Interaction charts on this desk are for reading, not for writing a prescription or filling a bottle. Open the orbit disclaimer
Orbit · PDE5 combo orbit
Last reviewed · 12 min read · Updated
Orbit card
| Onset | Sildenafil-fast if not after a heavy meal |
|---|---|
| Duration | Tadalafil tail toward ~36 h |
| Food | Fat delays the sildenafil half |
| Alcohol | Dual vasodilation - keep intake modest |
Combo questions on Laugavegur: Is this PE? Can I add Cialis? Which nitrate clock? Why the headache after one tablet?
No. This strip is sildenafil 100 plus tadalafil 20. Neither INN is dapoxetine. Vendor pages that sell Sildalist 120 as a PE pill are mixing it with Super-P-Force (sildenafil plus dapoxetine) or with tadalafil-dapoxetine names such as Super Vidalista. Wrong API story, wrong indication.
PDE5 drugs can change erection quality. They do not replace a serotonergic PE medicine. If PE is the actual problem, this combo is the wrong object and still carries a stacked hypotension grid.
Caelum locks 120 as 100/20 literacy. We do not invent a combo dollar. There is no US NDC for this pair. If a receipt printed PE beside 100/20, strike PE and write both INNs before anyone quotes a hold.
Sildalist identity card
A high-fat meal delays and lowers the sildenafil peak. The tadalafil half is much less meal-sensitive. The couple waits ninety minutes, decides the combo 'failed,' and adds a leftover Cialis. That is a third PDE5 on a night that already had 20 mg tadalafil plus 100 mg sildenafil.
Alcohol plus two vasodilators is a hallway-faint pattern. Modest drink plans are not optional flavor text.
Clock drills for the pair sit on the Sildalist dual trace. Split-tablet talk sits on the combo orbit trace.
Some product pages still call Sildalist 120 a dual-action PE and ED tablet. The API list on the same page often says sildenafil and tadalafil only. That contradiction is the literacy point. PE claims are false for this combo because dapoxetine is not there.
A person who wanted PE then swallows two PDE5 drugs, skips a PE workup, and still has a forty-eight-hour nitrate hold. The shop got a sale. The chart got a worse pair.
If PE and ED both exist, a clinician can plan them separately. They do not start with an unapproved 100/20 export and a fake PE sentence.
Keep Super-P-Force and dapoxetine names on a different mental shelf. This orbit will not counsel those tablets.
Both INNs use CYP3A4. A strong inhibitor raises sildenafil toward the 25 mg / 48 h world and tadalafil toward the 10 mg / 72 h world. Sildalist 120 is 100 plus 20 - above both caps in one swallow.
Paxlovid, ritonavir, ketoconazole, and itraconazole are reasons to keep this strip out of the drawer. There is no labeled 'half Sildalist' that satisfies both trims.
Inducers can flatten both halves. Failure is not a reason to add a fourth brand from the suitcase.
Caps the combo ignores
Sildenafil's half-life is about four hours. Tadalafil's is about 17.5 hours. Together you get an early peak from the 100 mg sildenafil half and a long tail from the 20 mg tadalafil half. Emergency nitrate timing must follow the longer agent: forty-eight hours, not twenty-four.
Both Cialis and Viagra labels tell patients not to take other ED treatments with the tablet. A fixed combo removes the chance to titrate one INN at a time. Headache, flushing, back pain, and hypotension can add rather than average.
Riociguat is contraindicated with either INN. The combo does not create a middle path.
Two PDE5 inhibitors in one tablet raise the theoretical load on the same cGMP path. Priapism remains uncommon and remains an emergency. Four hours is 112. Hematologic risk still matters.
A delayed sildenafil peak after dinner plus an already-present tadalafil half is how a 'finally worked' night turns into a urology transfer.
Do not add intra-cavernosal therapy or another oral PDE5 because the combo felt late.
Say sildenafil 100 milligrams and tadalafil 20 milligrams. Say the hour. Say there is no dapoxetine. Strike PE if a shop wrote it on the receipt.
