The formula

Understand the ingredients. Then discuss the medicine.

The compounded sublingual formula combines oxytocin, sildenafil, and tadalafil. Treatment questions still require careful review of evidence, risks, interactions, and your health history.

What is in the formula

Sildenafil and tadalafil are PDE5 inhibitors, the drug class behind FDA-approved ED medications. Oxytocin is a naturally occurring hormone that is being studied in other contexts; its role in ED treatment is not established.

This compounded combination itself is not FDA approved. Ingredient history does not automatically establish a benefit for a compounded product.

What we will not promise

HRDR will not promise guaranteed performance, a permanent cure for erectile dysfunction, specific effects from the oxytocin component, or results within a set timeframe. Response to treatment varies from person to person.

Treatment is not appropriate for everyone — including anyone who takes nitrate medications or has certain cardiovascular conditions. Any future benefit statement must match reliable evidence for the offered formulation, route, dose, and patient population.

The treatment decision

Review your full history

Include medications, allergies, heart health, conditions, and prior care.

Discuss risks and options

Understand known risks, interactions, alternatives, and follow up.

Decide with a clinician

Proceed only if a licensed clinician finds treatment appropriate.

Compounded drug disclosure

Compounded sublingual oxytocin / sildenafil / tadalafil is not FDA approved. FDA does not review compounded drugs for safety, effectiveness, or quality before marketing.

A compounded drug may be considered when a licensed prescriber finds that a patient specific need cannot be met by an available FDA approved drug. Compounding does not make a product equivalent to an FDA approved medicine.

Common questions

How do sildenafil and tadalafil work?

Both are PDE5 inhibitors. They support increased blood flow in response to sexual stimulation and are the active ingredients in FDA-approved ED medications. In a compounded combination, their effect for a specific patient is determined case by case by a licensed clinician.

What does oxytocin add to the formula?

Oxytocin's role in treating erectile dysfunction is not established. HRDR does not claim that oxytocin will improve intimacy, arousal, or performance. Ask a clinician what evidence applies to your situation.

What strength or dose would I receive?

The specific formulation and strength are determined by your clinician during the medical review, and the dispensing pharmacy is disclosed before any medication charge.

Who decides whether I qualify?

A clinician licensed in your state makes that decision after the required medical evaluation. A questionnaire cannot approve treatment by itself.