Stroud Compounding and Wellness Drugstore can provide Sildenafil in a variety of compounds and dosages.
Sildenafil is available as a tablet or quick-dissolve troche in a variety of dosages. Stroud Compounding can also combine Sildenafil with other drugs with custom troches.
Sildenafil Tablets
Sildenafil (the active ingredient of Viagra) is available in 25mg, 50mg, and 100mg tablets. There is a low-dose alternative (Revatio) in 20mg tablets. Sildenafil products are best taken 30-60 minutes before intercourse on an empty stomach to obtain optimal activity.
General information
Sildenafil belongs to a family of drugs called Phosphodiesterase inhibitors type 5 Inhibitors (PDE5) and these drugs are generally well tolerated in most men. 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 Sildenafil.
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 (Tadalafil (Cialis); or Vardenafil (Levitra)
Precautions
Consult with your healthcare provider if you have the following: Bleeding disorders, vision problems, Peyronie’s disease, alcoholism, irregular heartbeat or heart disease, history of priapism, hypotension, hypertension, liver disease, kidney disease, sickle cell anemia or allergic reaction to any sildenafil containing products. Speak to our pharmacist about other health conditions before you take this medication.
Side effects
Serious side effects to contact the doctor right away:
Allergic reactions like rash, hives, itching, redness, 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, painful erections or erections lasting more than 4 hours.
Common Side effects: headache, flushing, upset stomach, muscle pain, heartburn, and runny or stuffy nose.
Sildenafil Lozenges (troches)
Sildenafil lozenges are custom made troches designed to deliver the same active ingredient found in Viagra as a lozenge. Sildenafil troches offer several advantages over regular tablets.
Benefits of Sildenafil Lozenges
- Faster acting – Lozenges take about 15 minutes to begin working.
- 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 sildenafil is absorbed through the blood vessel under the tongue directly bypassing 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.
Sildenafil Lozenges with Apomorphine
Sildenafil and Apomorphine troches are a combination of two drugs. Sildenafil 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 Sildenafil to be effective, it depends on having sexual stimulation in the brain. By combining it with Apomorphine, it ensures optimal performance.
General Information
Sildenafil 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.
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. Apomorphine ensures sexual stimulation while Sildenafil increases blood flow to the penis.
Dosages
Lozenges are available in three strengths. Your physician will choose the right dosage for you.
Mild – Sildenafil 30mg/Apomorphine 2mg
Medium – Sildenafil 60mg/Apomorphine 3mg
Maximum – Sildenafil 90mg/Apomorphine 3mg
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