Tadalafil / Apomorphine HCl troche
The unit as dispensed holds twice the approved on-demand ceiling; the safety margin is the patient cutting it correctly.
Something sits outside an approved envelope — a dose above the ceiling, an ingredient with no approval for this use, or a dosing schedule the drug has never been licensed for. Not a claim that the product is unsafe; a claim that the decision needs someone who can see your blood pressure.
- Price
- Price not published
- Verdict
- Not without a physician
- Sourcing
- Read at source
- Last checked
- 2 August 2026
Read this first
We are a competitor of the companies reviewed on this page. That is a conflict of interest and you should read everything here with it in mind. What we can offer against it: every factual claim is drawn from the company's own published material and linked, every clinical criticism applies equally to us where it applies, and no assessment on this page is for sale — the one company we carry advertising for, CoreAge Rx, is graded at our lowest tier in its own review, and those placements are labelled wherever they appear.
A troche containing double the approved maximum on-demand dose of tadalafil, dispensed whole, with instructions to take half of it.
What the company states
- Contents
- “Each troche contains 40 mg tadalafil and 6 mg apomorphine HCl.”
- Stated dose
- “The customary initial dose is one-half troche (20 mg / 3 mg) placed buccally 15-30 minutes before anticipated sexual activity.”
- Approved tadalafil ceiling
- 20mg is the maximum approved on-demand dose
- Facility
- 503A compounding pharmacy
- FDA status
- “Compounded drug products are not FDA-approved and have not been evaluated by the FDA for safety or efficacy.”
Our assessment
Read the two figures together. A single troche contains 40mg of tadalafil. The approved maximum on-demand dose of tadalafil is 20mg. The instruction is to take half a troche.
So the intended dose is defensible — 20mg on-demand is exactly the approved ceiling — but it is only reached if the patient correctly halves a lozenge every time. Take a whole one, whether by misreading the label, by assuming a unit is a dose, or because it is dark and you are in a hurry, and you have taken double the approved maximum.
That is a design decision worth naming. Approved products handle this by putting one dose in one unit, which is why tablets come in 5, 10 and 20mg rather than in 40mg tablets you are trusted to bisect. Placing a 2× dose in a single lozenge shifts a safety margin from the manufacturing process onto the patient, at the moment he is least likely to be reading carefully.
The apomorphine is the same 6mg-per-troche arithmetic — 3mg intended, which sits inside the 2 to 3mg range at which sublingual apomorphine was licensed in Europe for this exact indication. Empower describes it accurately as a centrally acting dopamine agonist working on hypothalamic D2-like receptors, which is a more precise account of the mechanism than most sellers offer. It is not approved for erectile dysfunction in the United States, so its use here is off-label, and nausea is its characteristic dose-limiting effect. It is not the reason this entry is graded where it is — the 40mg of tadalafil in a single lozenge is.
Credit where it is due on transparency. Empower states its regulatory basis, names its section of the Act, publishes exact strengths, and says plainly that safety and efficacy have not been evaluated by the FDA. Compare that with [products sold direct to consumers](/rocket-rise-reviews) that will not tell you the milligrams at all. This is a pharmacy behaving like a pharmacy.
The distinction that matters for a reader: this is a preparation dispensed on a specific prescriber's order, not a subscription product marketed at you. If your physician has a reason to want tadalafil and apomorphine in a buccal troche, this is a legitimate way to obtain it. If you found it through a search and are wondering whether to ask for it, the honest answer is that [approved tadalafil](/generic-sildenafil-tadalafil-reviews) does the PDE5 half at a dollar a tablet and the other half has no approval behind it.
Reasonable for
- Patients whose own physician has specifically prescribed this formulation and explained the halving
- Men who cannot swallow tablets and have a prescriber managing the dose deliberately
Not for
- Anyone taking nitrates in any form
- Anyone who would find it easy to take a whole troche by mistake
- Men who have not established that an approved single-molecule tablet fails them first
Important
The information on this website is provided for general education and does not constitute medical advice, diagnosis, or treatment. Erectile dysfunction can be the first sign of cardiovascular disease, diabetes, or hormonal disorders. Always consult a licensed physician about your individual circumstances, and never start, stop, or change a prescription based on what you read here.
If you want the other thing
A diagnosis, rather than a subscription.
If you have already been assessed and just need a refill, this may serve you well. If nobody has taken your blood pressure in years, that is the appointment to make.