Looking for a Rugiet Alternative in California?

Rugiet Ready has made the three-ingredient ED troche more familiar to men who want an alternative to traditional Viagra or Cialis tablets.

California patients now have another option.

The Doctor’s Choice Men Wellness Troche, also called our ED Combo Troche, contains the same three core prescription medications used in Rugiet Ready:

Sildenafil
Tadalafil
Apomorphine

Both products are compounded prescription troches designed to dissolve under the tongue. Rugiet describes Ready as a three-in-one treatment containing sildenafil, tadalafil, and apomorphine, with effects beginning in approximately 15 minutes for some patients and lasting up to 36 hours.

The Doctor’s Choice Men Wellness Troche uses the same three-medication concept while giving California patients something especially valuable: access to a local compounding pharmacy and a real pharmacist they can call directly.

Start Here—No Payment Is Required Now

Ready to ask whether the Men Wellness Troche may be appropriate for you?

Start here by completing our confidential ED Troche Form.

There is no payment required when you submit the form. The form allows our team to understand your needs, determine whether you already have a prescription, and explain the next step.

Submitting the form does not guarantee that a prescription will be issued. A licensed healthcare provider must determine whether the medication is medically appropriate.

Is the Doctor’s Choice Troche Exactly Like Rugiet?

The Doctor’s Choice Men Wellness Troche contains the same three active medications found in Rugiet Ready and uses the same general under-the-tongue troche format.

That makes it a comparable local California alternative to Rugiet Ready.

However, it is not the Rugiet brand, a generic Rugiet product, or automatically interchangeable with every Rugiet prescription. Rugiet states that Ready may be prepared in personalized strengths and uses its own proprietary delivery system. The exact strengths, flavor, troche base, and inactive ingredients may differ.

The most accurate description is:

Doctor’s Choice Men Wellness Troche is a local California alternative that uses the same three core prescription medications found in Rugiet Ready: sildenafil, tadalafil, and apomorphine.

Doctor’s Choice Pharmacy is not affiliated with Rugiet. Rugiet and Rugiet Ready are trademarks of their respective owner.

Why Choose Doctor’s Choice Pharmacy?

Doctor’s Choice Pharmacy offers more than an online ordering portal.

Our California patients can:

Speak directly with a real pharmacist
Ask questions about dosing, storage, and side effects
Use a prescription from their regular physician
Ask us to contact their provider for a prescription
Receive help connecting with a licensed provider when necessary
Obtain a customized strength when prescribed
Pick up locally in Upland
Request discreet delivery within California
Order a one-time quantity without committing to a national subscription
Learn about occasional free trial offers

Doctor’s Choice Pharmacy is located in Upland, California, and currently serves patients located within California.

No Prescription? We Can Help

You do not need to give up simply because you do not already have a prescription.

Doctor’s Choice Pharmacy offers two possible ways to help:

Option 1: Let Us Contact Your Provider

Share your provider’s:

Name
Office telephone number
Fax number
Office location, when available

With your permission, our pharmacy team can call or fax your provider and request a prescription on your behalf.

We have already helped several patients through this process. The final decision remains with your healthcare provider, but we can make the request easier and provide the office with the medication information they need.

Option 2: Request Prescriber Assistance

When you do not have a regular provider—or your provider is unable to prescribe the medication—our team may help connect you with a licensed California provider for an evaluation.

The provider will review your medical history, current medications, blood pressure, heart history, and other safety information before deciding whether a prescription is appropriate. The Doctor’s Choice form already asks about nitrates, heart disease, blood pressure, kidney disease, liver disease, diabetes, and previous ED treatments.

Start the process here. No payment is required when submitting the form.

How Much Does the Doctor’s Choice Men Wellness Troche Cost?

Our current pricing is:

$12 for one troche
$7 per troche when ordering 10 or more
10 troches for $70

No monthly national membership is required.

When a separate provider consultation is needed, a consultation fee may apply. We will explain the price before processing anything. Completing the initial Doctor’s Choice form does not require payment.

How Much Does Rugiet Typically Cost?

Rugiet currently advertises Ready starting at approximately $7.29 per dose. Rugiet states that the final cost depends on the strength, formula, quantity, and membership plan prescribed or selected.

Depending on the strength, quantity, and membership arrangement, the Rugiet cost can be closer to approximately $13 per troche or more for certain options. Patients should examine the total amount charged, not only the lowest advertised starting price.

