SYNnow
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Compounded ED therapy · prescribed in all 50 states

The pill
isn't the only
answer.

SYN Now compounds Tadalafil and Sildenafil into rapid tablets, troches, emulsions, and nasal sprays — formats that work the way you live. Reviewed by a licensed provider. Shipped from a 503A pharmacy.

Start your visit $25 visit · cancel anytime
LegitScript verified HIPAA secure 503A pharmacy 50-state shipping
hero · clinical-editorial still life
Most chosen this week
Rapid-dissolving tablet · Tadalafil + Sildenafil
$89/mo
01 — Choose a format

Five ways to take it.
One way to feel ready.

Same active ingredients you've heard of — Tadalafil, Sildenafil — compounded into formats with different onset times, dosing flexibility, and discretion.
RDT · stillMost popular
Onset 12–18 min
Rapid-dissolving tablet
Dissolves under the tongue. Skips the stomach for faster onset.
$89/mo
TRO · still
Onset 18–25 min
Troche
Lozenge that dissolves between cheek and gum over 5–10 minutes.
$79/mo
EML · still
Onset 15–20 min
Oral emulsion
Liquid drops, dose-flexible. Take alone or in a drink.
$95/mo
CMB · still
Onset 30–45 min
Combo capsule
Daily low-dose Tadalafil with on-demand Sildenafil rescue.
$119/mo
NSL · stillNew
Onset 8–12 min
Nasal spray
Fastest onset. Bypasses GI tract entirely.
$129/mo
02 — How it works

Built like telehealth should work.

STEP 01
Tell us what you need
Five-minute medical questionnaire. Honest, judgment-free, encrypted end-to-end.
STEP 02
A licensed provider reviews
A clinician in your state reviews your case — typically within 4 business hours. No video appointment unless asked.
STEP 03
Compounded for you
Approved scripts go to our 503A partner pharmacy. Tablets, troches, emulsions made to your specific dose.
STEP 04
Discreet shipping. Refills.
Plain-box delivery in 2–4 days. Adjust your dose, pause, or cancel anytime from your dashboard.
lab · pharmacist compounding
03 — The science

"Compounding lets us match the molecule to the moment. A 6 mg sublingual tablet hits faster than a 50 mg pill — and at a fraction of the systemic load."

portrait
Dr. Marisol Adeyemi, MD
Medical Director, SYN Now · Board-certified Urology
04 — How we compare

Worth comparing.

FACTOR
SYNnow
Generic-only telehealth
Local pharmacy
Onset speed
8–25 min
30–60 min
45–90 min
Dose flexibility
Custom
Fixed
Fixed
Visit fee
$25
$30
$0–$50
Monthly from
$79
$110
$70
Compounded formats
5 options
1 (tablet)
1 (tablet)
Refill turnaround
2–4 days
7–10 days
5–14 days
05 — In their words

4.8 from 12,400 patients

"The nasal spray works in under ten minutes. That alone changed everything for me."
Marcus, 41 · Austin, TXNasal spray
"I'd given up on the pills — they made me red and stuffy. The troche has none of that."
Devin, 38 · Brooklyn, NYTroche
"I dose down to 25 mg sildenafil for date nights. Couldn't do that with the standard 50."
R.M., 52 · Denver, COEmulsion

Ready when you are.

$25 visit. Free shipping. Cancel anytime.

Start your visit
SYNnow
Compounded ED · 50 states

The pill
isn't the
only answer.

Tadalafil and Sildenafil compounded into rapid tablets, troches, emulsions, and nasal sprays.

Start your visit
$25 visit · cancel anytime
hero · still life
01 — Formats

Five ways
to take it.

RDT · product
Rapid-dissolving tablet
Onset 12–18 min
$89
TRO · product
Troche
Onset 18–25 min
$79
EML · product
Oral emulsion
Onset 15–20 min
$95
CMB · product
Combo capsule
Onset 30–45 min
$119
NSL · product
Nasal spray
Onset 8–12 min
$129
LegitScript verified HIPAA secure 503A pharmacy 50-state shipping