Discreet delivery
Medication ships in plain outer packaging with no treatment name or health information displayed.
Private care, delivered discreetly
Private, clinician-guided care
Advanced Five-Ingredient Blend
Sildenafil + Tadalafil + Apomorphine + Bremelanotide + Oxytocin
A compounded five-ingredient formulation spanning multiple physiologic pathways. It requires especially careful clinician review and clear understanding of the limits of combination evidence.
Licensed clinician review
Discreet delivery
Secure checkout
Private from checkout to delivery
Your care is personal. Your purchase stays private.
Professional treatment should feel straightforward and respectful. We keep the experience discreet without making it feel secretive.
A neutral statement
By the way, your credit card statement will show “Third Ave” — nothing referencing ED or your treatment.
Legitimate medical care
Every prescription requires review by a licensed clinician and is fulfilled only when medically appropriate.
Understanding the formulation
Five active ingredients, each with distinct risks and evidence.
This formulation combines two PDE5 inhibitors with apomorphine, bremelanotide, and oxytocin. Several ingredients have FDA-approved uses in different products or populations, but FDA has not approved this combination or established its safety and effectiveness for erectile dysfunction.
Two ingredients inhibit PDE5
Sildenafil and tadalafil both support cGMP signaling during sexual stimulation. Their approved labels do not establish combined use, which may increase low-blood-pressure and adverse-effect risks.
View source
Viagra and Cialis FDA Prescribing InformationOther ingredients act through different pathways
Apomorphine is a dopamine agonist; bremelanotide is a melanocortin-receptor agonist; oxytocin is a peptide hormone. Their FDA-approved labels do not establish this combined compounded use for erectile dysfunction.
Multi-ingredient review is essential
A clinician must assess cardiovascular status, blood pressure, nausea and fainting risk, drug interactions, and whether exposing you to every ingredient is appropriate.
View source
FDA: Understanding the Risks of Compounded DrugsActive ingredients
- Sildenafil 40 mg
- Tadalafil 20 mg
- Apomorphine HCl 2 mg
- Bremelanotide 1 mg
- Oxytocin 20 IU
Catalog directions
Take 1 tablet 30–60 minutes before sexual activity.
This is a compounded prescription formulation. Compounded drugs are not FDA approved. FDA-approved labeling for the individual ingredients does not establish safety or effectiveness of this five-ingredient combination.
What happens next
Professional care without the awkward waiting room.
Step 1
Choose your option
Select the strength, form, package, and purchase schedule that fit your preference. A clinician will still determine what is medically appropriate.
At checkoutStep 2
Complete a private intake
Share your health history, current medications, and goals through a secure medical questionnaire.
A few minutesStep 3
Clinician review
A U.S.-licensed clinician reviews your information, follows up when needed, and prescribes only when treatment is appropriate.
Typically within 72 hoursStep 4
Discreet fulfillment
If prescribed, a licensed pharmacy prepares your medication and ships it in plain outer packaging with tracking.
Tracking providedA purchase does not guarantee a prescription. Medication is dispensed only after a licensed clinician determines treatment is appropriate.
Why Third Avenue
Third Avenue
Typical experience
Privacy built into the process
Secure intake, discreet delivery, and a neutral Third Avenue billing descriptor.
Licensed clinical review
A clinician evaluates your health and medications before anything is prescribed.
Options without pressure
Compare strengths, forms, and schedules privately, then ask your care team questions.
Clear pricing
See the purchase price and schedule before checkout, with no ED wording on your statement.
Ongoing support
Your care team remains available for treatment questions, side effects, and adjustments.
Straight answers
Questions you can ask without judgment.
Clear information is part of good care. Your clinician can answer anything specific to your health.
Ask a private questionWhat is Advanced Five-Ingredient Blend?
It is a compounded prescription containing sildenafil 40 mg, tadalafil 20 mg, apomorphine HCl 2 mg, bremelanotide 1 mg, and oxytocin 20 IU. The combination is not FDA approved.
How do I take it?
Take one prescribed unit 30–60 minutes before sexual activity, following the pharmacy label for the exact dosage form. Do not combine it with other ED, arousal, or dopamine-active medication unless directed.
What side effects should I know about?
Possible effects include headache, flushing, indigestion, congestion, visual changes, nausea, vomiting, sleepiness, dizziness, blood-pressure changes, and skin darkening. Seek urgent care for chest pain, fainting, sudden vision or hearing changes, or an erection lasting more than four hours.
What should I tell my clinician?
Disclose nitrates or “poppers,” riociguat, 5-HT3 antagonists, other ED medication, uncontrolled high blood pressure, cardiovascular disease, fainting or sleep disorders, and every medicine or supplement.
Will the package reveal what I ordered?
No treatment name or health information appears on the plain outer package.
What appears on my credit card statement?
Your statement will show “Third Ave” — nothing that references ED or the medication.
Does checkout guarantee a prescription?
No. A licensed clinician must review your intake and determine that treatment is medically appropriate before medication can be dispensed.