Rugiet also offers 30-day and 90-day membership options for patients ordering regularly.

Doctor’s Choice provides straightforward local pricing:

$12 for an individual troche
$7 each with an order of 10 or more
No required monthly national membership
Direct access to our pharmacy team

Prices and promotional offers may change, so patients should confirm current pricing before filling a prescription.

Watch for Our Two-Free-Troche Offers

From time to time, Doctor’s Choice Pharmacy offers eligible patients the opportunity to receive two Men Wellness Troches free to try.

We offered this promotion during our Father’s Day men’s wellness campaign, and we are planning another End-of-Summer offer in August 2026.

Free trial offers:

Are available only during announced promotional periods
Require a valid prescription
Require provider approval
May be limited to eligible California patients
Are subject to availability
Cannot be guaranteed simply by submitting a request

Follow Doctor’s Choice Pharmacy on social media and check our website so you do not miss the next offer.

You may also complete the confidential form now so our team has your information:

Start here—no payment is required now.

Frequently Asked Questions About Rugiet and the Doctor’s Choice Men Wellness Troche

Does Rugiet Actually Work?

Rugiet may help eligible men, but no erectile dysfunction medication is guaranteed to work for everyone.

Rugiet Ready and the Doctor’s Choice Men Wellness Troche contain the same three core medications:

Sildenafil
Tadalafil
Apomorphine

Sildenafil and tadalafil support blood flow to the penis during sexual stimulation. Apomorphine acts through dopamine-related pathways involved in arousal and erectile signaling. Rugiet describes this as addressing both the physical and brain-related components of an erection.

Because Doctor’s Choice uses the same three-medication approach, it offers California patients a comparable local alternative.

Results can depend on:

The prescribed strength
The underlying cause of ED
Current medications
Health conditions
Alcohol use
Anxiety
Sexual stimulation
Individual response

The compounded three-medication combination is not an FDA-approved finished drug product.

How Does the Men Wellness Troche Compare With Viagra?

Viagra contains one active medication: sildenafil.

The Doctor’s Choice Men Wellness Troche combines:

Sildenafil for erection-related blood flow
Tadalafil for a longer treatment window
Apomorphine for brain-related arousal signaling

The combination is designed to provide broader support than sildenafil alone.

However, having more ingredients does not guarantee that the treatment will work better for every patient. It may also increase the chance of side effects or interactions.

Viagra is an FDA-approved commercial medication. The Men Wellness Troche is a customized compounded prescription and is not FDA-approved as a finished combination product.

Is the Doctor’s Choice Troche a Rugiet Alternative?

Yes.

The Doctor’s Choice Men Wellness Troche is a comparable local California alternative to Rugiet Ready because it:

Contains sildenafil
Contains tadalafil
Contains apomorphine
Dissolves under the tongue
Requires a prescription
Is used as needed
May begin working faster than a traditional swallowed tablet for some patients
May provide a longer treatment window because it contains tadalafil

The primary differences may include the exact prescribed strengths, inactive ingredients, flavor, troche base, pharmacy, packaging, and delivery system.

Is the Men Wellness Troche Better Than Cialis?

Cialis contains tadalafil alone.

The Doctor’s Choice Men Wellness Troche contains tadalafil together with sildenafil and apomorphine.

This combination may be useful for some men who want support for both blood flow and arousal signaling. However, it is not automatically better for everyone.

Some patients respond well to tadalafil alone and do not need multiple active ingredients.

The correct treatment depends on:

Medical history
Current medications
Previous ED treatments
Desired onset
Desired duration
Previous side effects
The prescriber’s clinical judgment

How Much Does Rugiet Typically Cost?

Rugiet publicly advertises a starting price of approximately $7.29 per dose. The final amount depends on the prescribed formula, strength, quantity, and membership selection.

For some smaller-quantity or higher-strength arrangements, the effective cost may be closer to approximately $13 per troche or more.

Doctor’s Choice pricing is:

$12 for one troche
$7 each when ordering 10 or more
$70 for 10 troches
No required monthly national membership

What Is the Average Cost of Rugiet?

There is no single average price because Rugiet offers different strengths and quantities.

Rugiet officially states that Ready starts at $7.29 per dose and that the exact price depends on the individualized formula. Its price may include provider consultation, compounded medication, shipping, and follow-up care.

Patients comparing prices should ask:

What is the cost per troche?
How many troches are included?
Is it a one-time purchase?
Is it a recurring subscription?
Is there a membership charge?
Is a consultation included?
Will the plan renew automatically?

