Alternative options for ED often consist of using a class of drug called phosphodiesterase-5-inhibitors which includes sildenafil, tadalafil, and vardenafil. These drugs are often successful for those that have not had success with commercially available medication on the market.
Doses may also come in lozenge form, such as tadalafil lozenge and sildenafil lozenge. Sildenafil acts as soon as 30 minutes after the first dose, with a duration of 4-6 hrs (or up to a maximum of 12 hrs). Tadalafil has to be taken 30 minutes prior to intercourse, and has a longer duration with a maximum of 72 hrs.
Our pharmacists also specialize in Tri-mix and Quad-mix injections for ED and topical testosterone. Town & Country Compounding is trusted by men and their medical prescribers for addressing symptoms of low testosterone and ED.
Compounded Tri-mix, Bi-Mix or Quad Mix Injections
Customized dosage based on individualized needs.
Topical Testosterone Gel
We have a compounding gel base available that helps provide superior testosterone delivery in men.
Tadalafil troches (alternative for Cialis®)
Troches are scored and can be cut into quarters or halves.
Tadalafil Tablets (alternative for Cialis®)
Tadalafil 20mg, 5mg, or custom strengths = 30 count for $50
Sildenafil (Viagra® Alternative) Tablets
Sildenafil 50mg or 100mg tablets (or custom strengths), 30 count for $40
Sildenafil/Vardenafil (Viagra® Alternative) Troches/Lozenges
Troches are scored and can be cut into quarters or halves.
Good blood flow is essential for good erectile functioning, which may be enhanced with Nitric Oxide (NO) supplements.
Please contact us to have a Nitric Oxide (NO) test strip sent to you, to see if your levels of NO are sufficient.
Most people who test their levels are low! Because of this, we will send you a couple of strips when you purchase Nitric Oxide (NO) Supplements.
We help patients get results.
Quality products made right.
Education to help make the process as "normal" as possible
Yes. We compound personalized ED medications including sildenafil, tadalafil, vardenafil, and other forms tailored by your prescriber.
These are prescription ED medications made in customized forms (like troches, tablets, injections) based on your needs.
Yes — we compound sildenafil (Viagra® alternative) and tadalafil (Cialis® alternative) in tablets, troches, or other formats if prescribed.
Troches/lozenges dissolve in the mouth and can be easier to take or absorb than pills.
We offer penile injections (Tri-mix, Bi-mix, or Quad-mix) that may work when oral meds don’t.
Yes. Low testosterone can reduce libido and contribute to ED — we can compound topical testosterone and support hormone balance.
Supplements like nitric oxide support circulatory health — good blood flow is key to erectile function. We offer testing and supplementation options.
Yes — all compounded ED medications and injections require a prescription from your healthcare provider.
Yes — we tailor doses and formulations based on your health, response, and prescriber’s plan.
Speak with your healthcare provider to determine the best options and have them send a prescription to Town & Country Compounding.
At Town & Country Compounding, we do our best to work with the patient and the practitioner to offer alternative options.
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