Sildalist alone is a silent string. Two INNs fire two rows. That is the whole point of this orbit.
If the foil disagrees with 100/20, stop using this page as the map. Identify the tablet first.
Mail to [email protected] is for published-number fights, not for a remote OK to swallow a stack.
Chest pain: say both INNs and the hour. Keep nitrates off for forty-eight hours if tadalafil was in the tablet.
Erection past four hours: 112. Two PDE5 drugs do not make that delay optional.
Sudden vision or hearing change: stop. Do not switch to a 'single-ingredient' export the next night as a test.
Export copy sells 'fast plus long.' That sentence is advertising, not a registration trial that justifies fixed 100/20 for Western formularies. Major guidelines titrate one PDE5.
Removing titration control is the clinical cost. You cannot keep tadalafil 20 and drop sildenafil to 25 mg on this strip. You cannot keep sildenafil 50 and drop tadalafil to 5 mg.
Centurion-style listings appear often. Manufacturer art is not an EMA or FDA combo approval.
Tadalafil has clearer renal and Child-Pugh trims than a casual export combo admits. Sildenafil has its own hepatic start-dose caution. Sildalist 120 locks both halves at ceiling-ish numbers - 100 and 20 - so you cannot honor a 10 mg tadalafil cap without also swallowing 100 mg sildenafil, or the reverse.
That is why monotherapy exists. A clinician who needs a trim picks one INN and one milligram. They do not quarter a souvenir.
Older adults with stale creatinine and two antihypertensives are the worst match for a first-ever 100/20 swallow. Standing numbers and a single-INN plan are the safer first week.
If liver disease is known, keep this strip out of the drawer until a specialist says otherwise. Child-Pugh C plus tadalafil is already a stop on the INN label.
Dapoxetine is a short-acting SSRI used in some regions for PE. It has its own pairing list - other serotonergics, syncope, alcohol. Sildalist 120 does not include it. Taking this strip for PE adds two vasodilators and treats the wrong target.
If a carton says Sildalist Super or a similar extra word, read every INN line. Do not assume the 120 you memorized. This orbit is only the 100/20 pair.
Counseling that 'longer erection helps PE' is not a substitute for a PE workup. It is how people collect priapism risk and a false indication.
| Name people confuse | Typical APIs | This orbit |
|---|---|---|
| Sildalist 120 | Sildenafil 100 + tadalafil 20 | Yes - our lock |
| Super-P-Force | Sildenafil + dapoxetine | No - different product |
| Super Vidalista-type | Tadalafil + dapoxetine | No |
| Cenforce / Fildena / Suhagra | Sildenafil only | Sister orbits, one INN |
Two PDE5 drugs plus alcohol plus heat is a hallway-faint pattern. Reykjavik spa weekends after a Sildalist 120 are how 'unknown Indian combo' reaches 112.
Modest drink plans are the counseling line. A tasting flight is not modest. A long hot pot is not a recovery plan for a delayed sildenafil peak.
Next-day back ache can be tadalafil. Next-day chest pain is not. Keep the forty-eight-hour nitrate hold even if you 'feel fine' Sunday.
If you already combined all three, sit, cool down, and do not add a fourth vasodilator. Syncope or chest pain is 112.
Caelum will not invent a Sildalist dollar. There is no US combination NDC for sildenafil plus tadalafil. Nearest cash lives on the separate generic boards - see the sildenafil and tadalafil orbits - not on a fake combo coupon.
Pharmacy links below are literacy only. Ask the window for the prescribed single INN, not for this blister.
| Pharmacy | Strength / count | Orbit note | Official page |
|---|---|---|---|
| Costco | Ask combo blister | US window may only stock the generic INN | Costco pharmacy |
| Giant Food | Ask combo blister | No invented brand coupon | Giant Food pharmacy |
| Albertsons | Ask combo blister | Nearest cash sits on the generic orbit | Albertsons pharmacy |
| Publix | Ask combo blister | Export blister literacy only | Publix pharmacy |
Both INNs, 100 and 20, the hour, the meal, standing dizziness, headache, next-day back ache, and any PE claim a shop printed. Strike the PE line in the note if it appeared. There is no dapoxetine here.
