From $54/mo with a 3-month plan A licensed provider reviews your intake and decides whether it's appropriate for you. Your provider picks your starting dose and adjusts it as you go.
Made by a licensed compounding pharmacy. Compounded medications are not FDA-approved.
100% online visit
Licensed providers in all 50 states
Ships in plain packaging
Message your care team anytime
How getting sildenafil + tadalafil works
Tell us about your health. A short online intake: your history, medications and goals.
A licensed provider reviews it. They decide whether it's right for you and set your dose.
Treatment ships to you. In plain packaging. Track it, and message your care team, from Care.
What it is
Combines sildenafil's faster onset with tadalafil's longer window, in a dissolving tablet or troche.
How it works in the body
Both improve blood flow during arousal; together they cover the first hours and the following day.
What to expect
15–45 minutes: Dissolving forms tend to start faster than swallowed pills.
May be a good fit if
Single PDE5 inhibitors weren't enough
You want both speed and a long window
Probably not for you if
Taking nitrates
Recent heart attack or stroke
Very low blood pressure
Doses your provider can prescribe
Sildenafil/Tadalafil 55/11MG
Sildenafil/Tadalafil 110/22MG
Sildenafil/Tadalafil
Common side effects
Headache
Flushing
Stuffy nose
Back aches
Safety
A licensed provider reviews your intake and decides whether it's appropriate for you.
Made by a licensed compounding pharmacy. Compounded medications are not FDA-approved.
This isn't a full list. Your provider reviews your history and medications before prescribing.
Know it's working
Membership with Atlas. See how treatment is moving your labs, wearables and daily habits.
Common questions
Is combining safe?
Combined low doses are prescribed by providers when appropriate; never combine products on your own.