Why Does Rugiet Cost So Much?

Rugiet’s price may include:

Online medical assessment
Provider review
Personalized formula
Compounding
Shipping
Ongoing provider access
Membership administration

Rugiet states that its price includes a licensed provider consultation, personalized compounded medication, delivery, and access to its care team.

Doctor’s Choice may be more practical for California patients who already have a physician and simply need the prescription requested, compounded, and dispensed locally.

What Is Cheaper Than Rugiet?

Generic sildenafil or tadalafil tablets may cost less, but they are not the same type of treatment. They usually contain only one active medication and are swallowed rather than prepared as a three-medication sublingual troche.

For California patients seeking the same core three-ingredient concept, Doctor’s Choice offers:

One troche for $12
Ten or more for $7 each

That means 10 Doctor’s Choice troches currently cost $70.

Is Rugiet Cheaper Than Hims?

It depends on the exact medication being compared.

Hims offers several single-ingredient and compounded ED options. Rugiet offers personalized formula and quantity options, and the price can depend on its membership structure.

Patients should compare:

Active ingredients
Strength of each ingredient
Number of doses
Consultation fees
Shipping charges
Subscription requirements
Automatic renewal
Total checkout price
Whether they can speak with a pharmacist

Doctor’s Choice offers local California service and direct per-troche pricing.

Do You Need a Prescription for the Men Wellness Troche?

Yes.

The Doctor’s Choice Men Wellness Troche and Rugiet Ready are both prescription compounded medications. Rugiet requires an online medical assessment, and Doctor’s Choice requires a prescription from a licensed provider.

You have three ways to begin:

Upload an existing prescription.
Share your provider’s information so we can call or fax a request.
Ask about help connecting with a licensed California provider.

Complete the confidential form here. No payment is required now.

Can Doctor’s Choice Contact My Doctor for Me?

Yes.

With your permission, you can provide your physician’s contact information, and our pharmacy team can call or fax a prescription request on your behalf.

We have completed this process successfully for several patients.

Your provider still decides whether the medication is appropriate. Sending a request does not guarantee that the provider will issue a prescription.

Is It Hard to Get the Doctor’s Choice Men Wellness Troche?

The process can be straightforward for medically eligible California patients.

Your provider can send the prescription directly to Doctor’s Choice Pharmacy. When you do not have a prescription, you can give us your provider’s contact information or request prescriber assistance.

The first step is completing the form. No payment is required when you submit it.

Start here.

Can I Buy Rugiet or the Men Wellness Troche on Amazon?

No.

Prescription ED combination troches should not be purchased from Amazon or another general online marketplace.

The FDA has identified multiple nonprescription sexual-enhancement products containing undeclared prescription drug ingredients. These hidden ingredients can create serious medication interactions, particularly for people taking nitrates or blood-pressure medication.

Avoid products promoted as:

Natural Viagra
Herbal Cialis
No-prescription Rugiet
Instant male-enhancement supplements
Secret ED formulas

Obtain prescription ED medication through a licensed healthcare provider and pharmacy.

Where Can I Buy a Rugiet Alternative in California?

Eligible California patients can obtain the Doctor’s Choice Men Wellness Troche with a valid prescription.

Patients may:

Ask their provider to prescribe it
Ask Doctor’s Choice to contact their provider
Request help obtaining a medical evaluation
Pick up the medication in Upland
Ask about discreet California delivery

Start with our confidential form. No payment is required now.

Doctor’s Choice Pharmacy
639 N. 13th Avenue
Upland, CA 91786
Phone: 909-532-5588
Monday–Friday, 9 a.m.–5 p.m.

How Often Can I Take the Men Wellness Troche?

Follow the exact directions printed on your prescription label.

Typical directions state that patients should not take more than one prescribed troche within 24 hours. The Doctor’s Choice form specifically instructs patients not to exceed one troche in 24 hours. Rugiet provides the same maximum-frequency guidance.

Do not combine it with:

Viagra
Cialis
Sildenafil tablets
Tadalafil tablets
Another Rugiet dose
Another ED troche
Another PDE5 inhibitor

Do not combine ED medications unless your prescriber specifically approves it.

Can I Drink Alcohol With the Men Wellness Troche?

Alcohol should be limited.

