Apomorphine / Sildenafil / Tadalafil / Vardenafil Troches
Quad-mix troche combining three PDE5 inhibitors with apomorphine dopamine agonist for maximum potency and comprehensive mechanism.
Troche
from $79/mo
Taken by mouth · As needed, 30–60 min before
Sexual healthErectile dysfunctionLong-acting
Tadalafil 25 mg Capsules
Compounded tadalafil 25 mg capsules taken as needed about 30 to 60 minutes before sex, with an effect window of up to 36 hours.
- Effect window of up to 36 hours
- Less need to plan around timing
- Food has little effect on absorption
- Monthly$89/mo
- Every 3 months$237 billed up front$79/mo
- Every 6 monthsBest value$414 billed up front$69/mo
- Free, discreet shipping
- Licensed U.S. pharmacy
- Board-certified physicians
Disclaimer: Prescription products require an online evaluation with a licensed medical professional who will determine if a prescription is appropriate. Products are compounded by a licensed pharmacy. The FDA has not reviewed or approved compounded products for any use for safety, efficacy, or quality. Compounded medications are not FDA-approved brand-name products.
- How
- Taken by mouth
- How often
- As needed, 30–60 min before
- Each shipment
- 8 capsules
- Strength
- 25 mg Capsule
What is tadalafil?
(ta-DA-la-fil)
Tadalafil is a long-acting PDE5 inhibitor, the active ingredient of Cialis. With arousal it keeps blood flowing into the penis; its long half-life gives a wide window of effect.
What's in it
- TadalafilPDE5 inhibitor: blood flow, up to 36 hours
~36 h
how long a single dose can keep working
It does not cause a continuous erection; arousal is still needed.
Is it right for you?
Who it's for
Men who needed more than the 20 mg tablet.
What sets it apart
25 mg, just above the highest approved tablet.
Worth knowing before you start
It stays active up to 36 hours. Not more than once a day.
Results you can rely on
Firmer erections
when aroused, with a reliable response
Predictable timing
you know when it starts and how long it lasts
Confidence
less performance worry, more presence
Physician oversight
dose and form adjusted to you
How it works
Day 1
A US-licensed physician reviews your health, medications (especially nitrates and blood pressure drugs) and goals, and chooses the dose and form.
1First doses
Take it 30 minutes to 2 hours before intimacy, on a light stomach. Arousal is still needed; the medicine helps the response, it does not create it.
2Week 2
You know how your body responds. Timing, dose and food effects are clear, and confidence builds.
3Month 1
Check-in with your physician: the dose is adjusted up or down, or the form is changed, based on your response and side effects.
4Beyond
It works for as long as you use it. Your physician reviews your health at least yearly, including blood pressure and heart health.
5
Individual results vary. Benefits reflect what Zepym Health members commonly report to their physician at check-ins; they are not the results of a clinical trial.
How you use it
This is the starting dose the pharmacy prints on the label. Your physician sets yours and adjusts it with you.
- How
- Taken by mouth
- Dose
- 1 capsule (25 mg)
- How often
- As needed, 30–60 min before
- Each shipment
- 8 capsules
- Pharmacy label
- Take 1 capsule (25 mg) by mouth 30 to 60 minutes before sexual activity as needed. Do not take more than one dose in 24 hours. Effects last up to 36 hours.
The science of long-acting PDE5 inhibitors
Large randomized trials show tadalafil improves erectile function across all severities, with benefit lasting up to 36 hours after a dose.
The 25 mg capsule is slightly above the 20 mg label maximum; your physician uses it only after checking your heart health and medications.
Learn moreImportant safety information and common side effects
PDE5 inhibitors are generally well tolerated. Common effects are flushing, headache, nasal congestion, indigestion and, with sildenafil, a temporary blue tint to vision. CRITICAL: never combine with nitrates or poppers (dangerous drop in blood pressure). Use with care alongside alpha-blockers. Seek emergency care for an erection lasting more than 4 hours, sudden vision or hearing loss, or chest pain. Tell your physician about heart disease, low blood pressure, liver or kidney problems and retinal disease before starting.
Every plan includes
- Personalized, physician-guided plan
- Monthly, 3-month and 6-month plans
- Dispensed by a US-licensed compounding pharmacy
- Unlimited protocol adjustments and messaging
- Ongoing support and check-ins
- Pause or cancel anytime
- Reviewed by our in-house physicians
How it works
1.Connect with a physician
Answer a few questions online and a US-licensed physician reviews your health, history and goals to make sure treatment is right for you. 100% online. No in-person visit required.
2.Get your discreet shipment
If approved, your treatment is compounded by a US-licensed, LegitScript-certified pharmacy, inspected for quality, and shipped discreetly to your door.
3.Receive continuous support
Start with one goal, then keep building over time. Unlimited physician messaging, easy refills and dose adjustments, all from the Zepym Health app.
Tadalafil educational content reviewed by our physician
Scott Nass, MDDoctor of Medicine, board-certified in Family Medicine
Charles R. Drew University and David Geffen School of Medicine at UCLA. Family Medicine residency at Ventura County Medical Center.
Frequently asked questions
How do I take Tadalafil Capsules 25 mg?
Taken by mouth, as needed, 30–60 min before. The starting prescription is 1 capsule (25 mg) each time. Your physician sets your own dose and it is printed on your label.
How much arrives in each shipment?
8 capsules at the starting strength, shipped to your door from a licensed US pharmacy.
Why 25 mg instead of 20 mg?
Some men need a little more than the standard maximum. Your physician weighs the benefit against side effects like headache and back pain.
Can I take it with other medications?
Never with nitrates (nitroglycerin, isosorbide) or recreational poppers: the combination can drop blood pressure dangerously. Tell your physician about alpha-blockers, blood pressure medicines, antifungals and HIV medicines, which change how the drug is processed.
What if it does not work the first time?
Arousal is still required, and a heavy or fatty meal can delay absorption. Most men need two or three attempts at a given dose before judging it. If it still falls short, your physician adjusts the dose or the formulation.
What are the warning signs?
An erection lasting more than 4 hours, sudden loss of vision or hearing, chest pain or fainting need immediate care. Stop the medication and go to the emergency room.
Is a compounded version as reliable as the brand?
Compounded troches, capsules and ODTs contain the same active ingredient, prepared by a US-licensed pharmacy, but they have not gone through FDA review as a finished product. Your physician chooses the form that fits how you want to use it.
Ready when you are.
Bi-Mix Injection
Combination of papaverine and phentolamine for intracavernosal injection. Vasodilator mix for erectile dysfunction. Priapism risk and rescue requirements.
Injection
from $171/mo
Climax Cream
Topical cream for female sexual enhancement and orgasm support. Combination of arginine, ergoloid, pentoxifylline, sildenafil, and theophylline.
Cream
from $159/mo
Ecstasy Cream for Her
Topical cream for female sexual arousal and pleasure. Contains oxytocin, theophylline, arginine, and sildenafil for enhanced sensation and response.
Cream
from $189/mo
The above statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease. Prescription products require an online evaluation with a licensed medical professional who will determine if a prescription is appropriate. Individual results vary.
Sources
- 1
Sildenafil citrate for erectile dysfunction: a systematic review of randomized controlled trials.
Arch Intern Med, 2002 - 2
Tadalafil 5 mg once daily for erectile dysfunction: pooled analysis of randomized trials.
Transl Androl Urol, 2020
Tadalafil 25 mg Capsulesfrom $69/mo