Sildenafil + Tadalafil
Two PDE-5 Inhibitors, One Troche
$39/movs $49/mo on the 1 month plan
Two medicines that support sexual performance in one troche that dissolves under the tongue: sildenafil works quickly and tadalafil lasts longer. Taken as needed, and both work with arousal, not on their own.
Only charged if approved · Physician-reviewed
Billed $234 every 6 months · 2-day shipping · cancel anytime
Free shipping on your first order · $5 per box after
Compounded by a licensed 503A pharmacy
6 month plan includes
- Save $85 vs. 6 monthly orders, shipping included
- Billed every 6 months, ships every 6 months
- Ships on the same prescription until it expires
- Skip, pause or change your plan anytime
- Pause or cancel before the next billing date
- Ongoing prescriber messaging throughout
Important. This medication is compounded by a licensed 503A pharmacy against a prescription. Not a substitute for medical care; do not use if pregnant, nursing, or under 18.
Rx only. Compounded medications are not FDA-approved; the FDA does not verify their safety, effectiveness or quality. These statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease. Prescribed only after review by a licensed prescriber. Individual results vary. Product images are for illustration; your medication ships in the compounding pharmacy’s own labelled vial. Full disclosure.
The details.
Overview
Sildenafil and tadalafil are PDE-5 inhibitors and the active ingredients in FDA-approved prescription medicines for men’s sexual health. Sildenafil is shorter-acting; tadalafil lasts longer. This compounded sublingual troche combines the two. Its 120 mg of sildenafil is above the 100 mg maximum labelled single dose of FDA-approved sildenafil, and is used only if your prescriber decides it is appropriate for you. The combination is not FDA-approved, is prescribed off-label, and has far less published research than either medicine alone. Both work with sexual stimulation, not on their own. Whether it is appropriate for you, and at what dose, is a question for your prescriber.
Best for: Men who want a single as-needed option to support sexual performance.
What it supports
- Two PDE-5 inhibitors in a single dose
- Pairs a shorter-acting and a longer-acting medicine
- Dissolves under the tongue, no water needed
- Taken as needed, not daily
What's included
- 8 sublingual troches a month of compounded Sildenafil + Tadalafil 120 mg / 22 mg
- Ongoing messaging with your prescriber
Delivery and cycle
- Delivery
- Oral
- Cycle length
- As-needed dosing · 8 troches a month
- Category
- Sexual health
- Storage
- Store as directed on the label
Shipping
2-day shipping from our licensed 503A pharmacy. Free shipping on your first order · $5 per box after. Each renewal ships again and pays shipping for its box. Tracking is available in your portal once your order ships.
Questions?
(212) 344-4247 · Mon–Fri, 9a–6p ET
Safety information.
Possible side effects
- Headache
- Flushing
- Nasal congestion
- Indigestion or heartburn
- Back or muscle aches
- Dizziness or fainting from low blood pressure
- Rarely: an erection lasting more than 4 hours, or sudden vision or hearing loss (seek urgent care)
Contraindications
Tell your prescriber if any of these apply to you. Your intake is screened against them before anything is approved.
- Taking any nitrate medicine, or recreational "poppers"
- Taking riociguat
- Taking an alpha-blocker (for example, for prostate or blood pressure), or prone to low blood pressure: the combination can drop blood pressure sharply
- Heart disease where sexual activity is not advised
- Recent heart attack or stroke, or uncontrolled blood pressure
- Severe liver or kidney impairment
- Known hypersensitivity to sildenafil or tadalafil
Not exhaustive and not medical advice. Talk to your own healthcare provider about your history and medications before starting.
Sexual health
Sildenafil + Tadalafil
Two PDE-5 Inhibitors, One Troche
Two medicines that support sexual performance in one troche that dissolves under the tongue: sildenafil works quickly and tadalafil lasts longer. Taken as needed, and both work with arousal, not on their own.
$39/movs $49/mo on the 1 month plan
Billed $234 every 6 months · cancel anytime
Free shipping on your first order · $5 per box after
- Save $85 vs. 6 monthly orders, shipping included
- Billed every 6 months, ships every 6 months
- Ships on the same prescription until it expires
- Skip, pause or change your plan anytime
- Pause or cancel before the next billing date
- Ongoing prescriber messaging throughout
- Only charged if approved
- 2-day shipping
- Physician-reviewed
- Cancel anytime
Rx only. Compounded medications are not FDA-approved; the FDA does not verify their safety, effectiveness or quality. These statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease. Prescribed only after review by a licensed prescriber. Individual results vary. Product images are for illustration; your medication ships in the compounding pharmacy’s own labelled vial. Full disclosure.
