ED medication, under one tongue.
QUAD is a compounded sublingual ED formulation: sildenafil, tadalafil, vardenafil, and apomorphine in a single troche. Prescribed by a licensed physician when clinically appropriate. Compounded medications are not FDA approved. A prescription is not guaranteed. From $12 a dose.
The Ingredients
Four active ingredients. One troche.
QUAD combines four individually FDA-studied actives in a single compounded sublingual preparation. The compounded combination is not FDA approved and has not been independently evaluated as a combination. A licensed physician decides whether it is appropriate for you.
Dopamine Receptor Agonist
Apomorphine
A dopamine receptor agonist used off-label for erectile response. FDA-approved as Apokyn for Parkinson's disease; its use for ED is not FDA approved.
PDE5 Inhibitor
Vardenafil
FDA-approved PDE5 inhibitor used for ED, the same active ingredient as brand-name Levitra.
PDE5 Inhibitor
Tadalafil
FDA-approved PDE5 inhibitor with a longer half-life than sildenafil. Same active ingredient as brand-name Cialis.
PDE5 Inhibitor
Sildenafil
The most studied PDE5 inhibitor. Same active ingredient as brand-name Viagra.
Advantages
How QUAD is delivered
Sublingual delivery
The troche dissolves under the tongue. A licensed physician can explain how the delivery method compares to oral tablets for your specific situation.
Four actives in one preparation
Sildenafil, tadalafil, vardenafil, and apomorphine, all compounded into a single troche by a licensed pharmacy under a valid prescription.
Compounded pricing
Compounded preparations are typically priced below brand-name finished products. Insurance generally does not cover compounded medications.
Compare
How QUAD compares
| Feature | QUAD | Viagra | Cialis |
|---|---|---|---|
| PDE5 inhibitor | |||
| Includes apomorphine (off-label for ED) | |||
| Combines four active ingredients | |||
| Sublingual troche delivery | |||
| FDA-approved finished drug product | |||
| Generic available | |||
| Starting price | $12/dose | $2-10 | $2-10 |
Pricing
QUAD Compounded ED Prescription
A prescription is not guaranteed. A licensed physician decides.
- Physician review on every intake
- Free discreet shipping
- Provider messaging included
- Cancel anytime
No long-term contracts · Cancel anytime
Process
How it works
From intake to inbox in as little as 24 hours
Answer basic questions
Complete a quick 3-minute online intake form about your health history and symptoms. No payment required upfront.
Doctor reviews your form
A licensed medical provider reviews your answers and determines if QUAD is appropriate. Typically within 24 hours.
Discreet delivery
If approved, your prescription is filled and shipped in plain packaging with free expedited delivery.
24/7 support
Ongoing access to your care team for dosage adjustments, questions, or any concerns.
FAQ
Frequently asked questions
Honest answers about QUAD Mix.