Dual-Action Troche
Two ED medications in one dissolving troche, combining sildenafil and tadalafil.
- One troche, two well-established ED ingredients
- Dissolves under your tongue, no pill to swallow
- Prescribed by a licensed provider after an online visit
- Compounded medication. Not FDA-approved.
Card authorized at checkout. Charged only if a provider approves.
Product images are for illustration only. Actual packaging may vary.
The Dual-Action Troche is a compounded prescription drug that contains sildenafil and tadalafil and is used to treat erectile dysfunction (ED). Compounded drugs are permitted to be prescribed under federal law, but are not FDA-approved and do not undergo FDA safety, effectiveness, or manufacturing review. Do not take it more than once in any 24-hour period or within 24 hours of taking any other ED medication. See Important Safety Information.
The short version.
What is the Dual-Action Troche?
A dissolving troche that combines sildenafil and tadalafil, two PDE5 inhibitors used to treat erectile dysfunction.
What makes the Dual-Action Troche different?
It pairs a faster-onset medication (sildenafil) with a longer-acting one (tadalafil) in a single troche that dissolves under the tongue.
How much does the Dual-Action Troche cost?
$133 per month. No membership fee.
Three simple
steps.
Get prescribed
Complete a secure online visit, and a licensed provider reviews your health history.
Let it dissolve
Place the troche under your tongue as directed and let it dissolve fully.
Be ready
Sexual arousal is still needed for it to work.
From your phone
to your door.
Your card is authorized at checkout, but you are only charged if a provider approves your treatment.
Complete a short online visit with a few health questions
Hear from your provider
Most orders arrive within a few business days of approval, with tracking sent when your order ships
Begin treatment, with your care team a message away
Find the
right fit.
Your provider confirms which option is appropriate for you.
| Treatment | What it is | Price |
|---|---|---|
| Daily Tablet | Tadalafil 5 mg · daily tablet | $99/moBilled monthly · ships monthly |
| Long-Lasting As-Needed Tablet | Tadalafil 20 mg · as-needed tablet | $99/moBilled monthly · ships monthly |
| As-Needed Tablet | Sildenafil 50 mg · as-needed tablet | $99/moBilled monthly · ships monthly |
| As-Needed Tablet, Higher Strength | Sildenafil 100 mg · as-needed tablet | $99/moBilled monthly · ships monthly |
| Dual-Action Troche | Sildenafil + tadalafil · dissolving troche | $133/moBilled monthly · ships monthly |
Questions, answered.
What is a troche?
A troche is a small medicated lozenge made to dissolve slowly in your mouth instead of being swallowed. As it melts under your tongue or against your cheek, some of the medicine passes through the thin lining of your mouth straight into your bloodstream, so it doesn't all have to travel through your stomach and liver first.
How is it different from a pill?
It dissolves under your tongue instead of being swallowed, and it combines two ED medications in one dose.
How do I take it?
Place the troche under your tongue and allow it to dissolve completely, before sexual activity as directed by your provider. Do not chew it or swallow it whole, and avoid eating or drinking until it has fully dissolved. Do not take more than one troche in 24 hours.
How long does it take to work?
It varies from person to person. Your provider can tell you what to expect.
Can I take more than one?
No. Use it no more than once in 24 hours.
Can I take it with other ED medications?
No. Don't take it within 24 hours of any other medicine containing sildenafil or tadalafil.
Can I take it with food or alcohol?
Avoid eating or drinking while the troche dissolves. Avoid heavy alcohol use, which increases the risk of dizziness and low blood pressure.
What if other ED medications didn't work for me?
Tell your provider. They'll review your history and decide whether this is a good option for you.
Do I need a prescription?
Yes. Complete a short online visit to see if this treatment is right for you. A licensed provider reviews your answers and decides whether it's appropriate to prescribe.
Who makes the treatment decision?
Licensed providers make all consultation and prescribing decisions. Purchasing does not guarantee a prescription. Prescriptions are issued only after a licensed provider reviews your information and determines that treatment is appropriate.
What the research says.
The studies discussed here may involve different formulations, doses, delivery methods, or patient populations from the treatment offered. They do not establish the safety or effectiveness of this specific compounded product. Compounded medications are not FDA-approved; FDA does not review their safety, effectiveness, or quality before marketing.
Oral drug treatments of erectile dysfunction: A AFU/SFMS systematic review,
What was studied. A systematic review of 87 studies of oral erectile dysfunction treatments.
What researchers found. Sildenafil and tadalafil are established treatments for erectile dysfunction. Your clinician selects the medication and dosing schedule based on your health history, preferences, and treatment response.
How it relates to this treatment. Studies of standard oral tablets do not establish that compounded combinations (troches, films or dissolving tablets) work, work faster, or outperform single-ingredient therapy.
“Oral drug treatments of erectile dysfunction: A AFU/SFMS systematic review,” 2025. PMID: 40915356.
What to know before starting Dual-Action Troche.
Other ways
we can help.
The Dual-Action Troche is a compounded prescription drug that contains sildenafil and tadalafil and is used to treat erectile dysfunction (ED). Compounded drugs are permitted to be prescribed under federal law, but are not FDA-approved and do not undergo FDA safety, effectiveness, or manufacturing review. Do not take it more than once in any 24-hour period or within 24 hours of taking any other ED medication.
We serve patients in 46 states. We do not currently provide services in Alaska, Mississippi, New Jersey or Texas. Availability can vary by product, depending on whether the dispensing pharmacy is licensed to ship to your state.
Licensed providers make all consultation and prescribing decisions. Purchasing does not guarantee a prescription. Prescriptions are issued only after a licensed provider reviews your information and determines that treatment is appropriate. Your card is authorized at checkout, but you are only charged if a provider approves your treatment.