Where can I get compounded Compounded Vardenafil (Sublingual)?

Compounded Vardenafil (Sublingual) is available through licensed compounding pharmacies on the SlimionRX network. Visit slimionrx.com to find a pharmacy near you.

Compounded Vardenafil (Sublingual) 10 mg / mL — Compounded Sublingual Liquid Patient Monograph

Patient education monograph for Compounded Vardenafil (Sublingual) (10 mg / mL), a compounded sublingual liquid. Learn how it works, how to use it, possible side effects, and find a licensed compounding pharmacy near you.

What is Compounded Vardenafil (Sublingual)?

This compounded preparation contains vardenafil 10 mg per mL in a sublingual liquid base, prepared by a licensed compounding pharmacy pursuant to a valid individual patient prescription. Vardenafil is a PDE5 inhibitor used in provider-directed protocols for erectile dysfunction, offering an alternative for patients who have not achieved adequate response with sildenafil or prefer vardenafil's pharmacokinetic profile. Sublingual delivery provides faster onset compared to oral tablets. Compounded vardenafil is not an FDA-approved product in this form. Formula developed in partnership with Richie

How does Compounded Vardenafil (Sublingual) work?

Vardenafil inhibits phosphodiesterase type 5 (PDE5) with high selectivity, preventing the breakdown of cyclic GMP in penile corpus cavernosum smooth muscle. This allows smooth muscle relaxation, increased blood flow, and erection in response to sexual stimulation. Vardenafil has a slightly different molecular structure than sildenafil and may be more effective in certain patient populations, including those with diabetes-associated erectile dysfunction. Sublingual delivery reduces first-pass metabolism, enabling faster and potentially more predictable onset compared to oral tablet formulations

How to use Compounded Vardenafil (Sublingual)

Place the prescribed dose under the tongue approximately 15–30 minutes before anticipated sexual activity, or as directed by your prescriber. Hold the preparation under the tongue for at least 60 seconds before swallowing. Use only the dose prescribed — do not exceed once per day. This preparation supports the physiological response to sexual stimulation and does not produce arousal independently. Avoid high-fat meals before use, as absorption may be affected.

Compounded Vardenafil (Sublingual) side effects

Headache, flushing, nasal congestion, indigestion, and dizziness are the most commonly reported effects. Mild blood pressure reduction may occur. Transient visual changes are less common with vardenafil than with sildenafil. Report severe dizziness, chest pain, priapism (erection lasting more than 4 hours), or sudden vision or hearing loss to emergency services immediately — these require urgent evaluation.

Drug interactions with Compounded Vardenafil (Sublingual)

CRITICAL: Do not use with nitrate medications in any form (nitroglycerin, isosorbide) — severe, potentially fatal hypotension may result. Use with extreme caution with alpha-blockers (significant hypotension risk). Class IA and III antiarrhythmics are contraindicated concurrently — vardenafil can prolong the QT interval. Certain antifungals, HIV protease inhibitors, and erythromycin significantly increase vardenafil blood levels. Inform all healthcare providers you use vardenafil.

How to store Compounded Vardenafil (Sublingual)

Store at controlled room temperature, 59°F–86°F (15°C–30°C), protected from light, heat, and moisture. Keep tightly closed. Use within the beyond-use date on the pharmacy label. Do not use if the solution appears discolored.

Precautions for Compounded Vardenafil (Sublingual)

ABSOLUTE CONTRAINDICATION: Do not use with nitrate medications — life-threatening blood pressure drop may result. Do not use with Class IA or III antiarrhythmics. Use with extreme caution with alpha-blockers. Seek emergency care for priapism or sudden vision/hearing loss. Not for use in women or individuals under 18. Keep out of reach of children.

Frequently Asked Questions — Compounded Vardenafil (Sublingual)

What is Compounded Vardenafil (Sublingual)?: This compounded preparation contains vardenafil 10 mg per mL in a sublingual liquid base, prepared by a licensed compounding pharmacy pursuant to a valid individual patient prescription. Vardenafil is a PDE5 inhibitor used in provider-directed protocols for erectile dysfunction, offering an alternative for patients who have not achieved adequate response with sildenafil or prefer vardenafil's pharmacokinetic profile. Sublingual delivery provides faster onset compared to oral tablets. Compounded
How does Compounded Vardenafil (Sublingual) work?: Vardenafil inhibits phosphodiesterase type 5 (PDE5) with high selectivity, preventing the breakdown of cyclic GMP in penile corpus cavernosum smooth muscle. This allows smooth muscle relaxation, increased blood flow, and erection in response to sexual stimulation. Vardenafil has a slightly different molecular structure than sildenafil and may be more effective in certain patient populations, including those with diabetes-associated erectile dysfunction. Sublingual delivery reduces first-pass met
How do I use Compounded Vardenafil (Sublingual)?: Place the prescribed dose under the tongue approximately 15–30 minutes before anticipated sexual activity, or as directed by your prescriber. Hold the preparation under the tongue for at least 60 seconds before swallowing. Use only the dose prescribed — do not exceed once per day. This preparation supports the physiological response to sexual stimulation and does not produce arousal independently. Avoid high-fat meals before use, as absorption may be affected.
What are the side effects of Compounded Vardenafil (Sublingual)?: Headache, flushing, nasal congestion, indigestion, and dizziness are the most commonly reported effects. Mild blood pressure reduction may occur. Transient visual changes are less common with vardenafil than with sildenafil. Report severe dizziness, chest pain, priapism (erection lasting more than 4 hours), or sudden vision or hearing loss to emergency services immediately — these require urgent evaluation.
Are there drug interactions with Compounded Vardenafil (Sublingual)?: CRITICAL: Do not use with nitrate medications in any form (nitroglycerin, isosorbide) — severe, potentially fatal hypotension may result. Use with extreme caution with alpha-blockers (significant hypotension risk). Class IA and III antiarrhythmics are contraindicated concurrently — vardenafil can prolong the QT interval. Certain antifungals, HIV protease inhibitors, and erythromycin significantly increase vardenafil blood levels. Inform all healthcare providers you use vardenafil.
How should I store Compounded Vardenafil (Sublingual)?: Store at controlled room temperature, 59°F–86°F (15°C–30°C), protected from light, heat, and moisture. Keep tightly closed. Use within the beyond-use date on the pharmacy label. Do not use if the solution appears discolored.
What precautions should I know about Compounded Vardenafil (Sublingual)?: ABSOLUTE CONTRAINDICATION: Do not use with nitrate medications — life-threatening blood pressure drop may result. Do not use with Class IA or III antiarrhythmics. Use with extreme caution with alpha-blockers. Seek emergency care for priapism or sudden vision/hearing loss. Not for use in women or individuals under 18. Keep out of reach of children.
Where can I get compounded Compounded Vardenafil (Sublingual)?: Compounded Vardenafil (Sublingual) is available through licensed compounding pharmacies on the SlimionRX network. Visit slimionrx.com to find a pharmacy near you.