Drinking a large amount of alcohol may:

Make it more difficult to achieve an erection
Increase dizziness
Increase headache
Lower blood pressure
Increase the risk of fainting
Reduce sexual performance

Ask your pharmacist or prescriber what amount, if any, is appropriate for your medical history.

What Happens if I Take Two Men Wellness Troches?

Do not take two troches unless your prescription specifically tells you to do so.

Taking more than prescribed may increase the risk of:

Severe headache
Flushing
Nausea
Dizziness
Fainting
Dangerously low blood pressure
Abnormal heartbeat
Vision changes
Hearing changes
A prolonged erection

An erection lasting longer than four hours is a medical emergency.

Do not take an extra troche because the first dose did not work as quickly as expected.

Can I Just Swallow the Men Wellness Troche?

The troche is designed to dissolve under the tongue.

Doctor’s Choice instructs patients to let the troche dissolve completely and not chew or immediately swallow it. Rugiet gives similar directions and states that its troche normally dissolves in approximately five to ten minutes.

Swallowing it immediately may change or delay absorption.

Do not take a second troche to replace one you accidentally swallowed. Call the pharmacy for guidance.

How Do I Take the Men Wellness Troche?

Unless your prescription label says otherwise:

Place one prescribed troche under your tongue.
Allow it to dissolve completely.
Do not chew it.
Do not immediately swallow it.
Avoid eating or drinking while it dissolves.
Allow approximately 30 minutes before anticipated sexual activity.
Do not take more than the prescribed amount.
Do not repeat the dose within 24 hours.

The Doctor’s Choice form advises patients that effects may begin in approximately 15 to 30 minutes and may last up to 36 hours because the formula contains tadalafil.

Sexual interest and stimulation are still generally necessary.

How Quickly Does the Men Wellness Troche Work?

Some patients may notice an effect within approximately 15 to 30 minutes.

Rugiet advertises an average onset of approximately 15 minutes after its troche dissolves. It recommends allowing at least 30 minutes when first trying the medication.

Response time can be affected by:

Metabolism
Food
Alcohol
Anxiety
Medical conditions
Other medications
Prescribed dose
Sexual stimulation

Individual results vary.

How Long Does the Men Wellness Troche Last?

Because the formula contains tadalafil, the opportunity to respond to sexual stimulation may continue for up to approximately 24 to 36 hours for some patients.

This does not mean an erection should remain for 36 hours.

It means that the medications may remain active during that treatment window. Rugiet similarly states that Ready’s effects typically last approximately 24 to 36 hours.

Follow the prescribed dosing interval even when you believe the effect has ended.

Does the Men Wellness Troche Need Refrigeration?

Follow the storage directions printed on your Doctor’s Choice prescription label.

Compounded troches should generally be protected from:

Excessive heat
Moisture
Direct sunlight
Hot cars
Other high-temperature environments

The storage requirements can depend on the troche base and packaging. Do not assume that the instructions for one pharmacy’s product apply to another pharmacy’s product.

Call Doctor’s Choice Pharmacy when traveling or when your troches have been exposed to excessive heat.

What Side Effects Can the Men Wellness Troche Cause?

Because the Doctor’s Choice Troche contains the same three core medications as Rugiet Ready, the potential side effects are similar.

Possible side effects include:

Headache
Facial flushing
Nasal congestion
Indigestion
Nausea
Dizziness
Drowsiness
Back pain
Muscle discomfort
Mouth irritation
Blurred vision
Blue-tinted vision
Low blood pressure

Rugiet lists headache, flushing, congestion, upset stomach, dizziness, drowsiness, muscle or back pain, and mild visual changes among Ready’s common side effects.

Seek immediate medical care for:

Chest pain
Fainting
Severe breathing difficulty
Sudden vision loss
Sudden hearing loss
A serious allergic reaction
An erection lasting longer than four hours

Is the Men Wellness Troche Safe for Heart Patients?

It is not automatically safe for every person with a heart condition.

A licensed prescriber must consider:

The specific heart condition
Blood pressure
Recent chest pain
Previous heart attack or stroke
Current medications
Whether sexual activity is medically appropriate

Do not take the Men Wellness Troche with nitrates, including:

Nitroglycerin
Isosorbide mononitrate
Isosorbide dinitrate
Recreational nitrites or “poppers”

Combining nitrates with sildenafil or tadalafil can cause a dangerous decrease in blood pressure.

The Doctor’s Choice form screens patients for nitrates, blood-pressure medications, alpha blockers, heart disease, and recent heart-related events before provider review.

