What it's used for
Tadalafil may support erectile response.
OralSexual Health · Oral
A tablet combining tadalafil 20 mg, bremelanotide 5 mg, and pycnogenol 25 mg, with limited evidence for the combined formulation.
$149.99 · Month Supply 20mg/5mg/25mg
Ships to all states except AL.
About this treatment
A tablet combining tadalafil 20 mg, bremelanotide 5 mg, and pycnogenol 25 mg, with limited evidence for the combined formulation. Compounded medicines are not FDA approved or reviewed for safety, effectiveness, or quality before marketing.
The science
Tadalafil supports erectile blood flow, while bremelanotide targets melanocortin receptors. The oral combination is not equivalent to approved injected bremelanotide, and added benefit from pycnogenol is uncertain.
Results depend on the formulation, route, and individual health factors. Evidence for an approved ingredient does not establish that a compounded product works the same way.
Benefits & evidence
Tadalafil may support erectile response.
Oral bremelanotide benefits remain uncertain.
Added benefit from pycnogenol is not established.
Individual results vary and are not guaranteed.
Your next steps
Pick your treatment, plan length and state, then check out.
Share your health history and goals in a secure online form.
A licensed clinician reviews your intake, orders any required labs and decides if treatment is right for you.
If approved, your medication ships discreetly, with follow-up care along the way.
Safety information
Reported effects include headache, flushing, nausea, dizziness, indigestion, and blood pressure changes.
Do not combine with nitrates, riociguat, or other erectile dysfunction medicines unless specifically directed; discuss heart disease and blood pressure medicines. Seek urgent care for chest pain, sudden vision or hearing loss, or an erection lasting over four hours.
Compounded medications are prepared by a pharmacy for individual patients. They are not FDA approved and have not been reviewed by the FDA for safety or effectiveness.
Stop and contact your care team if you have a severe reaction. For a medical emergency, call 911.
Frequently asked questions
Follow your prescription and pharmacy instructions for your exact formulation. Do not change the dose, route, or schedule without your clinician.
Follow your clinician's review schedule. Contact them sooner for persistent side effects, worsening symptoms, or concerns about your response.
Follow the dispensing label for temperature, light protection, and discard dates. Ask your pharmacist before using medicine stored incorrectly.
It can ship to every state except Alabama.
Treatment is only prescribed when a licensed clinician decides it is appropriate. If it isn't, your care team will explain why and talk through other options.