Home/Sexual Wellness/Tadalafil + Sildenafil
Prescription·On-demand sublingual tablet

Dual PDE5.Maximum Coverage.

Tadalafil and sildenafil in a single formula. Combines the long-acting duration of tadalafil with the fast onset of sildenafil for complete coverage.

Physician-Reviewed
Physician-Reviewed Formula
01 Qualify
2 MIN
Short online intake.
02 Review
SAME DAY
A US doctor evaluates.
03 Compound
OVERNIGHT
Custom-made to your Rx.
04 Deliver
24 HR
Unmarked package arrives.
Qualify Now →
Tadalafil + Sildenafil

Tadalafil + Sildenafil (Rx)

On-demand sublingual tablet · Spearmint

Tadalafil 20mgSildenafil 20mg
Reviewed by US-licensed physicians·24-hr turnaround
30 Tablets
$4.17 per dose
$124.99$169.99
You save $45.00 with introductory pricing
Qualify Now →

Prices shown reflect first-order introductory pricing. Refills bill at the standard member rate. All products are prescription-only. Eligibility is not guaranteed.

Each Active

What's inside, and why it's there.

20
20mg

Tadalafil

Long-acting PDE5 inhibitor with up to 36-hour window.

PDE5
20
20mg

Sildenafil

Fast-acting PDE5 inhibitor providing rapid onset.

PDE5

The Old Path

Separate visits. Separate scripts. Unclear totals.

Retail pharmacies rarely carry compounded formulas tuned to your intake. Men stack separate visits, separate scripts, separate premiums, and still miss the combined formula.

The Empire Health Path

One intake. One formula. Unmarked package.

Everything in one compounded formula, reviewed same-day by a US-licensed physician and shipped overnight in plain packaging. Pause, skip, or cancel anytime.

Refills on your schedule

You set the cadence. Pause, skip, or cancel in one click from your dashboard. No contract, no cancellation fees.

⏸
Cancel anytime
No fees, no questions.
⏭
Pause or skip
Delay your next shipment.
📊
Full dashboard control
Manage everything online.
⚠️

FDA 503A · Compounded Rx

This product is a compounded medication prepared under Section 503A of the Federal Food, Drug, and Cosmetic Act. Compounded drugs are not FDA-approved and have not undergone FDA premarket review for safety, effectiveness, or quality. Your prescription is prepared by a state-licensed compounding pharmacy following a US-licensed physician's review of your intake. Eligibility is not guaranteed.

Safety information

What to know before your intake.

Your reviewing physician screens for contraindications and interactions. Disclose everything — current prescriptions, OTC medications, supplements, and medical history — during the intake so they can catch anything that would make this formula unsafe for you.

Do not share your prescription. Compounded medications are prepared specifically for the patient named on the label and should never be given, sold, or shared with another person. Keep out of reach of children and pets.

In Their Words

What members have said.

Attribution limited to initials, age, and state — full names are never published.

"The combination of fast onset and long duration is exactly what I needed."

K.D. · 52 · Michigan

"The combination formula addresses more than either ingredient alone could."

W.S. · 57 · Pennsylvania

"Consistent experience across multiple months of use."

E.N. · 49 · Colorado

Ready to qualify for Tadalafil + Sildenafil?

Five questions. Physician-reviewed. Ships in unmarked packaging.

Start the Free Assessment →