Sexual Wellness

Tadalafil + Sildenafil + Apomorphine

Starting at$108/ month
Tadalafil + Sildenafil + Apomorphine
Clinician reviewed
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  • Tadalafil — lasts 36 hours
  • Sildenafil — peak strength
  • Apomorphine — drives desire
  • Physician consultation & shipping included

Select treatment cycle

Subscription required

Total due now

$107.94 per month · 1 mo · 6 ODT Tablet

$107.94

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

Tadalafil + Sildenafil + Apomorphine

Couple resting together in bed in warm evening light
01What it does

Three mechanisms, one regimen.

Combines apomorphine for central arousal with tadalafil and sildenafil for vascular response — targeting desire and performance together.

02Who it's for

For men who want it all in one place.

Patients dealing with low desire alongside performance concerns, those who've had partial results from a single agent, and men looking for a comprehensive sexual wellness plan.

03What results look like

A realistic timeline.

Vascular effects show up immediately on dosing days, while the arousal component builds over repeated use. Most men report gains in both drive and confidence within the first month.

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

Performance is a symptom.
We find the cause.

Blood flow, hormones, or stress? The panel picks the right one.

01Total & free testosteroneWhy desire faded
02Estradiol & prolactinWhy libido swings
03ApoB & lipidsWhy blood flow matters most
04Insulin, glucose, HbA1cWhy metabolism is often the culprit
05ThyroidWhy you're running on empty
06Cortisol & vitamin DWhy stress kills the mood