Sildenafil (short half-life, rapid onset) and tadalafil (long half-life, extended window) inhibit PDE5 through complementary pharmacokinetics. Compounded gummies at 40 mg sildenafil / 10 mg tadalafil deliver Rugiet-style dual action in a single edible dose taken 30 to 60 minutes before activity.

Combining PDE5 inhibitors increases side-effect risk (headache, hypotension, flushing) versus single-agent dosing. Absolute contraindication with nitrates. Not FDA-approved as fixed combination. Food delays sildenafil absorption less with gummy format than tablets for some patients.

CLYR Health offers sildenafil + tadalafil gummies as a preview sexual health SKU.