Zionova Thanos Sildenafil + Tadalafil 50mg

Name: Zionova Thanos Viagra Cialis 50mg – Dual-Action ED Support
Brand: Zionova
SKU: ThanosViagraCialis
Price: 126.00 CAD
Availability: OutOfStock
Rating: 4.98 (50 reviews)

Overview

This tablet combines tadalafil and sildenafil, a short-acting and a long-acting erectile dysfunction medicine, in a single pill. No approved product combines them.

This listing is Zionova Thanos Viagra Cialis 50mg (50 mg), photographed as we ship it and priced in Canadian dollars.

How it works

Both drugs block PDE5. Sildenafil acts within about an hour; tadalafil keeps working for up to 36 hours.

Clinical reference

There is no approved combination dose. Approved maximums are 100 mg of sildenafil or 20 mg of tadalafil once a day when used separately.

Reference information from product labels and clinical literature only. It is not a recommendation or dosing advice for you; any use should be set and monitored by a doctor.

Measuring calculator

Type the amount from your prescription or clinician; the calculator only converts it. It does not suggest how much to take.

Amount per daymg

Tablets per day–

Days per bottle–

Tablet strength50 mg

Combinations and interactions

Never with nitrates.
Do not add a separate PDE5 tablet on the same day.
CYP3A4 inhibitors increase both drugs.

Risks and side effects

Low blood pressure. More likely with two PDE5 inhibitors at once.
Headache, flushing, back pain. Side effects of both drugs combined.
Priapism. An emergency if it lasts over four hours.

Do not use it if you take nitrates or alpha-blockers, have heart disease, or have had a stroke.

Bloodwork to discuss with your doctor

Blood pressure

Chemistry

Sildenafil

Formula: C₂₂H₃₀N₆O₄S
Molecular weight: 474.6 g/mol
CAS: 139755-83-2
PubChem: CID 135398744

Tadalafil

Formula: C₂₂H₁₉N₃O₄
Molecular weight: 389.4 g/mol
CAS: 171596-29-5
PubChem: CID 110635

Research

Peer-reviewed papers behind the facts on this page, each linked to its PubMed record.

Efficacy and safety of long-term tadalafil 5 mg once daily combined with sildenafil 50 mg as needed at the early stage of treatment for patients with erectile dysfunctionCui H et al. · Andrologia 2015 · PMID 24387078
Phosphodiesterase Type 5 Inhibitors and Oral Nitrates in Male Patients with Ischemic Heart DiseaseMorrisette MJ, Dunn SP · Curr Cardiol Rep 2023 · PMID 37074567

Storage and handling

Keep the bottle tightly closed at room temperature, away from moisture, heat and children. Do not move tablets into unlabelled containers.

Canadian legal status

This is a prescription medicine in Canada. A doctor should assess whether it suits you, choose the dose and monitor you while you use it.

FAQ

How much of each drug is in a tablet?

The strength is printed on the pouch or bottle label.

Is a combination approved?

No; doctors only use them together in specific, supervised cases.

How long does it last?

The tadalafil part lasts up to a day and a half.

How fast will it reach me?

Orders leave Vancouver by Canada Post Xpresspost and the tracking number arrives within 72 hours of your e-Transfer. Most provinces receive parcels 1 to 6 business days after that; the territories can take up to 10. Xpresspost is free on orders over $300, and a lost or seized parcel is reshipped at no charge.