Sexual Wellness

4-in-1 Sublingual Packets

CategorySexual Wellness

Apomorphine / Sildenafil / Tadalafil / Vardenafil · sublingual packets

Apomorphine
Sildenafil
Tadalafil
Vardenafil
Physician consultation & shipping included

Clinician
reviewed

Free
shipping

Licensed
US pharmacy

Sexual Wellness

Desire and performance don't start in the same place.

Sexual response depends on more than blood flow. Arousal begins in the nervous system, while erection quality depends heavily on the vascular response that follows.

These packets bring four active ingredients (apomorphine, sildenafil, tadalafil and vardenafil) into one compounded, clinician-guided sublingual formulation.

Availability

Coming soon

This treatment is not yet available to order online. Speak with a clinician to find out whether it is appropriate for you.

Directions

Place 2 mL under the tongue 30 minutes before sex. Hold 60 seconds, then swallow. Max 1 dose per 24 hours. Do not take with nitrates.

Prescription products require review by a licensed physician. After checkout you'll receive member portal access to complete your medical intake form. A physician reviews it and, if you qualify, your medication is dispensed. Dosing is determined by your provider during review.

Start with the signal. Support the response.

Sexual performance is a sequence. Apomorphine acts on dopamine pathways in the central nervous system associated with sexual arousal. Sildenafil, tadalafil and vardenafil act on the PDE5 pathway involved in maintaining blood flow during sexual stimulation. These packets bring those mechanisms together in one as-needed compounded sublingual formulation, prescribed around your individual health history and needs.

At a glance

4-in-1

Compounded oral formulation

Dual pathway

Central + vascular

As needed

Designed around sexual activity

Clinician guided

Prescribed for your biology

A better place to start

69 biomarkers. $79. On purpose.

We don't believe meaningful insight into your health should feel out of reach. Essentials gives you a broad baseline across key areas of your biology for $79.

Not as a promotion. As a principle.

Start with Essentials

A closer look

An erection can tell you more than you think.

Changes in erectile function aren't always just about sex.

Blood vessels, glucose regulation, cardiovascular health, testosterone and other parts of your biology all contribute to erectile response. In some men, erectile changes can be an early reason to look more closely at metabolic or cardiovascular health.

Your provider may recommend labs to understand whether something beneath the surface deserves attention.

Explore Labs

Morning Total Testosterone

Low testosterone can contribute to changes in sexual desire and erectile function and is an important part of the evaluation for men with erectile dysfunction.

Glucose + Hemoglobin A1c

Help identify changes in blood sugar regulation that can affect vascular and sexual health.

Lipid Panel

Provides insight into cholesterol and cardiovascular risk factors that can also influence blood vessel health.

Metabolic + Kidney Markers

May be reviewed based on your medical history, medications and broader health picture.

Thyroid

May be considered when fatigue, weight changes, libido changes or other symptoms suggest another hormonal factor.

Beyond Labs: Blood Pressure + Cardiovascular History

Sexual function is vascular function. Blood pressure, medications and cardiovascular history should be part of the clinical conversation before treatment.

Sexual Wellness

Erectile Dysfunction

Generic Viagra® (Sildenafil) or generic Cialis® (Tadalafil) for erectile dysfunction: clinician-prescribed, as-needed or daily, on a monthly or multi-month plan.

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