Tadalafil (generic Cialis)

Tadalafil is the active ingredient in Cialis and is commonly used to treat erectile dysfunction (ED) in men. Tadalafil is available in tablet form or as a quick-dissolve lozenge.

A box of Cialis sitting on a pharmacy table

Stroud Compounding and Wellness Drugstore can provide Tadalafil (Cialis) in a variety of compounds and dosages.

Tadalafil is the active ingredient in Cialis and is commonly used to treat erectile dysfunction in men. It works by relaxing the muscles surrounding the blood vessel in the penis which increases blood flow leading to an erection. 

Tadalafil is available as a tablet or quick-dissolve troche in a variety of dosages. Stroud Compounding can also combine Tadalafil with other drugs with custom troches.


Tadalafil Tablets

Tadalafil (the active ingredient of Cialis) is available in 2.5mg, 5mg, 10mg, and 20mg tablets. Tadalafil products are best taken 30-60 minutes before intercourse on an empty stomach to obtain optimal activity.

General information

Tadalafil belongs to a family of drugs called Phosphodiesterase inhibitors type 5 Inhibitors (PDE5) and these drugs are generally well tolerated in most men. Unlike Sildenafil (Viagra) it is more selective to PDE5 type and therefore has less impact on the eyes, and heart which results in fewer side-effects compared to Sildenafil.  Tadalafil can remain active in the body for up to 36 hours this makes ideal for men to take anytime without the need to time sexual activity. Patients over 65 should use the drug with caution. Seek advice from our pharmacist before you drink any alcohol or if you are taking multiple medications that could potentially interact with Tadalafil.

Dosage range

Your doctor will prescribe between 20mg and 100mg. It’s recommended that you use the lowest effective dosage. Tablets are available in 20mg, 25mg, 50mg, and 100mg.

Drug interactions

Do not take the medication if you are on the following drugs: Isosorbide Dinitrate, Isosorbide Mononitirate, Nitroglycerin, nitroprusside or other PDE5 inhibitors like (Sildenafil (Viagra); or Vardenafil (Levitra), Doxazosin, Prazosin, tamsulosin, Terazosin, itraconazole,  and Ketoconazole

Precautions

Consult with your healthcare provider if you have the following: Pulmonary Veno-occlusive disease, Bleeding disorders, vision problems, Peyronie’s disease, alcoholism, irregular heartbeats or heart disease, history of priapism, hypotension, hypertension, liver disease, kidney disease, sickle cell anemia or allergic reaction to any tadalafil containing products. Speak to our pharmacist about other health conditions you might have before taking this medication.

Side effects

Serious side effects to contact the doctor right away:

Allergic reactions like rash, hives, itching, red, swollen, blistered, or peeling skin, tightness in the chest, trouble breathing, swallowing or talking, swelling of the mouth, face, lips, or throat, fast abnormal heart beat, dizziness or passing out, change in balance, drooping on the side of the face, change in eyesight, hearing loss, ringing in the ears, unexplained bleeding or bruising, pain erections or erections lasting more than 4 hours.

Common Side effects: back pain, headache, flushing, upset stomach, muscle pain, heartburn, and runny or stuffy nose.


Tadalafil Lozenges (troches)

Tadalafil lozenges are custom made troches designed to deliver the same active ingredient found in Cialis as a lozenge. Tadalafil troches offer several advantages over regular tablets.

Benefits of Sildenafil Lozenges

  • Faster acting – Lozenges take about 15 minutes to begin working.
  • Longer lasting – Compared to Viagra, Tadalafil can remain in your system for 36 hours
  • Take anytime – Lozenges do not need to be taken on an empty stomach.
  • Lower strength – You may use smaller doses with a lozenge with the same benefits.
  • Fewer side effects – Lozenges may prevent some side effects seen with tablets.
  • Easier to ingest – Lozenges dissolve in your mouth. Perfect for those with swallowing difficulties or when water is unavailable.
How lozenges work

The active ingredient tadalafil is absorbed through the blood vessel under the tongue directly bypassing the digestive system therefore there is fast onset of about 15 minutes as opposed to 30 to 60 minutes. Lozenges avoid the need to take it on an empty stomach because it is absorbed quickly under the tongue without going through the digestive system. It allows the medication to be dosed at lower strengths because it is introduced directly to the bloodstream. Troches bypass the digestive system therefore there is a possibility of reduced side effects like nausea, indigestion, and headaches.

