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Feel like yourself again.
In the bedroom and everywhere else.

  • PT-141, tadalafil & peptide compounds, physician-prescribed
  • Assessment, prescription & shipping included
  • No insurance required
  • Licensed physician check-ins every month
  • All 50 states · ships in 3–5 days
Sexual health protocol
Physician-prescribed sexual health

The Basics

Sexual health protocol
How do these medications work?
Our sexual health protocols use physician-prescribed compounds that increase blood flow and support arousal. Depending on your protocol, medication works within 30 to 60 minutes as needed or builds consistent support when taken daily.
Who is eligible?
Adults 21 and older in good general health. Your physician reviews your health history and current medications before prescribing to ensure safety and effectiveness.
How is the medication delivered?
Depending on your protocol, medication is delivered as a single-dose injectable vial, an orally dissolving tablet, or a daily pill. Shipped discreetly to your door with no identifying labels on the outside packaging.
Is this discreet?
Completely. Your shipment arrives in plain packaging with no identifying information on the outside. Your prescription details are between you and your physician.
Is it safe?
Every protocol is prescribed by a licensed physician after reviewing your health history and any current medications. Your physician determines the safest and most effective formulation for your individual profile.
Protocols

Choose your protocol

All options prescribed by a licensed physician

Injectable Vials
Quad Powered Injectable
Quad Powered
Sildenafil + Tadalafil + Vardenafil + Apomorphine

Maximum-strength quad compound for peak performance and endurance.

$119 / 10-pack
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Triple Powered Injectable
Triple Powered
Sildenafil + Tadalafil + Vardenafil

Triple-action formula for faster onset and longer duration.

$109 / 10-pack
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Triple Powered Plus Injectable
Triple Powered Plus
Sildenafil + Tadalafil + Apomorphine

Enhanced triple compound with extended performance support.

$109 / 10-pack
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Double Powered Injectable
Double Powered
Sildenafil + Tadalafil

Classic two-compound combination, physician-trusted.

$99 / 10-pack
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Go Long Injectable
Go Long
Silodosin + Tadalafil

Designed for lasting performance and extended endurance.

$99 / 10-pack
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Oral Tablets
Triple Powered Mint Tablet
Triple Powered Mint
Sildenafil + Tadalafil + Apomorphine

Mint-flavored chew combining three compounds for powerful results.

From $102 / 6-pack
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Double Powered Mint Tablet
Double Powered Mint
Sildenafil + Tadalafil

Two-compound mint chew for reliable, on-demand performance.

From $96 / 6-pack
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Go Long Mint Tablet
Go Long Mint
Silodosin + Tadalafil

Lasting mint chew for extended endurance and performance.

From $96 / 6-pack
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Daily Tadalafil
Daily
Tadalafil

One small tablet per day for always-ready confidence, no timing needed.

$112 / 28-pack
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Sexual health optimization

Physician-prescribed.
Private. Shipped to your door.

No clinic visits Same-day Rx All 50 states

Low libido, performance concerns, and intimacy issues are medical issues. A licensed physician evaluates your health profile and prescribes a protocol built around your body. No waiting rooms. No awkward conversations.

Every compound is sourced from a licensed US compounding pharmacy, and your prescribing physician stays with you every step of the way, adjusting your protocol as your body responds.

01
Answer a few health questions

Complete a short online assessment. Takes under 5 minutes, no appointment needed.

02
Physician reviews same day

A licensed physician evaluates your profile and writes your prescription if you qualify.

03
Medication ships in 3–5 days

Compounded directly at a licensed US pharmacy and shipped discreetly to your door. All 50 states.

04
Ongoing support included

Monthly check-ins, dosage adjustments, and live physician access included in every plan.

Compounded medications are not FDA-approved finished drug products. They are compounded by licensed pharmacies and prescribed by licensed physicians based on individual patient evaluation. Always consult your physician before starting any treatment.

Everything you need, all in one place

Patient portal
Your patient portal

Track your progress, check in with your provider, and manage your care anytime, all in one place. Your health history, prescriptions, and shipment status at your fingertips 24/7.

24/7 support
Unlimited 24/7 support

Medical support continues throughout your entire care journey. Whenever you have a question, day or night, our support team is there. No waiting, no appointments needed.

Find your protocol

Not sure what's right for you?

Answer a few questions and a licensed physician will recommend the right sexual health protocol for your goals.

Take the Assessment

Takes less than 5 minutes · No obligation

Questions

Frequently asked questions

Is this medication FDA-approved?
Tadalafil and sildenafil are FDA-approved medications. PT-141 (Bremelanotide) is FDA-approved for hypoactive sexual desire disorder in premenopausal women. Compounded formulations are prepared by licensed pharmacies and prescribed by a licensed physician based on your individual health profile.
Do I need to visit a doctor in person?
No. The entire process is online. You complete a health assessment, a licensed physician reviews your profile and issues a prescription, and your medication ships discreetly to your door.
How long until I receive my medication?
Most patients receive their medication within 3-5 business days of their prescription being approved.
Can I cancel my subscription?
Yes. You can cancel anytime before your next billing cycle with no cancellation fee.
Which protocol is right for me?
Your physician will recommend the right option based on your health history, goals, and how your body responds. Many patients start with a single compound and adjust their protocol over time. There is no one-size-fits-all answer, which is exactly why a physician is involved in every prescription.
Is online ED treatment legitimate?
Yes. Every prescription is issued by a licensed physician after reviewing your health history. Medication is compounded by licensed US pharmacies and shipped in discreet packaging with no identifying labels.
How much does ED treatment cost online?
Pricing starts at $99 for a 10-dose supply of our Double Powered formula. Daily formulas start at $112 for a 28-day supply. Pricing varies by formula and dose strength.
How fast does online ED medication work?
Fast-acting formulas typically work within 30 to 60 minutes of use. Daily formulas build consistent effectiveness over time with regular use, removing the need to plan around timing.
Get started

Your sexual health protocol starts here.

Answer a few questions. Get prescribed online. Receive medication at your door.

Always consult your physician 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 physician consultations and medication fulfillment. Results and testimonials featured on this site reflect individual experiences and are not guaranteed to be typical. Individual results vary.