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    Used for many years as a drug delivery system, a troche is a small lozenge that simply dissolves between your gum and cheek. The medication is directly absorbed through the mucus membrane of the mouth. This delivery method helps to avoid the medication going through the digestive process. Troches are carefully prepared in compounding pharmacies to meet specific patient needs. At Lakeview Compounding Pharmacy, we offer two alternative strengths, 8.5mg or 17.5mg. Upon request, we can compound other Tadalafil strengths if needed. It usually takes between 15-30 minutes for the troche to dissolve. Place troche in mouth and gently push the troche as deep as it will go between the gum and cheek. Both Erectile Dysfunction medications are taken as needed for sexual activity and work within 30-60 minutes after taking. Prescription Compounded Tadalafil is Now Personalized For You Tadalafil (Cialis), a vasodilator that increases blood flow, is classified as a PDE5 inhibitor, and may be prescribed to treat sexual impotence (erectile dysfunction) and an enlarged prostate also known as benign prostatic hyperplasia (BPH). Similarly, tadalafil under the name of Adcirca, is indicated for the treatment of Pulmonary Arterial Hypertension (PAH), or high blood pressure in the lungs to improve exercise capacity. Erectile dysfunction is the condition where the male penis does not harden and expand when a man is sexually aroused, and the inability to maintain an erection. Tadalafil appears to restrain certain enzymes and allows increased blood flow into the penis. The increased blood flow helps maintain erections longer. Tadalafil typically will not cause a erection without sexual stimulation. Patients who struggle with an enlarged prostate (BPH), have difficulty while urinating.

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