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Sexual health · ED treatment

Sexual healthwith Tides

Proven ED medications, combined into formulas that work fast and last. Prescribed online and shipped discreetly to your door.

See what we offer Start now Formulas from $96
New to ED treatment? Read our full guide
What's inside

Four ingredients.
Different jobs.

Our formulas combine these proven medications in different ways, so you get the speed, window, and strength you want.

  • Sildenafil Fast and reliable

    The most familiar ED medication. Works in about 30–60 minutes and lasts around 4–6 hours.

  • Tadalafil The long window

    Nicknamed "the weekend pill." Works within 30 minutes to 2 hours and can last up to 36 hours.

  • Vardenafil Potent and quick

    Similar to sildenafil in timing, and often used for extra strength in combination formulas.

  • Apomorphine The desire boost

    Works in the brain rather than the blood vessels, supporting arousal. Fast, and short-acting.

When it works, and for how long

Approximate times. Onset and duration vary by person, dose, and formula, and a heavy meal can slow sildenafil and vardenafil.

Why combine?

Each ingredient has a strength.
Together, they cover more.

Instead of choosing between fast or long-lasting, our formulas give you both, and more.

  • DoubleSildenafil + TadalafilFast start, long window
  • Triple+ ApomorphineAdds a desire boost
  • Quad+ VardenafilMaximum strength
Find your formula →

Find your formula

Two quick questions. Your provider makes the final call.

1When do you want to be ready?
2What matters most?
See all 9 formulas
FormulaIngredientsFormatPrice
Triple Powered MintSildenafil + Tadalafil + ApomorphineMint chew · as neededFrom $102/ 6-pack
Double Powered MintSildenafil + TadalafilMint chew · as neededFrom $96/ 6-pack
DailyTadalafilTablet · once a day$112/ 28-pack
Double Powered LiposomalSildenafil + TadalafilLiposomal · as needed$99/ 4-week supply
Powered UpTadalafil + ApomorphineAs needed$96/ 4-week supply
Powered Up SildenafilSildenafil + ApomorphineAs needed$96/ 4-week supply
Quad Powered LiposomalSildenafil + Tadalafil + Vardenafil + ApomorphineLiposomal · as needed$119/ 4-week supply
Triple Powered LiposomalSildenafil + Tadalafil + VardenafilLiposomal · as needed$109/ 4-week supply
Triple Powered Up LiposomalSildenafil + Tadalafil + ApomorphineLiposomal · as needed$109/ 4-week supply

Private from click to doorstep.

No waiting room, no pharmacy counter, and nothing on the box that says what's inside.

  1. Online, start to finish

    A private 5-minute assessment. Only your licensed provider sees your answers.

  2. A plain, unmarked box

    No product names or logos on the outside. It looks like any other package.

  3. Refills on autopilot

    Your formula keeps arriving on schedule. Pause or cancel anytime.

Skip the
pharmacy line.

No waiting room, no awkward counter conversation, and formulas you won't find on the shelf.

Find your formula
Local pharmacy
Tides
Prescription
In-person visit
5-minute online assessment
Options
Usually one medication
Combination formulas
Formats
Standard pill
Mints, daily tablet, liposomal
Privacy
Pick up at the counter
Discreet box to your door
Getting started

At your door in 3 steps

5-minute assessment

Answer a few health questions online. No appointment, no waiting room.

Provider review

A licensed provider reviews your answers and prescribes if you qualify.

Delivered

Compounded at a licensed US pharmacy and shipped straight to you.

Common questions

Everything you need to know

Still curious? Read our full guide to ED treatment.

Read the full guide →
Are these peptides?
No. Our sexual health formulas use sildenafil, tadalafil, vardenafil, and apomorphine, which are well-established medications, not peptides. Some clinics offer a peptide for desire called PT-141 (bremelanotide), but it is not part of our current lineup.
How fast do they work?
Formulas with sildenafil or vardenafil typically work in about 30 to 60 minutes. Tadalafil can take up to 2 hours but lasts up to 36 hours. Daily tadalafil builds steady support, so you don't need to time anything.
Daily or as needed?
As-needed formulas are taken before sex and are great if you can plan ahead. The daily tablet keeps you ready anytime, which many people prefer for spontaneity. Your provider will help you choose.
What is apomorphine?
Apomorphine works in the brain on dopamine, the chemical tied to desire and arousal. In our formulas it is paired with blood-flow medications to support both the mind and the body.
What does liposomal mean?
Liposomal formulas wrap the medication in tiny fat-based bubbles designed to help with absorption. Your provider can tell you whether a liposomal or a mint formula fits you best.
Who should not take ED medication?
Never combine these medications with nitrates (such as nitroglycerin for chest pain) or riociguat, as it can cause a dangerous drop in blood pressure. They may not be right if you have serious heart disease, a recent heart attack or stroke, very low blood pressure, or take alpha-blockers. Your provider reviews your health and medications before prescribing.
What are the side effects?
The most common are headache, flushing, a stuffy nose, and indigestion. Tadalafil can cause back or muscle aches, and apomorphine can cause nausea. Seek emergency care for an erection lasting more than 4 hours or any sudden vision or hearing loss.
Is this medication FDA-approved?
Our formulas contain sildenafil, tadalafil, vardenafil, and apomorphine. Compounded formulations are prepared by licensed pharmacies and prescribed by a licensed provider based on your individual health profile, and are not themselves FDA-approved finished drug products.
Is it discreet?
Completely. Everything happens online, and your order ships in plain packaging with no identifying labels on the outside.
How much does it cost?
Formulas start at $96. Mints are priced per 6-pack, liposomal formulas per 4-week supply, and the daily tablet is $112 for a 28-pack. The provider consult is included, and you can cancel anytime.
Powered Up formula Triple Powered Mint Quad Powered Liposomal

Feel like yourself again.

A 5-minute assessment is all it takes. Your provider handles the rest, and your formula ships discreetly to your door.

Start now From $96

Always consult your licensed provider before starting any treatment program.

This website is for informational and educational purposes only and does not constitute medical advice. Always consult a licensed healthcare provider before starting any treatment. Tides Health is a subscription platform. Fees apply for licensed provider consultations and medication fulfillment. Results and testimonials featured on this site reflect individual experiences and are not guaranteed to be typical. Individual results vary. Results may vary. Individual results depend on adherence to the program and licensed provider recommendations. Tides Health is a patient education platform. Clinical services are provided by licensed providers through our telehealth partner. Tides Health does not practice medicine. If you are experiencing a medical emergency, call 911 or go to your nearest emergency room immediately.

Sexual health with TidesFormulas from $96
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