The details.
Overview
Sildenafil and tadalafil are PDE-5 inhibitors and the active ingredients in FDA-approved prescription medicines for men’s sexual health. Sildenafil is shorter-acting; tadalafil lasts longer. This compounded sublingual troche combines the two. Its 120 mg of sildenafil is above the 100 mg maximum labelled single dose of FDA-approved sildenafil, and is used only if your prescriber decides it is appropriate for you. The combination is not FDA-approved, is prescribed off-label, and has far less published research than either medicine alone. Both work with sexual stimulation, not on their own. Whether it is appropriate for you, and at what dose, is a question for your prescriber.
Best for: Men who want a single as-needed option to support sexual performance.
What it supports
- Two PDE-5 inhibitors in a single dose
- Pairs a shorter-acting and a longer-acting medicine
- Dissolves under the tongue, no water needed
- Taken as needed, not daily
What's included
- 8 sublingual troches a month of compounded Sildenafil + Tadalafil 120 mg / 22 mg
- Ongoing messaging with your prescriber
Delivery and cycle
- Delivery
- Oral
- Cycle length
- As-needed dosing · 8 troches a month
- Category
- Sexual health
- Storage
- Store as directed on the label
Shipping
2-day shipping from our licensed 503A pharmacy. Free shipping on your first order · $5 per box after. Each renewal ships again and pays shipping for its box. Tracking is available in your portal once your order ships.
Questions?
(212) 344-4247 · Mon–Fri, 9a–6p ET
Safety information.
Possible side effects
- Headache
- Flushing
- Nasal congestion
- Indigestion or heartburn
- Back or muscle aches
- Dizziness or fainting from low blood pressure
- Rarely: an erection lasting more than 4 hours, or sudden vision or hearing loss (seek urgent care)
Contraindications
Tell your prescriber if any of these apply to you. Your intake is screened against them before anything is approved.
- Taking any nitrate medicine, or recreational "poppers"
- Taking riociguat
- Taking an alpha-blocker (for example, for prostate or blood pressure), or prone to low blood pressure: the combination can drop blood pressure sharply
- Heart disease where sexual activity is not advised
- Recent heart attack or stroke, or uncontrolled blood pressure
- Severe liver or kidney impairment
- Known hypersensitivity to sildenafil or tadalafil
Not exhaustive and not medical advice. Talk to your own healthcare provider about your history and medications before starting.
Keep exploring.
Shop allThree steps. That's it.
No waiting rooms- 1
Tell us about you
A five-minute online assessment: your goals, health history and medications.
- 2
A physician reviews it
Dr. Elder decides every prescription himself. Nothing is charged unless he approves.
- 3
Delivered to your door
Made to order by a licensed 503A pharmacy and shipped to you, tracked.
Questions? Answered.
All FAQsHow does Eternal Longevity work?
You complete a short online intake about your health. Dr. Bader Elder, DO, a licensed physician, reviews it and decides whether to prescribe; he may decline or ask you questions first. At checkout you save a card, and nothing is charged unless he approves. A physician usually reviews your intake within 1 business day. After approval, your order is delivered within 3 business days.
Which states do you ship to?
We currently serve members in New Jersey, New York, Pennsylvania and Michigan. Our prescriber is licensed in each of them, and orders ship only to addresses in them. We're adding states as we expand. If you're somewhere else, send us a note through our contact page and we'll tell you when we go live in your state.
Is there an age requirement?
Yes. You must be 18 or older. Some treatments have their own health criteria, which the prescriber applies during his review.
Are these medications FDA-approved?
No. Our medications are compounded preparations, including PT-141, and compounded medications are not FDA-approved; the FDA does not verify their safety, effectiveness or quality. Some contain ingredients that are also found in FDA-approved drugs. Each is prescribed only after a physician's review and prepared by a state-licensed 503A pharmacy.
How are medications shipped?
Every order ships 2-day; temperature-sensitive medications are packed cold in insulated packaging. Your first order ships free; after that shipping is $5 per box, by 2-day service. Renewals pay shipping on each order. You'll get a tracking number when your order ships.
What is your refund policy?
If the prescriber declines, you are not charged. Once the pharmacy has prepared or shipped your medication we can't refund it, because compounded medications can't be re-dispensed. If a shipment arrives damaged, contact us within 7 days and we'll replace it at no cost.
Ready when you are.
Five minutes online. Reviewed by a physician. Nothing charged unless approved.
