Private care, delivered discreetly
ED + Climax Control
Private, clinician-guided care

ED + Climax Control

Tadalafil 10 mg + Paroxetine 20 mg

A compounded on-demand combination intended to address erection support and climax timing under clinician supervision.

Licensed clinician review Discreet delivery Secure checkout
Form
Package
Your price $49.00 Available

Your card statement will show “Third Ave” — never ED or a medication name.

Checkout does not guarantee a prescription. Medication is dispensed only after a licensed clinician determines treatment is appropriate.

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.

Discreet delivery

Medication ships in plain outer packaging with no treatment name or health information displayed.

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

Two distinct pathways, evaluated together by your clinician.

Tadalafil is a PDE5 inhibitor used for erectile dysfunction. Paroxetine is an SSRI; delayed ejaculation is a known pharmacologic effect, but paroxetine is not FDA approved in the United States for premature ejaculation. This compounded combination is not FDA approved.

Paroxetine affects serotonin signaling

Paroxetine is an SSRI. Its FDA labeling covers psychiatric indications, not premature ejaculation; use for climax timing is off label and requires consideration of serotonergic interactions and other risks.

View source Paxil (paroxetine) FDA Prescribing Information

The combination is not FDA approved

FDA has not evaluated the combined formulation for safety or effectiveness. Your clinician reviews cardiovascular history, mental-health history, and all medicines before prescribing.

View source FDA: Understanding the Risks of Compounded Drugs

Active ingredients

  • Tadalafil 10 mg
  • Paroxetine 20 mg

Catalog directions

Take 1 tablet 30–60 minutes before sexual activity.

This is a compounded prescription formulation. Compounded drugs are not FDA approved. Paroxetine is not FDA approved in the United States for premature ejaculation. Ingredient-specific evidence does not establish safety or effectiveness of the 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 checkout

Step 2

Complete a private intake

Share your health history, current medications, and goals through a secure medical questionnaire.

A few minutes

Step 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 hours

Step 4

Discreet fulfillment

If prescribed, a licensed pharmacy prepares your medication and ships it in plain outer packaging with tracking.

Tracking provided

A purchase does not guarantee a prescription. Medication is dispensed only after a licensed clinician determines treatment is appropriate.

Why 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 question
What is ED + Climax Control?
It is a compounded prescription containing tadalafil 10 mg and paroxetine 20 mg. The combination is not FDA approved, and paroxetine use for climax timing is off label.
How do I take it?
Take one tablet 30–60 minutes before sexual activity, only as prescribed. Do not change frequency, stop ongoing paroxetine therapy, or combine serotonergic or erectile-dysfunction medicines without clinician guidance.
What side effects should I know about?
Possible effects include headache, flushing, indigestion, nausea, dizziness, drowsiness, sweating, and sexual side effects. Paroxetine can cause discontinuation symptoms and, rarely, serotonin syndrome.
What should I tell my clinician?
Disclose nitrates or “poppers,” riociguat, MAO inhibitors, other antidepressants or serotonergic drugs, bipolar disorder, bleeding risks, heart conditions, and all medications and supplements.
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.