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Men's sexual health
A rapid-dissolve tablet with three active ingredients instead of one. Built for men who haven't got what they needed from a single-ingredient treatment.
Start DirectMaxFrom $67.15Works in the brain rather than the blood vessels — it acts on dopamine receptors involved in starting the arousal response. Onset around 15 to 20 minutes.
The same active ingredient as Viagra. Increases blood flow. Fast onset, roughly four to six hours of effect.
The same active ingredient as Cialis. Works the same way as sildenafil but stays active far longer — up to 36 hours.
The idea is that the brain side starts the process, sildenafil handles the fast response, and tadalafil keeps the window open. It dissolves in the mouth, so no water and nothing to swallow.
Full pricing for every strength and count is on the pricing page. Maximum one dose in 24 hours.
Never combine this with nitrates. That includes nitroglycerin and similar heart medications, and it includes recreational poppers or amyl nitrate. The combination can cause a severe, life-threatening drop in blood pressure. If you take anything in that category, this is not for you — put it on your intake form.
Alpha-blockers for blood pressure or prostate, HIV protease inhibitors, trazodone, certain antifungals and antibiotics. Heavy alcohol raises the dizziness and fainting risk. All of it goes on the intake form — that's what the form is for.
Common and usually mild: headache, facial flushing, nasal congestion, upset stomach, back or muscle ache, dizziness, and some nausea or yawning from the apomorphine that tends to ease with use.
Get medical help immediately for: an erection lasting over four hours, sudden vision or hearing loss, or chest pain and irregular heartbeat.
Tell the provider. Both affect blood vessel dilation and the combination needs a clinician's judgement, not mine.
Order through my link and I'm the person who answers when something goes wrong with it — a stuck intake form, a billing question, or just wanting to know where your order is. No pressure attached.