Storage

These lozenges should preferably be stored in the refrigerator but can be stored at room temperature.


Tadalafil Lozenges with Apomorphine

Tadalafil and Apomorphine troches are a combination of two drugs. Tadalafil works by increasing blood flow to the penis and helping to achieve and maintain an erection. Apomorphine is a substance that works by priming the brain for sexual arousal. For Tadalafil to be effective, it depends on having sexual stimulation in the brain. By combining it with Apomorphine, it ensures optimal performance.

General Information

Tadalafil belongs to a class of drugs known as phosphodiesterase type 5 (PDE-5) inhibitors, which work by increasing blood flow to the penis and helping to achieve and maintain an erection. Unlike Sildenafil, Tadalafil targets receptors in the penis and therefore has fewer side-effects.

Apomorphine is an erectogenic substance that works by activating the dopamine receptors in the brain to create erections by priming the brain for sexual arousal. The combination helps increase arousal and promote blood to the penis. For Tadalafil to be effective, it depends on having sexual stimulation in the brain. By combining it with Apomorphine, it ensures sexual stimulation while the Tadalafil increases blood flow to the penis. The combination of Apomorphine and Tadalafil allows you to be ready fast and stay ready through the next day or two.

Dosages

Lozenges are available in three strengths. Your physician will choose the right dosage for you.

Mild – Tadalafil 7mg/Apomorphine 2mg
Medium – Tadalafil 15mg/Apomorphine 3mg
Maximum – Tadalafil 22mg/Apomorphine 5mg


Sildenafil Lozeneges with Tadalafil (Cialis)

Sildenafil and Tadalafil are the mainstays to treat erectile dysfunction and both drugs work by increasing blood flow to the penis allowing men to achieve and maintain an erection. Combining both drugs allows for a synergetic effect that takes advantage of the uniqueness of each drug to improve efficiency and reduce side-effects.

Benefits of Sildenafil Lozenges with Tadalafil

  • Faster acting – Lozenges begin working within 15 minutes.
  • Longer lasting – Tadalafil continues working for up to 36 hours.
  • Fewer side effects – Lozenges eliminate some side effects associated with swallowing tablets.
More Details

Sildenafil and Tadalafil Lozenges are custom-made troches designed to deliver the same active ingredient found in Viagra and Cialis. Sildenafil and Tadalafil are the mainstays to treat erectile dysfunction and both drugs work by increasing blood flow to the penis allowing men to achieve and maintain an erection. Combining both drugs allows for a synergetic effect that takes advantage of the uniqueness of each drug to improve efficiency and reduce side effects. In combination, Sildenafil allows for a fast onset of about 15 minutes or less as a troche. Tadalafil is marketed under the brand name Cialis and unlike Sildenafil it can last for 36 hours in your system, therefore it gives you flexibility to have sexual intercourse anytime. This combination in a lozenge is very attractive because of a very fast onset within 15 minutes, and reduced side effects because the active ingredients are absorbed through the blood vessel under the tongue directly into the bloodstream bypassing the digestive system. The longer half-life of Tadalafil allows it to stay in your system for up to 36 hours therefore eliminating the need to time your sexual activity. In a nutshell, the combination of Sildenafil and Tadalafil troche dosage form delivers the quick-acting sildenafil resulting in a fast erection within 15 minutes as well as the long-acting Tadalafil allowing you to stay ready and rebound faster through the next 36 hours.

Dosages

Available in two dosages:
Medium: Sildenafil 25mg, Tadalafil 10mg
Maximum: Sildenafil 50mg, Tadalafil 10mg


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