Anyone who develops chest pain after using the troche should call emergency services and tell the medical team exactly what was taken.

Is the Men Wellness Troche the Best ED Medication?

There is no single best ED treatment for every patient.

Some men respond well to sildenafil. Others prefer tadalafil. Some may benefit from a compounded combination troche. Other options may include:

Lifestyle changes
Counseling
Vacuum devices
Injectable medication
Hormone evaluation
Treatment of diabetes or cardiovascular risk
Other medical therapies

ED is treatable, but the underlying cause should be evaluated. It is not simply an unavoidable part of aging.

The Men Wellness Troche may be worth discussing when a patient wants the same three-core-ingredient approach found in Rugiet Ready with local pharmacist support.

What Is 10 Times Better or More Powerful Than Viagra?

There is no medication proven to be universally “10 times better” or “10 times more powerful” than Viagra for every patient.

Combination formulas may address more than one pathway, but additional medications do not guarantee a better erection. Higher doses may also increase side effects.

Doctor’s Choice does not need to promise “10 times stronger.”

The important distinction is that the Men Wellness Troche combines:

Sildenafil
Tadalafil
Apomorphine

This is the same three-medication concept used by Rugiet Ready, offered as a local California prescription option.

What Is the Best Arousal Pill for Men?

There is no universal best arousal medication.

Sildenafil and tadalafil primarily support blood flow. Apomorphine works through dopamine-related arousal signaling in the brain and is included in both Rugiet Ready and the Doctor’s Choice Men Wellness Troche.

Low desire or poor arousal may also be related to:

Low testosterone
Depression
Anxiety
Stress
Relationship concerns
Medication side effects
Poor sleep
Diabetes
Cardiovascular disease
Excessive alcohol

A personalized evaluation is more helpful than choosing a medication based only on advertising.

Can a 70-Year-Old Man Still Get an Erection?

Yes.

Many men remain sexually active in their 70s and beyond. ED becomes more common with age, but it is not considered an inevitable part of aging.

Older patients may be more likely to take heart, prostate, or blood-pressure medications. Careful medication screening is particularly important before using a combination ED troche.

What Do Chinese Men Use for Erectile Dysfunction?

There is no single Chinese treatment used by all men.

Men may use:

Standard prescription ED medication
Medical devices
Counseling
Lifestyle changes
Traditional remedies

The evidence, ingredients, purity, and strength of herbal or imported sexual-enhancement products may vary.

Avoid nonprescription products that promise immediate Viagra-like results without medical screening.

Can I Buy the Doctor’s Choice Troche One Time?

Yes.

Doctor’s Choice Pharmacy can dispense a one-time prescribed quantity. You are not required to join a national monthly membership.

The prescription must still be valid, and refills require prescriber authorization.

You may purchase:

One troche for $12
Ten or more for $7 each

Does Insurance Pay for the Men Wellness Troche?

Most compounded ED medications are paid for out of pocket, and insurance coverage is not guaranteed.

Rugiet states that Ready is usually an out-of-pocket expense because most insurance plans do not cover compounded medications. Rugiet indicates that HSA or FSA funds may be used, depending on the patient’s plan.

Doctor’s Choice patients may request a receipt for possible HSA, FSA, or insurance reimbursement, but reimbursement depends on the individual plan.

Is the Doctor’s Choice Troche a Monthly Payment?

No monthly membership is required.

Patients pay for the quantity prescribed and requested.

Future fills occur only when:

The patient requests them
Valid refills remain
The prescriber authorizes the refill

This may appeal to patients who want to begin with a smaller quantity without automatically enrolling in recurring national deliveries.

Is Rugiet a Monthly Payment?

Rugiet offers both 30-day and 90-day membership arrangements for patients who want recurring medication delivery. The company states that membership options are intended to provide savings for regular or bulk orders.

Patients should review the membership and cancellation terms before submitting an order.

Doctor’s Choice does not require this type of national membership for its Men Wellness Troche.

What Is the “Salt Trick” for Erectile Dysfunction?

The viral “salt trick” is not a recognized medical treatment for ED.

Do not replace an appropriate medical evaluation with:

Salt
Baking soda
Toothpaste
Honey mixtures
Unregulated supplements
Social-media remedies

Persistent ED may be associated with diabetes, vascular disease, medication effects, low testosterone, stress, or another treatable condition.

What Can a Wife Do to Help Her Husband With ED?

