Sexual Wellness

Apomorphine + Sildenafil + Tadalafil + Vardenafil

Starting at$70/ month

Clinician reviewed

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$69.99 per month · 1 mo · 5 Packet

$69.99

Prescription items are subject to physician review before dispensing. Once you check out, you'll get member portal access to complete a medical intake form. A licensed physician reviews it, and if you're approved, your medication ships. Your provider sets the exact dose during that review.

This is a prescription product and requires an evaluation by a licensed provider. Purchase does not guarantee a prescription; if you are not approved, you will not be charged for medication. Compounded formulations are prepared by licensed 503A pharmacies and are not FDA-approved for safety or efficacy. Availability varies by state. Not for use by anyone under 18. This information is not medical advice — talk to your provider about risks, side effects, and interactions.

Multi-month plans renew automatically at the end of the term until cancelled. Cancel anytime before renewal at connect@monarchrx.net or +1 979-978-0561.

Understand the protocol

Apomorphine + Sildenafil + Tadalafil + Vardenafil

01What it does

What Apomorphine + Sildenafil + Tadalafil + Vardenafil does.

Apomorphine/Sildenafil/Tadalafil/Vardenafil is a compounded oral suspension designed to support erectile function through complementary mechanisms. The combination pairs central nervous system stimulation of sexual arousal (apomorphine) with three phosphodiesterase-5 (PDE5) inhibitors to enhance penile blood flow. It is intended for patients with erectile dysfunction who require an individualized formulation under the direction of a licensed clinician.

02Who it's for

For clinician-directed care.

Apomorphine + Sildenafil + Tadalafil + Vardenafil is prescribed through our Sexual Wellness program for patients whose intake, symptoms and labs point to a good fit. Your provider confirms it's right for you before anything begins.

03What results look like

A realistic timeline.

Response differs from patient to patient. Your provider tracks symptoms and labs throughout your regimen and adjusts dosing so progress builds steadily rather than all at once.

First dose

Immediate effect

Onset is typically 30–60 minutes. The first attempt is about finding the right dose, not the final answer.

Weeks 1–2

Dose dialed in

Two or three tries usually establish the dose and timing that work for you.

Weeks 3–8

Confidence returns

Predictability matters more than potency. Performance anxiety tends to fall away once results repeat.

Ongoing

As-needed or daily

Some patients move to a low daily dose for spontaneity instead of planning around timing.

Timelines are typical ranges reported in clinical use and by Monarch Rx patients. Individual results vary with dose, adherence, baseline health and lifestyle.

Labs By Monarch Rx