Tadalafil / Ginger Root

(Daily Use) Capsule

7.5 mg / 190 mg

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Product Overview

Tadalafil1-3

Tadalafil, a phosphodiesterase type 5 (PDE5) inhibitor, has a mean terminal half-life of over 17 hours. This half-life is much longer than other PDE-5 inhibitors. This half-life allows for once-daily or on-demand dosing. The drug is indicated for the treatment of pulmonary arterial hypertension (PAH), erectile dysfunction (ED), benign prostatic hypertrophy (BPH), or the concurrent treatment of ED and BPH.

Ginger Root4-7

Ginger root is the rhizome of the plant Zingiber officinale, widely used as both a culinary spice and a medicinal agent in traditional and modern medicine. It has been used historically in Ayurveda, Traditional Chinese Medicine, and Western herbalism for digestive aid, anti-inflammatory support, and circulatory stimulation.

Tadalafil1-3

Phosphodiesterase (PDE) enzymes exist in multiple isoforms and serve various functions in the body, including the breakdown of cyclic adenosine monophosphate (cAMP) and cyclic guanosine monophosphate (cGMP). PDE5 is present in several tissues, including the smooth muscle of the corpus cavernosum, prostate, bladder, vascular and visceral smooth muscle, skeletal muscle, urethra, platelets, kidney, lung, cerebellum, heart, liver, testis, seminal vesicles, and pancreas. Tadalafil is a selective PDE5 inhibitor, targeting the enzyme responsible for cGMP degradation. Its activity on PDE5 is over 10,000-fold greater than on other PDE isoforms such as PDE1, PDE2, PDE4, and PDE7. By increasing cGMP levels, tadalafil promotes smooth muscle relaxation in the corpus cavernosum, which can support the maintenance of an erection.

Ginger Root4-7

Ginger supports circulation through multiple pharmacological actions:

  • Vasodilation: Active compounds in ginger, including gingerols and shogaols, may stimulate nitric oxide (NO) production and reduce vascular resistance. NO promotes smooth muscle relaxation in blood vessels, enhancing blood flow.

  • Anti-Platelet Activity: Ginger inhibits thromboxane A2 and reduces platelet aggregation, potentially supporting microvascular perfusion and helping prevent clot formation. In some in vitro studies, this effect is comparable to mild low-dose aspirin.

  • Anti-Inflammatory and Antioxidant Effects: Ginger can improve endothelial function by suppressing COX-2 activity and reducing oxidative stress, which is often impaired in conditions of poor circulation.

  • Metabolic Support: Ginger may modestly enhance lipid profiles and glucose metabolism, indirectly benefiting cardiovascular health and overall circulation.

Common 

Tadalafil 1

  • Headache
  • Dyspepsia
  • Flushing
  • Back pain and myalgia (typically delayed onset, resolving within 48 hours)
  • Nasal congestion
  • Pain in limbs

 

Ginger Root4-7

Ginger is generally well-tolerated, especially in dosages up to 2 grams daily. However, potential side effects include:

  • Gastrointestinal distress (e.g., heartburn, gas, bloating, nausea at high doses)
  • Mild anticoagulant effects, which may increase bleeding risk
  • Hypotension or dizziness if taken in high doses with other vasodilators

Tadalafil 1,2

Contraindications

  • Known hypersensitivity to tadalafil or excipients
  • Use of nitrates and guanylate cyclase (GC) stimulators therapy, such as riociguat due to risk of life-threatening hypotension

Precautions

  • Use with caution in patients with:
  • Severe hepatic impairment (Child-Pugh Class C)
  • Severe renal impairment (creatinine clearance <30 mL/min)
  • Retinitis pigmentosa (rare inherited retinal disorder)
  • History of NAION (non-arteritic anterior ischemic optic neuropathy)
  • Recent history of myocardial infarction, stroke, or unstable angina

 

Ginger Root4-7

Use cautiously or avoid in the following populations:

  • Bleeding disorders or concurrent anticoagulant therapy
    (e.g., warfarin, aspirin, apixaban): due to the additive risk of bleeding.
  • Preoperative patients: Ginger should be discontinued at least 1 week prior to surgery.
  • Gallstone disease: May increase bile flow.
  • Pregnancy: While commonly used for nausea, high doses may not be safe; consult a physician.
  • Allergy to ginger or related plants (e.g., turmeric)
  • Store at controlled room temperature (20°C to 25°C / 68°F to 77°F)
  • Protect from moisture and light
  • Keep in a tightly closed container
  1. Tadalafil Prescribing Information – Eli Lilly. www.accessdata.fda.gov/drugsatfda_docs/label/2011/021368s20s21lbl.pdf Revised October 2011. Accessed May 31, 2025
  2. Clinical Pharmacology Tadalafil clinical monograph 2025 https://www.clinicalkey.com/pharmacology/ 
  3. Padda IS, Tripp J. Phosphodiesterase Inhibitors. [Updated 2023 Jun 26]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK559276/ 
  4. Mashhadi NS, Ghiasvand R, Askari G, Hariri M, Darvishi L, Mofid MR. Anti-oxidative and anti-inflammatory effects of ginger in health and physical activity: review of current evidence. Int J Prev Med. 2013 Apr;4(Suppl 1):S36-42. PMID: 23717767; PMCID: PMC3665023
  5. White B. “Ginger: an overview.” Am Fam Physician. 2007;75(11):1689-1691.
  6. Verma SK, Singh J, Khamesra R, Bordia A. Effect of ginger on platelet aggregation in man. Indian J Med Res. 1993 Oct;98:240-2. PMID: 8119760.
  7. Grzanna R, Lindmark L, Frondoza CG. “Ginger–an herbal medicinal product with broad anti-inflammatory actions.” J Med Food. 2005;8(2):125–132.

WPPL operates as a 503A compounding pharmacy and prepares individualized prescription medications pursuant to provider direction. Compounded preparations are not reviewed, tested, or approved by the FDA.

This listing also includes commercially manufactured products for convenience; these items are not compounded by our pharmacy and are sold as provided by their manufacturers. Actual products in stock at time of dispensing may vary due to supply chain variability. Any statements regarding non-compounded products are manufacturer-supplied, have not been evaluated by the FDA, and are not intended to diagnose, treat, cure, or prevent any disease. WPPL does not verify or endorse any therapeutic claims made by manufacturers. Please refer to original labeling for complete product information.

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