Halo Medix Medicines reference

Pages on this site explain labelled tablet strengths for study. They are not a prescription, a pharmacy counter, or personal medical advice. Full disclaimer

Organic nitrates stop a labelled sildenafil swallow, including the 100 mg figure

4 min readReviewed 21 August 2026. Updated

At a glance

Page typeNote
Print10/100
ReviewerCamille Rousseau, MD

Do not add a second PDE5 tablet on the same day as this swallow.

Single combo tablet with dual-active caution outline on white card

01Do not combine two PDE5 products

The carton prints two milligrams on a single swallow.

Do not combine a labelled PDE5 inhibitor with other PDE5 inhibitors or other ED therapies. The maximum recommended dosing frequency on the U.S. sildenafil label is once per day. The maximum recommended dosing frequency on the U.S. tadalafil label is once per day.

Sexual stimulation is required on both U.S. labels.

02The 100 milligram figure on the U.S. sildenafil label

The maximum recommended dose of sildenafil is 100 mg. The recommended starting dose of sildenafil for most patients is 50 mg. VIAGRA may be taken anywhere from 30 minutes to 4 hours before sexual activity.

Sildenafil is contraindicated in patients using any form of organic nitrate, either regularly or intermittently.

03The 10 milligram figure on the U.S. tadalafil label

The recommended starting dose of tadalafil for use as needed is 10 mg, taken prior to anticipated sexual activity. The dose may be increased to 20 mg or decreased to 5 mg. Tadalafil is contraindicated in patients using any form of organic nitrate, either regularly or intermittently.

How to cite this page - Vancouver style

Halo Medix Medicines Reference. Organic nitrates stop a labelled sildenafil swallow, including the 100 mg figure [Internet]. Montreal: Halo Medix; 21 August 2026 [cited 2026 Aug 21]. Available from: https://halomedix.com/notes/sildalist-combo-caution/

Sources and how this page was reviewed

  1. DailyMed - VIAGRA (sildenafil citrate) tablets
  2. DailyMed - CIALIS (tadalafil) tablets

Numbers come from the cited labels. Dr. Camille Rousseau, MD reads the draft, then the page is dated. See the method page and editorial standards.

Reader questions

('Readers around Montreal asked about the Sildalist 10/100 carton. ', 'Answers follow the separate U.S. Viagra and Cialis labels.')

Laurent Pelletier, Centre-Sud asks

Is Sildalist 10/100 a U.S. approved pair?

Reply from our reviewer

Do not combine a labelled PDE5 inhibitor with other PDE5 inhibitors or other ED therapies. The maximum recommended dosing frequency on each U.S. label is once per day.

Nadia Côté, Île-des-Soeurs asks

What does 100 mean on the U.S. sildenafil label?

Reply from our reviewer

The maximum recommended dose of sildenafil is 100 mg. The recommended starting dose of sildenafil for most patients is 50 mg. VIAGRA may be taken anywhere from 30 minutes to 4 hours before sexual activity. Sexual stimulation is required. Sildenafil is contraindicated in patients using any form of organic nitrate, either regularly or intermittently.

Omar Farhat, Saint-Léonard asks

What does 10 mean on the U.S. tadalafil label?

Reply from our reviewer

The recommended starting dose of tadalafil for use as needed is 10 mg, taken prior to anticipated sexual activity. The dose may be increased to 20 mg or decreased to 5 mg. The maximum recommended dosing frequency is once per day. Tadalafil is contraindicated in patients using any form of organic nitrate, either regularly or intermittently.

Brigitte Lavoie, Westmount-adjacent asks

Can I add a Cialis 20 mg after Sildalist the same night?

Reply from our reviewer

Do not combine a labelled PDE5 inhibitor with other PDE5 inhibitors or other ED therapies. The maximum recommended dosing frequency on each U.S. label is once per day.

Hélène Martel, Westmount asks

What hour window is written on the U.S. sildenafil label?

Reply from our reviewer

VIAGRA may be taken anywhere from 30 minutes to 4 hours before sexual activity. Most studies assessed the efficacy of VIAGRA approximately 60 minutes post dose. The maximum recommended dose of sildenafil is 100 mg. The recommended starting dose of sildenafil for most patients is 50 mg. Sexual stimulation is required. Sildenafil is contraindicated in patients using any form of organic nitrate, either regularly or intermittently.

Olivier Saadi, Saint-Laurent asks

How long after as-needed tadalafil was function still better than placebo?

Reply from our reviewer

Tadalafil for use as needed was shown to improve erectile function compared to placebo up to 36 hours following dosing. The recommended starting dose of tadalafil for use as needed is 10 mg. The dose may be increased to 20 mg or decreased to 5 mg. The maximum recommended dosing frequency is once per day. Sexual stimulation is needed. Tadalafil is contraindicated in patients using any form of organic nitrate, either regularly or intermittently.

Camille Traoré, Montréal-Nord asks

Is Sildalist 10/100 written for women on a U.S. insert?

Reply from our reviewer

VIAGRA is not indicated for use in females. Tadalafil is not indicated for use in females. Do not combine a labelled PDE5 inhibitor with other PDE5 inhibitors or other ED therapies.

Julie Bélanger, Ahuntsic asks

What storage lines sit on the two U.S. cartons?

Reply from our reviewer

Store CIALIS at 25 C (77 F); excursions permitted to 15 to 30 C (59 to 86 F). Keep out of reach of children. Read the carton that arrived if the printed range differs. Keep out of reach of children. Do not combine a labelled PDE5 inhibitor with other PDE5 inhibitors or other ED therapies.

Pierre-Luc Gagnon, Anjou asks

What half-life is written on the U.S. sildenafil label?

Reply from our reviewer

Both sildenafil and the metabolite have terminal half lives of about 4 hours. The pharmacokinetics of sildenafil are dose-proportional over the recommended dose range. The maximum recommended dose of sildenafil is 100 mg. The recommended starting dose of sildenafil for most patients is 50 mg. VIAGRA may be taken anywhere from 30 minutes to 4 hours before sexual activity. Sexual stimulation is required on the U.S. sildenafil label.