Two white round rapid-dissolve tablets

ED + Climax Control

Tadalafil 10 mg + Paroxetine 20 mg

A rapid-dissolve compounded tablet designed to support both erections and climax timing in one as-needed prescription.

$49.00
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Checkout does not guarantee a prescription. Medication is dispensed only after a licensed clinician determines treatment is appropriate. Your card statement will show “Third Ave”.

Licensed clinician review Discreet delivery Secure checkout
  • Forbes
  • The New York Times
  • The Wall Street Journal
  • New York Post
  • HuffPost

Erectile dysfunction is common, and established PDE5 treatments have helped many men improve their erections. Individual results vary, and a clinician will determine what is appropriate for you.

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88%

reported improved erections

Participants reporting improved erections with Viagra in cited clinical data. Results vary.

Pfizer: Viagra prescribing information

82%

of men with ED and BPH

Reported improved erections with Cialis 20 mg in the cited clinical analysis. Results vary.

Lilly: Cialis clinical analysis

52%

of men ages 40–70

Reported some degree of erectile dysfunction in the Massachusetts Male Aging Study.

U.S. Department of Veterans Affairs

Understanding the formulation

Erection support and climax control through two distinct pathways.

Tadalafil supports erectile blood flow, while paroxetine affects serotonin signaling and can delay ejaculation. Paroxetine is not FDA approved in the United States for premature ejaculation, and this compounded combination is not FDA approved, so a clinician evaluates whether both ingredients are appropriate for you.

Paroxetine can help delay climax

Paroxetine is an SSRI that affects serotonin signaling, and delayed ejaculation is a known pharmacologic effect. Its use for climax timing is off label and requires review 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.

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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.

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.

Other ED treatments

Compare your options.

Different treatment formats and ingredients fit different needs. A licensed clinician can help determine which option is appropriate for you.

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.
What is compounding?
Compounding is when a licensed pharmacy prepares a medication for an individual prescription, such as combining ingredients or providing a different dosage form. Compounded drugs are not FDA approved, and FDA does not review them for safety, effectiveness, or quality before marketing.
What is erectile dysfunction?
Erectile dysfunction (ED) is the recurring difficulty getting or keeping an erection firm enough for sex. It is common and can have physical, medication-related, and psychological causes. A clinician can help identify an appropriate treatment approach.
Do I need insurance?
No. Third Avenue ED treatment can be purchased without insurance. You will see the price and purchase schedule before checkout.
Is my information safe?
We use secure systems and limit access to the information needed to provide your care. Your intake is private, delivery is discreet, and billing uses the neutral descriptor “Third Ave.”
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.