Nitrate hold: forty-eight hours. Alpha-blocker name. CYP3A4 partners. No third PDE5. That is the pairing packet.
If the foil is not 100/20, this page is the wrong map. Identify first.
A clinician may switch you to one INN after that week. That is the usual labeled path. Caelum charts the stack; it does not bless a second swallow.
Tadarise 20 plus Sildalist 120 is 40 mg tadalafil plus 100 mg sildenafil if both cores are real. Suhagra 50 plus Sildalist is 150 mg sildenafil plus 20 mg tadalafil. Those are not rescue plans.
Daily tadalafil 5 mg plus a Sildalist 'weekend boost' is the same stacking error as adding Cialis 20 on top of daily Cialis.
If one combo tablet failed, look at meal, stimulation, counterfeit risk, and partners. Do not add INNs.
Tadalafil 20 mg can still matter the next evening. Sildenafil 100 mg is mostly gone. The person feels 'normal' Sunday morning and takes a nitrate or a second PDE5. The tadalafil half is still the problem.
Once per twenty-four hours is the frequency cap for each INN on its own label. The combo does not earn a second swallow because Saturday felt uneven.
Back ache the next day is a known tadalafil pattern. New chest pain is not 'just the tail.' 112 if you are unsure.
Write last-dose hour on a card. Dual clocks are how people lose the hold.
Sildalist 120 is a pairing problem with a naming problem. Write sildenafil 100 mg and tadalafil 20 mg. Strike PE from the indication line. Keep dapoxetine products on their own shelf in your head.
Confirm any plan with the clinician who owns the chart. Caelum charts the stack. It does not endorse it and does not sell it. If PE is the real complaint, this 100/20 strip is still the wrong object.
Checked against the current label and reviewed by Dr. Ingrid Bergsson. See Lift, Chart, Peer-pass, Publish.
Sildalist 120 pairing thread, Laugavegur 28, 21 August 2026. Dual PDE5 literacy - not a PE clinic. 112 for chest pain, collapse, or erection past four hours. [email protected] for source disputes.
Magni R., Reykjavik Site said Sildalist 120 helps premature ejaculation. True?
False for this combo. Sildalist 120 is sildenafil 100 mg plus tadalafil 20 mg. No dapoxetine. PE ads are borrowing a different product family's story. You still get two PDE5 drugs and a forty-eight-hour nitrate hold. If PE is the problem, this tablet is the wrong tool and a stacked pairing risk. Ask a clinician about actual PE options; do not swallow a dual PDE5 to chase a shop headline.
Hildur B., Akranes Website priced Sildalist 120 below generic Viagra. Real deal?
We will not invent a combo dollar. There is no US NDC to compare. A price that undercuts single-INN generic boards plus a PE headline is a literacy and counterfeit flag. Fill the prescribed single INN at a licensed window.
Arnar T., Reykjavik Back pain the next day. Is that the tadalafil half?
Delayed myalgia and back ache are well described with tadalafil and can show up many hours later. That fits the 20 mg half better than a new spine emergency in many charts - but new focal weakness or chest pain is still urgent care. Do not take a second combo tablet to 'push through' ache. Hydration and time, then tell the prescriber.
Frosti P., pharmacy intern Admission says Sildalist. Which nitrate clock?
If the foil is 100/20, use the tadalafil clock: forty-eight hours. Re-enter both INNs so both alerts fire. Ask last-dose hour. If the foil is unreadable, treat as unknown dual PDE5 - no nitrates, no extra ED tablet - and identify the product.
Marta S., Gardabaer Dinner was heavy. Add Tadarise 20 because Sildalist felt slow?
No. The sildenafil half is what dinner delays. The tadalafil 20 mg is already in the tablet. Adding Tadarise 20 doubles that half. Wait. Read the dual trace. If it still fails on a lighter night, look at supply and a single-INN plan with a clinician.
Einar V., Isafjordur Daily Cialis 5 mg. Sildalist 120 on Saturday only?
