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

Our strongest dual-action formula

Tadalafil 20mg + sildenafil 70mg in one rapid-dissolve tablet — the fast onset of sildenafil with tadalafil's long window.

Formula: Tadalafil 20mg / Sildenafil 70mg
From $145 for 6 doses
$1456 doses · ~$24/dose
$19012 doses · ~$16/dose
$24018 doses · ~$13/dose
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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 brings rapid onset; tadalafil extends the effective window up to 36 hours.

Rapid-dissolve delivery

ODT tablets absorb through the mouth — faster than swallowed pills and no water needed.

Maximum-strength option

Designed for men who haven't gotten results from 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 cover both ends.
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. 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.

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Sexual Health — Men

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