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
Dissolved under the tongue · As needed, 20–30 min before
Sexual healthErectile dysfunctionCompounded
Tadalafil Troches
Compounded tadalafil 20 mg troches (berry) that dissolve in the mouth, taken as needed before sex, with the long effect window of tadalafil.
- Dissolves in the mouth, no water needed
- Long effect window of tadalafil
- Pleasant flavor
- 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
- Dissolved under the tongue
- How often
- As needed, 20–30 min before
- Each shipment
- 8 troches
- Strength
- 20 mg Troche
What is a tadalafil troche?
(TRO-key)
A soft lozenge placed between cheek and gum. Part of the tadalafil is absorbed through the mouth and the rest is swallowed.
What's in it
- TadalafilPDE5 inhibitor: blood flow, up to 36 hours
20 mg
the standard as-needed dose of tadalafil
Compounded forms have no trials of their own; the active ingredient does.
Is it right for you?
Who it's for
Men who want 20 mg of tadalafil absorbed in the mouth.
What sets it apart
The same dose as the top tablet, in a troche.
Worth knowing before you start
Food does not affect tadalafil the way it affects sildenafil.
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
- Dissolved under the tongue
- Dose
- one troche (20 mg)
- How often
- As needed, 20–30 min before
- Each shipment
- 8 troches
- Pharmacy label
- Dissolve one troche (20 mg) under the tongue 20 to 30 minutes before sexual activity as needed. Do not use more than one dose in 24 hours. Effects last up to 36 hours.
The science of long-acting PDE5 inhibitors
Tadalafil 20 mg is the most studied as-needed dose, with consistent benefit in randomized trials.
Buccal absorption varies from person to person; your physician adjusts based on your response.
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 troche 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 Troches?
Dissolved under the tongue, as needed, 20–30 min before. The starting prescription is one troche (20 mg) each time. Your physician sets your own dose and it is printed on your label.
How much arrives in each shipment?
8 troches at the starting strength, shipped to your door from a licensed US pharmacy.
How far ahead should I take it?
About 30 minutes to 2 hours before sex. Because the effect lasts long, many men take it earlier in the day.
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.
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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 Trochesfrom $69/mo