Sildenafil and tadalafil support blood flow
Both ingredients support cGMP signaling and erectile blood flow during sexual stimulation. Combining PDE5 inhibitors has not been adequately studied in FDA labeling and may further lower blood pressure.

Sildenafil 40 mg + Tadalafil 10 mg + Apomorphine HCl 2 mg
A rapid-dissolve compounded tablet designed to support erections through both blood-flow and dopamine pathways in one as-needed prescription.
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”.
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.
Get started88%
reported improved erections
Participants reporting improved erections with Viagra in cited clinical data. Results vary.
Pfizer: Viagra prescribing information82%
of men with ED and BPH
Reported improved erections with Cialis 20 mg in the cited clinical analysis. Results vary.
Lilly: Cialis clinical analysis52%
of men ages 40–70
Reported some degree of erectile dysfunction in the Massachusetts Male Aging Study.
U.S. Department of Veterans AffairsUnderstanding the formulation
Sildenafil and tadalafil support erectile blood flow through PDE5 inhibition, while apomorphine acts on dopamine receptors. Apomorphine is not FDA approved for erectile dysfunction, and FDA labeling does not establish combined sildenafil and tadalafil use, so careful clinician review is essential.
Both ingredients support cGMP signaling and erectile blood flow during sexual stimulation. Combining PDE5 inhibitors has not been adequately studied in FDA labeling and may further lower blood pressure.
Apomorphine is a dopamine agonist that acts through a different pathway than PDE5 inhibitors. Its FDA-approved use differs from this compounded use, and it can cause significant nausea, dizziness, sleepiness, and low blood pressure.
The clinician evaluates cardiovascular status, fainting risk, interacting drugs, and whether using multiple active pathways is appropriate. The compounded combination has not been reviewed by FDA.
Take 1 tablet 30–60 minutes before sexual activity.
This is a compounded prescription formulation. Compounded drugs are not FDA approved. The concurrent use of multiple PDE5 inhibitors and apomorphine for erectile dysfunction is not established by FDA-approved labeling.
Get startedPrivate from checkout to delivery
Professional treatment should feel straightforward and respectful. We keep the experience discreet without making it feel secretive.
Medication ships in plain outer packaging with no treatment name or health information displayed.
By the way, your credit card statement will show “Third Ave” — nothing referencing ED or your treatment.
Every prescription requires review by a licensed clinician and is fulfilled only when medically appropriate.
What happens next
Step 1
Select the strength, form, package, and purchase schedule that fit your preference. A clinician will still determine what is medically appropriate.
At checkoutStep 2
Share your health history, current medications, and goals through a secure medical questionnaire.
A few minutesStep 3
A U.S.-licensed clinician reviews your information, follows up when needed, and prescribes only when treatment is appropriate.
Typically within 72 hoursStep 4
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.
Secure intake, discreet delivery, and a neutral Third Avenue billing descriptor.
A clinician evaluates your health and medications before anything is prescribed.
Compare strengths, forms, and schedules privately, then ask your care team questions.
See the purchase price and schedule before checkout, with no ED wording on your statement.
Your care team remains available for treatment questions, side effects, and adjustments.
Straight answers
Clear information is part of good care. Your clinician can answer anything specific to your health.
Ask a private question