Price range: $109.00 through $576.00
Held under the tongue for 60 seconds, then swallowed. One dose per 24 hours.
This sildenafil and tadalafil combination is a compounded ED treatment. It pairs the two most widely prescribed ED medicines with vardenafil and apomorphine in one single-dose liquid packet. You hold it under your tongue instead of swallowing a pill. A licensed compounding pharmacy prepares it after a provider confirms it is a safe option for you.
Sildenafil, tadalafil and vardenafil are all PDE5 inhibitors. Each one increases blood flow to the penis during arousal. Sildenafil acts within the hour and tadalafil lasts longer, so pairing them covers both a fast start and a longer window. Apomorphine works differently. It is a dopamine agonist that acts on the brain pathways involved in arousal, and it has been studied under the tongue as an ED treatment. Combining them lets a provider use smaller amounts of each medicine instead of a full dose of one.
You hold the liquid under your tongue for about 60 seconds, then swallow. There is no pill to swallow and no water needed. Some men also like having a small packet they can carry. Use no more than one dose in 24 hours.
Sildenafil and tadalafil are not sold together as a standard tablet. A sildenafil and tadalafil combination is made by a licensed compounding pharmacy for an individual patient. The Telean Rx version is a sublingual liquid packet rather than a tablet, and it adds vardenafil and apomorphine. If you would rather take a tablet, your provider can prescribe sildenafil or tadalafil on its own.
The PDE5 inhibitors in this blend share the same common side effects: headache, flushing, heartburn, stuffy nose and back or muscle aches. Apomorphine can cause nausea, dizziness and a drop in blood pressure.
Get emergency care for an erection that lasts more than 4 hours, sudden vision loss or sudden hearing loss. Do not use this medicine if you take nitrates for chest pain or riociguat. Tell your provider about every medicine you take, especially blood pressure medicines and alpha blockers.
For many men, a single tablet of sildenafil or tadalafil works well and is FDA-approved. The sildenafil and tadalafil combination is an option for men who prefer a sublingual form, or who have not had the result they wanted from one medicine alone. Your provider will look at your history and recommend the simplest option that fits.
안 · How It Works
안 · Cost & Insurance
Telean Rx is direct-pay, so you do not need insurance. You see your price before you commit, and shipping is free. The sildenafil and tadalafil combination starts at $109 for 5 packets, a one-month supply. A 10-packet month is $129 and a 20-packet month is $169.
안 · Why Telean Rx
안 · FAQ
No. It contains sildenafil and tadalafil, the active ingredients in Viagra and Cialis, plus vardenafil and apomorphine. It is a compounded medicine.
Hold the liquid under your tongue for about 60 seconds, then swallow. Your provider and the pharmacy label will tell you how long before sex to take it. Use no more than one dose in 24 hours.
No. Do not combine it with sildenafil, tadalafil or any other ED medicine unless your provider tells you to.
Nausea can happen, mostly from apomorphine. Tell your provider. A different dose or a single-ingredient option may suit you better.
A licensed compounding pharmacy prepares it for you after a provider reviews your health. Each ingredient is a prescription medicine.
Many men start with a smaller monthly supply, such as 5 or 10 packets, and adjust once they know how often they use it. Your care team can change your plan.
Yes. A licensed Telean Rx provider can write one after a free online consultation if it is safe for you. Telean Rx is direct-pay with free shipping, so insurance is not required.
A licensed provider reviews your health and recommends the option that fits you, from a single tablet to a sildenafil and tadalafil combination.
