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Kormiia™

Sildenafil and tadalafil in one compounded preparation, made for you by our licensed pharmacy.

Molecules
Sildenafil + tadalafil
Form
Compounded preparation, strength set by your prescriber
Taken
As directed by your prescriber
FDA status
Not FDA approved. Compounded under Section 503A for an individual prescription
Made by
Our licensed California compounding pharmacy
Available
Only with a prescription written for you
Rx required. Prescription products require an online consultation with a California-licensed healthcare provider who will determine whether a prescription is appropriate. Compounded medications are not FDA approved.

How it works

In plain terms.

Kormiia™ pairs a fast-onset PDE5 inhibitor (sildenafil) with a long-acting one (tadalafil) in a single preparation. There is no FDA-approved product that combines the two, which is why it is compounded: a pharmacist prepares it for your prescription, at the strength your prescriber chooses.

How to take it

  • Take exactly as your prescriber directs; the strength and timing are set for you.
  • Never combine it with another PDE5 inhibitor.
  • The nitrate and riociguat warnings apply in full.

What to expect

  • Onset similar to sildenafil; duration extended by the tadalafil component.
  • Because it is made for you, your prescriber can adjust the strength between fills.
  • Compounded products are not tested by the FDA. Your prescriber and pharmacist will discuss what that means before you start.

Not for

  • Anyone taking nitrates or riociguat.
  • Men whose doctor has advised against sexual activity because of heart problems.
  • Anyone under 18, and women.
  • Anyone who would rather use an FDA-approved product; sildenafil and tadalafil are available.

Important safety information

Read before you start. Your prescriber reviews the full profile with you.

Sildenafil and tadalafil (including Kormiia™)

Sildenafil and tadalafil are PDE5 inhibitors. Kormiia™ is a compounded combination of the two prepared by our licensed compounding pharmacy; compounded drugs are not FDA approved. FDA-approved generic sildenafil and tadalafil are also available by prescription.

  • Do not take with nitrates (nitroglycerin, isosorbide, or recreational "poppers") or with riociguat. The combination can cause a sudden, unsafe drop in blood pressure.
  • Tell your prescriber about alpha-blockers, other blood-pressure medications, and any heart condition. Sexual activity puts extra strain on the heart; ask whether it is safe for you.
  • Seek emergency care for an erection lasting more than 4 hours, or for sudden loss of vision or hearing.
  • Common side effects: headache, flushing, upset stomach, nasal congestion, back or muscle pain (tadalafil), temporary blue-tinted vision (sildenafil).
  • Not for use by women or anyone under 18. Do not use with other ED medications.

This is not a complete list of side effects, warnings, or interactions. Read the full prescribing information or medication guide, and talk to your prescriber or pharmacist. Report side effects to the FDA at 1-800-FDA-1088.

Kormiia™ is a trademark of its owner. Compounded medications are not FDA approved.

Request a consultation

Tell us how to reach you and we'll send a secure link to your medical intake. Please don't include health information in this form.

There's no charge to request a consultation. A California-licensed prescriber reviews your intake before anything is prescribed.

Prefer to talk? Call (714) 215-4740, Mon to Sat 9 am to 7 pm Pacific.

By submitting this form you confirm you are 18 or older and consent to be contacted about a telehealth consultation. This does not create a patient-provider relationship and does not guarantee a prescription. Telehealth services are available in California only. See our Notice of Privacy Practices and Terms of use.

Questions about Kormiia™

Anything else, call (714) 215-4740.

Why compounded instead of two separate tablets?

Convenience and a prescriber-set ratio in one dose. Some patients prefer it; some prefer the FDA-approved generics. Both are offered and your prescriber will explain the trade-off.

Is it tested?

Compounded preparations are prepared under California Board of Pharmacy and USP standards by a licensed pharmacist. They are not reviewed or approved by the FDA, and we say so everywhere it appears.

Can I get it without the consultation?

No. Every compounded medication is prepared for a named patient from a prescriber's order.

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