ED Treatment
Compounded sublingual sildenafil + tadalafil. Faster than pills, prescribed by a real physician.
Sildenafil / Tadalafil Sublingual Troche
A compounded sublingual troche containing 20mg sildenafil and 5mg tadalafil. Placed under the tongue 15–30 minutes before activity. Maximum one per 24 hours. Compounded by a licensed U.S. pharmacy — not an FDA-approved finished drug product.
What's included
- ✓Physician intake review within 24–48 hours
- ✓Compounded prescription shipped monthly
- ✓AI-assisted support 24/7
- ✓Cancel anytime, no questions asked
About this treatment
Erectile dysfunction is common and treatable. Our sublingual troche combines sildenafil and tadalafil — two well-studied PDE5 inhibitors — in a compounded form that dissolves under the tongue for faster absorption than standard oral tablets. A licensed physician reviews your health intake before any prescription is issued.
Your path to treatment
Create your Kaya account and complete your profile (name, address, date of birth).
Answer 10 health questions about your cardiovascular history, current medications, and symptoms.
A licensed physician in your state reviews your intake within 24–48 hours.
If approved, a prescription is sent to a licensed U.S. compounding pharmacy.
Your medication ships within 5–7 business days. Refills send automatically each month.
Common questions
How is a sublingual troche different from a pill?
The troche dissolves under your tongue, bypassing first-pass liver metabolism. This allows faster absorption compared to swallowed tablets. Onset is typically 15–30 minutes.
Is this safe if I take blood pressure medication?
Some blood pressure medications (particularly alpha-blockers) interact with PDE5 inhibitors. Your physician reviews all your current medications before prescribing. Nitrates are an absolute contraindication — if you take nitrates, you are not a candidate.
What if the physician does not approve my intake?
If the physician determines you are not a candidate, you will receive a note explaining the reason. No charge is made. You are encouraged to follow up with your primary care physician.
How do I cancel?
Log into your dashboard, go to Subscriptions, and click Cancel. No questions asked, no phone call required. If your current month's medication has already shipped, that shipment is non-refundable.
Important information
Compounded medications are not FDA-approved as finished drug products. A valid prescription from a licensed physician is required. Results may vary. Not all patients are eligible for this treatment. KayaRx is a technology platform and does not provide medical care directly — all consultations and prescriptions are handled by independent licensed physicians on our clinical partner's network.