Weight Loss Energy & Longevity Sexual Health How It Works Start Your Protocol

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

  • Tadalafil & peptide compounds, provider-prescribed
  • Assessment, prescription & shipping included
  • No insurance required
  • Licensed provider check-ins every month
  • All 50 states · ships in 3–5 days
Sexual health protocol - Tides Health
Provider-prescribed sexual health - Tides Health

The Basics

Sexual health protocol - Tides Health
How do these medications work?
Our sexual health protocols use provider-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 licensed provider 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 licensed provider.
Is it safe?
Every protocol is prescribed by a licensed provider after reviewing your health history and any current medications. Your licensed provider determines the safest and most effective formulation for your individual profile.
Protocols

Chews & Daily

All options prescribed by a licensed provider

Triple Powered Mint Tablet - Tides Health
Triple Powered Mint
Sildenafil + Tadalafil + Apomorphine

Combines three complementary compounds for fast onset and lasting results in a mint-flavored chew taken as needed.

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

Combines a fast-acting and a long-lasting compound for reliable, on-demand performance in a mint chew taken as needed.

From $96 / 6-pack
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Daily Tadalafil - Tides Health
Daily
Tadalafil

Keeps you ready around the clock with one small tablet taken daily, no timing needed.

$112 / 28-pack
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Protocols

Enhanced Absorption

All options prescribed by a licensed provider

Double Powered Liposomal - Tides Health
Double Powered Liposomal
Sildenafil + Tadalafil

Combines fast-acting and long-lasting compounds for enhanced absorption in a liposomal formula taken as needed.

$99 / 4-week supply
Get Started
Powered Up - Tides Health
Powered Up
Tadalafil + Apomorphine

Pairs a long-lasting compound with a libido-boosting agent for enhanced response, taken as needed.

$96 / 4-week supply
Get Started
Powered Up Sildenafil - Tides Health
Powered Up Sildenafil
Sildenafil + Apomorphine

Pairs a fast-acting compound with a libido-boosting agent for enhanced response, taken as needed.

$96 / 4-week supply
Get Started
Quad Powered Liposomal - Tides Health
Quad Powered Liposomal
Sildenafil + Tadalafil + Vardenafil + Apomorphine

Combines a maximum-strength blend of four compounds for enhanced absorption and results in a liposomal formula taken as needed.

$119 / 4-week supply
Get Started
Triple Powered Liposomal - Tides Health
Triple Powered Liposomal
Sildenafil + Tadalafil + Vardenafil

Combines three complementary compounds for enhanced absorption and results in a liposomal formula taken as needed.

$109 / 4-week supply
Get Started
Triple Powered Up Liposomal - Tides Health
Triple Powered Up Liposomal
Sildenafil + Tadalafil + Apomorphine

Combines three complementary compounds for extended performance support in a liposomal formula taken as needed.

$109 / 4-week supply
Get Started
Sexual health optimization

Provider-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 provider 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 licensed provider 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
Licensed Provider reviews same day

A licensed provider 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 licensed provider access included in every plan.

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

Consultation format may vary by state and individual clinical circumstances. In some states, or for certain patients, a live video or phone consultation with your licensed provider may be required before a prescription can be issued. Not all patients are eligible for an asynchronous (questionnaire-only) pathway. See our Terms of Use for details.

Everything you need, all in one place

Patient portal - Tides Health
Your patient portal

Track your progress, check in with your licensed 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 - Tides Health
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 provider will recommend the right sexual health protocol for your goals.

Find My Protocol

Takes less than 5 minutes · No obligation

Questions

Frequently asked questions

Is this medication FDA-approved?
Our protocols contain sildenafil and tadalafil, medications commonly used to treat erectile dysfunction. 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.
Do I need to visit a licensed provider in person?
No. The entire process is online. You complete a health assessment, a licensed provider 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 licensed provider 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 licensed provider is involved in every prescription.
Is online ED treatment legitimate?
Yes. Every prescription is issued by a licensed provider 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 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.