Dual-action chew

Take Dual-action chew only as directed by your prescribing physician and pharmacy label. Each troche contains sildenafil 45 mg and tadalafil 6 mg. The listed directions are to dissolve one troche 30 minutes before activity, with a maximum of one per day. Never take extra for a stronger effect.

Use Dual-action chew exactly as your prescribing physician and pharmacy label direct. Although the product is called a chewable troche, its listed directions say to dissolve one troche 30 minutes before activity. Do not assume you should chew or swallow it whole. Ask the pharmacy if the instructions are unclear.

Dual-action chew is listed for use before sexual activity, so there is usually no scheduled dose to miss. Follow your prescribing physician and pharmacy label. Do not take a catch-up dose or double the amount. If you are unsure when another dose is allowed, ask your physician or pharmacist.

Dual-action chew may cause headache, flushing, stuffy nose, indigestion, dizziness, back pain, or muscle aches. Its two ingredients can also lower blood pressure. Get urgent help for an erection lasting more than four hours, chest pain, fainting, or sudden vision or hearing changes. Tell your physician about bothersome side effects.

Do not use Dual-action chew with nitrates, recreational “poppers,” or riociguat. These combinations can cause dangerous drops in blood pressure. Other erection medicines, some blood pressure medicines, and certain antibiotics or antifungals may also interact. Have your physician review all medicines, supplements, alcohol use, and recreational substances before treatment.

Store Dual-action chew according to the pharmacy label, including any temperature limits and its beyond-use date. Keep it in its original packaging, away from children and pets. Do not assume it needs refrigeration. Ask the dispensing pharmacy what to do if the troches melt, change appearance, or face extreme temperatures.

The listed directions for Dual-action chew are to dissolve one troche 30 minutes before activity, but this does not guarantee an effect by that time. Results vary. Follow your prescribing physician and pharmacy label. Sexual stimulation is needed, and you should not take an extra dose if the effect seems delayed.

When used as needed for erections, Dual-action chew generally does not require a gradual dose reduction. Tell your prescribing physician if you want to stop, especially because of side effects or poor response. Results vary. Do not replace it with another erection medicine without guidance on timing and safety.

Switch to Dual-action chew only with guidance from your prescribing physician. Share the name, dose, and time of your last erection treatment, including daily tadalafil or injections. Do not overlap treatments or choose your own waiting period. A licensed physician in your state decides whether this combination is appropriate.

The current price for Dual-action chew is shown on the treatment page. Plan options are monthly, a 3-month plan with 15% off billed monthly, or a 6-month plan with 25% off billed monthly. Medication is charged only after physician approval. Visit fees are separate and are non-refundable.

Members of Verra+ receive 20% off medications, and online visits are included. Check the Dual-action chew treatment page for the current medication price. Membership costs $29 monthly or $249 annually. Member video visits cost $49. Do not assume membership and plan discounts combine; confirm the total before ordering.

Dual-action chew is compounded to order by a partner pharmacy and shipped to you after physician approval. Expedited shipping is available for $20. Preparation and delivery times can vary, so confirm the current estimate before ordering. Verra is available in all 50 states and DC; some visits require video.