for multiple separate medications
Compounded troches allow tailored strengths suited to your clinical needs.
How It Works
This combination works through multiple mechanisms:
- Sildenafil & Tadalafil: Relax blood vessels and enhance blood flow during sexual stimulation.
- Paroxetine: Modulates serotonin levels to help delay ejaculation.
It does not increase sexual desire and will not cause an automatic erection.
Onset & Duration
Effects may vary depending on individual response and prescribed dose.
Generally:
- Onset may occur within 15–45 minutes
- Sildenafil effects typically last 4–6 hours
- Tadalafil effects may last up to 24–36 hours
- Paroxetine may help extend time to ejaculation
Your doctor will advise on timing before sexual activity.
How to Use Troches
Use strictly as prescribed.
Directions:
- Place the troche under your tongue or between your cheek and gum.
- Allow it to dissolve completely.
- Do not chew or swallow whole.
- Avoid eating or drinking until fully dissolved (approximately 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
- Mood disorders
- History of depression or anxiety
- Eye disorders
Do not use this medication if you are taking nitrates (for chest pain), as this may cause a dangerous drop in blood pressure.
Paroxetine should be used cautiously in individuals with a history of mental health conditions.
Possible Side Effects
Common side effects may include:
- Headache
- Flushing
- Nasal congestion
- Indigestion
- Dizziness
- Mild back pain
- Nausea
- Reduced libido
- Delayed ejaculation
Less common but serious side effects:
- Chest pain
- Sudden vision or hearing loss
- Severe dizziness
- Mood changes
- Prolonged erection lasting more than 4 hours
Seek urgent medical attention if you experience chest pain or a prolonged erection (priapism).
Drug Interactions
This medication may interact with:
- Nitrates
- Alpha-blockers
- Blood pressure medications
- Other antidepressants
- Certain antifungal or antibiotic medications
- HIV medications
- Herbal supplements such as St John’s Wort
Always provide your doctor with a complete list of medications and supplements.
Alcohol & Lifestyle Considerations
Excess alcohol may:
- Increase dizziness
- Reduce erectile function
- Worsen sexual performance
Lifestyle factors such as stress, sleep quality, weight management, exercise, and smoking cessation play an important role in sexual health.
Storage Instructions
- Store below 25°C
- Protect from moisture
- Keep in original packaging
- Keep out of reach of children
- Follow any specific storage instructions provided on your label
Because this is a compounded product, shelf life may differ from commercial products.
Frequently Asked Questions
Is this stronger than taking separate tablets?
It is not necessarily stronger — it is customised to your prescribed dose and clinical needs.
Does it work immediately?
Most individuals notice effects within 15–45 minutes, but response varies.
Does it cause an automatic erection?
No. Sexual stimulation is required.
Can it be used daily?
Only if specifically prescribed for daily use.
Is Paroxetine safe for occasional use?
Your doctor will determine the appropriate dosing schedule based on your individual health profile.
Disclaimer
This compounded medication is supplied on prescription only and must be used under medical supervision. The information provided 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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