A supportive partner can help by discussing the concern without blame, embarrassment, or pressure.

Helpful approaches include:

Reassuring him that ED is common
Encouraging a medical evaluation
Avoiding pressure to perform immediately
Discussing intimacy beyond penetration
Helping him review medications and health conditions
Attending an appointment when he is comfortable
Supporting proper use of prescribed treatment
Considering couples or sexual-health counseling

The goal should be shared intimacy and communication—not turning every sexual encounter into a test.

How Can I Get a Firm Erection Quickly?

There is no treatment guaranteed to cause an immediate erection for every man.

For eligible patients, the Doctor’s Choice Men Wellness Troche is designed to dissolve under the tongue before sexual activity.

For the best chance of a response:

Use only the prescribed amount
Allow the troche to dissolve completely
Allow approximately 30 minutes
Limit excessive alcohol
Do not combine it with other ED medications
Include sexual stimulation
Address anxiety and relationship pressure
Manage diabetes and blood pressure
Avoid smoking
Discuss persistent ED with a healthcare professional

Never double the dose to make it work faster.

Is There a “Viagra for Women”?

Women should not use a man’s ED Combo Troche unless a licensed provider has specifically prescribed an appropriate treatment.

For women experiencing reduced sensitivity, decreased arousal, difficulty reaching orgasm, or reduced sexual pleasure, Doctor’s Choice Pharmacy offers a separate compounded prescription option called Scream Cream.

Scream Cream is a customized topical preparation applied locally before intimacy. It is designed to support genital blood flow, sensitivity, and arousal. The Doctor’s Choice page describes effects that may begin within approximately 30 minutes for some patients.

Scream Cream is not literally female Viagra and is not the same treatment as the Men Wellness Troche. It requires its own medical evaluation and prescription.

Learn more and start the Scream Cream process here.

No prescription? Doctor’s Choice can also assist eligible California women with the prescription process. The Scream Cream form allows patients to request provider assistance and submit information for review.

Doctor’s Choice: A Local Rugiet Alternative for California Men

The Doctor’s Choice Men Wellness Troche provides the same fundamental three-medication approach that has made Rugiet Ready popular:

Sildenafil
Tadalafil
Apomorphine
Under-the-tongue administration
Prescription-only access
As-needed dosing
A longer treatment window related to tadalafil
Support for both blood flow and arousal signaling

The Doctor’s Choice difference is local service.

You can speak directly with a real pharmacist. When you already have a provider, we can call or fax a prescription request on your behalf. When you do not have a provider, we may help connect you with a licensed California prescriber for an evaluation.

You do not have to pay to submit the initial form.

Start Here

Complete the Doctor’s Choice ED Troche Form.

After receiving your information, our team can:

Review whether you already have a prescription.
Contact your provider when authorized.
Explain prescriber-assistance options when needed.
Review medication pricing.
Explain pickup or delivery options.
Answer your questions directly.

No payment is required when submitting the form.

Follow Us for Free Trial Offers

Doctor’s Choice occasionally offers two free Men Wellness Troches to eligible patients with a valid prescription.

We offered this promotion for Father’s Day and are planning an End-of-Summer promotion for August 2026.

Follow Doctor’s Choice Pharmacy and watch for the official announcement. Promotional quantities may be limited and all prescription and safety requirements still apply.

You may begin the confidential process now:

Start here—no payment is required.

Contact Doctor’s Choice Pharmacy

Doctor’s Choice Pharmacy
639 N. 13th Avenue
Upland, CA 91786
Phone: 909-532-5588
Hours: Monday–Friday, 9 a.m.–5 p.m.

Important Safety Information

The Doctor’s Choice Men Wellness Troche requires a valid prescription and is not appropriate for everyone.

Do not use it with nitrates or recreational nitrites. Tell the prescriber about:

All prescription medications
Over-the-counter medications
Supplements
Heart conditions
Blood-pressure conditions
Recent heart attack or stroke
Kidney or liver disease
Vision or hearing conditions
Previous ED-medication reactions

Compounded medications are not FDA-approved as finished drug products. They do not undergo the same FDA premarket review for safety, effectiveness, quality, or therapeutic equivalence as FDA-approved commercial medications.

Individual results vary. Submitting a form does not guarantee a prescription. Promotional offers require medical eligibility, a valid prescription, and product availability.

This page is for educational purposes and does not replace advice from a licensed physician, pharmacist, or other qualified healthcare professional.