That stacks 5 mg daily tadalafil under another 20 mg tadalafil plus 100 mg sildenafil. It is the same class of error as a weekend Cialis 20 on top of daily Cialis. Do not. If daily 5 mg is flat, the prescriber changes the daily plan or switches strategies - they do not add a combo blister.
Runa M., Keflavik Can I use Sildalist 120 for pulmonary hypertension?
No. PAH tadalafil and PAH sildenafil use different dose maps under specialist products. A 100/20 ED export combo is not Adcirca and not Revatio. Do not freelance pulmonary therapy.
Oliver C., Mosfellsbaer Partner wants one tablet 'for both of us' - I have ED, she has no script.
Do not share. These INNs are not indicated as a couple's PE or mood tablet. She would get two vasodilators with no screen. You would lose track of who swallowed the last dose when a nitrate question appears. Separate people, separate charts.
Benedikt S., Stykkisholmur Want PE help and ED help. Is Sildalist 120 the one tablet for both?
No. This combo does not contain dapoxetine and is not a PE medicine. You would still swallow two PDE5 drugs. Ask a clinician to plan ED and PE as separate questions. A shop headline is not a dual indication.
Thorunn G., Borgarnes Took Sildalist 120 Friday 21:00. Nitro spray Sunday 10:00 if I need it?
Friday 21:00 to Sunday 10:00 is about thirty-seven hours, not forty-eight. The tadalafil half still owns the hold. Tell emergency staff both INNs and Friday's hour. Do not home-test the spray because you 'feel clear.'
Johanna D., Hafnarfjordur Tamsulosin nightly. First Sildalist 120 tomorrow?
Both labels want a low PDE5 start on a stable alpha-blocker. One hundred plus twenty is a ceiling sildenafil dose plus a full as-needed tadalafil dose. That is not a start. Ask the clinician who owns tamsulosin. Do not time-of-day your way around the pair.
Yvonne H., Saudarkrokur Ketoconazole tablets. Quarter a Sildalist to stay under both caps?
Kitchen fractions of an unverified combo will not land on sildenafil 25 mg and tadalafil 10 mg at the same time. Hold the strip. The azole prescriber and the ED prescriber need the same week. Do not invent a quarter-dose protocol.
Audur L., Akureyri Paxlovid this week. Half a Sildalist to be safe?
Splitting an unverified combo does not land you on both labeled caps at once. Ritonavir wants sildenafil 25 mg in 48 hours and tadalafil 10 mg every 72 hours. A snapped 100/20 tablet is still a guess and still two INNs. Hold the strip. Call the prescriber. Do not invent a half dose from a souvenir.
Sigridur K., Kopavogur Is this the same as Super-P-Force?
No. Super-P-Force-type products pair sildenafil with dapoxetine. Sildalist 120 pairs two PDE5 inhibitors. Different second drug, different indication claims, overlapping hypotension risk if someone mixes them. Read every INN line. If dapoxetine appears, that is another orbit we are not writing here.
Kolbeinn F., Selfoss GTN spray. Can I use Sildalist 120 if I skip the spray for a day?
No. Tadalafil in the tablet keeps the nitrate hold at forty-eight hours after the dose, and the contraindication exists because the spray may be needed without warning. A one-day skip does not clear tadalafil. If angina is still in the plan, this combo is the wrong conversation.
Gunnlaugur I., Reykjavik Headache after one Sildalist. Take Suhagra 50 instead tomorrow?
Tomorrow may still have tadalafil on board. Adding Suhagra 50 is extra sildenafil on a leftover tail. Headache is a common class effect. If it was severe or came with visual loss or chest pain, do not redose anything. Otherwise wait for a clinician to pick a single INN plan.
Desk packet What should the Sildalist note list?
Sildenafil 100 mg + tadalafil 20 mg, last-dose hour, nitrate status with a 48-hour hold, alpha-blocker, CYP3A4 partners, meal time, and a struck-through PE indication if a shop sold that story. No third PDE5. [email protected] for source disputes. Ingrid peer-passes the naming; a clinician owns any change.