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Sexual Health — Men · Rapid-dissolve tablet (as-needed)

A dual-PDE5 formula available if prescribed

Tadalafil 20mg + sildenafil 70mg in one rapid-dissolve tablet — combining sildenafil and tadalafil in a compounded formula when prescribed by a licensed provider.

Formula: Tadalafil 20mg / Sildenafil 70mg
From $145 for 6 doses
$1456 doses · ~$24/dose
$19012 doses · ~$16/dose
$24018 doses · ~$13/dose
Start Assessment — prescription only if appropriate
U.S.-licensed providers HIPAA-secure Free discreet shipping Ongoing care included
Mach 1 product photo
Why Mach 1

What this treatment offers

Two PDE5 inhibitors, one tablet

Sildenafil is commonly used before sexual activity; tadalafil may remain active for up to 36 hours. Your provider will determine whether this combination is appropriate.

Rapid-dissolve delivery

ODT tablets are designed to dissolve in the mouth without water.

Combination option

A provider may consider this for men who have discussed prior response to single-ingredient treatments.

Discreet packaging

Ships in plain packaging in 6, 12, or 18-dose supplies.

How it works

Care without the waiting room

01

Start your assessment

A 5-minute online health questionnaire — no appointment, no waiting room.

02

Provider review

A licensed provider in your state reviews your history and prescribes if appropriate.

03

Pharmacy ships direct

Your medication ships from a licensed U.S. pharmacy in discreet packaging.

04

Ongoing support

Message your care team anytime. Dose adjustments and refills handled online.

FAQ

Mach 1 questions

Why combine tadalafil and sildenafil?
They're complementary: sildenafil acts quickly but briefly; tadalafil takes longer to peak but lasts far longer. Together, they may offer a different timing profile when a provider determines the combination is appropriate.
Is a combination right for me?
Your provider reviews your health history and prior treatment response. Many men start with a single-ingredient option first.
Important safety informationMach 1 is available by prescription only after evaluation by a licensed provider. Compounded medications are prepared for individual patients by licensed pharmacies and are not FDA-approved products. Common side effects of sildenafil and tadalafil may include headache, flushing, dizziness, upset stomach, nasal congestion, back pain, muscle aches, vision changes, and changes in blood pressure. Do not use PDE5 inhibitors with nitrates. Tell your provider about all heart medications and blood-pressure medications before use. Tell your provider about all medical conditions and medications during your assessment. Individual results vary. This page is educational and is not medical advice.

Ready when you are

Your assessment takes about 5 minutes. A licensed provider takes it from there.

Start Assessment — prescription only if appropriate
Sexual Health — Men

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Start Assessment