Sildenafil
A prescription PDE5 inhibitor commonly used in the treatment of erectile dysfunction. It supports blood flow involved in the natural erectile response when sexual stimulation occurs.
MEN’S SEXUAL WELLNESS
Epiq Quad
Sildenafil + Tadalafil + Vardenafil + Apomorphine
A provider-guided prescription combination containing four active ingredients for eligible men seeking a personalized approach to erectile dysfunction treatment. A licensed provider reviews your health information and determines whether this combination is medically appropriate for you.
- Four active ingredients in one prescribed treatment
- Flexible monthly-use options
- Personalized medical review
- Medication included if prescribed
- Free discreet shipping
$179 total
Prescription required. A licensed provider determines whether this treatment, formulation, and its instructions are appropriate for you.
A personalized four-ingredient approach
This compounded prescription combination contains Sildenafil, Tadalafil, Vardenafil, and Apomorphine. The ingredients act through different pathways associated with erectile response and sexual function. A licensed provider reviews the patient’s medical history, current medications, cardiovascular health, previous treatment experience, and treatment goals before determining whether this combination is appropriate.
A four-ingredient combination is not automatically stronger, safer, or more appropriate than a single-ingredient or three-ingredient option. The prescribing provider determines which treatment is suitable for each patient.
Four ingredients, one provider-guided treatment
Tadalafil
A prescription PDE5 inhibitor generally associated with a longer potential treatment window, which may provide greater timing flexibility for some patients.
Vardenafil
A prescription PDE5 inhibitor used to support erectile response by increasing blood flow when sexual stimulation occurs. Individual response and appropriateness vary.
Apomorphine
A prescription ingredient that acts through central nervous system pathways involved in sexual response. Its appropriateness depends on individual health, other medications, and provider evaluation.
Why patients may consider a combination treatment
Convenient Combination
Four prescribed active ingredients are provided within one treatment formulation.
Personalized Medical Review
A licensed provider determines whether the combination is appropriate based on the patient’s health information.
Flexible Quantity Options
Choose from 6, 12, or 18 anticipated uses per month.
Private Online Process
Complete a confidential online medical assessment without an unnecessary office visit.
Discreet Delivery
If prescribed, treatment is delivered in discreet pharmacy packaging with free shipping.
Ongoing Support
Access treatment support and follow-up throughout the active plan.
Individual experiences vary. Sexual stimulation may still be required. Treatment outcomes, onset, and duration cannot be guaranteed.
Which ED treatment may be appropriate?
Epiq Quad
- Contains Sildenafil, Tadalafil, Vardenafil, and Apomorphine
- Four-ingredient compounded prescription combination
- Offered only when a provider determines it is appropriate
- Available in 6-, 12-, and 18-use monthly quantities
Three-in-One ED Treatment
- Contains Sildenafil, Tadalafil, and Apomorphine
- Three-ingredient compounded prescription combination
- Available on its own Auva RX product page
- Provider determines whether it is appropriate
Standalone Sildenafil
- Familiar single-ingredient ED treatment
- Generally associated with more intentional timing
- Available on its own Auva RX product page
- Provider determines treatment details
Standalone Tadalafil
- Single-ingredient ED treatment
- Generally associated with a longer potential treatment window
- Available on its own Auva RX product page
- Provider determines treatment details
A multi-ingredient treatment is not automatically better than a single-ingredient option. The appropriate treatment depends on medical history, current medications, previous treatment response, preferences, and provider judgment.
How it works
Three steps to personalized care.
Simple online care, reviewed by licensed medical providers.
- 01
Tell us about yourself
Complete a secure online health assessment so your provider can understand your goals, symptoms, and medical history.
- 02
Your provider reviews your care
A licensed medical provider evaluates your information and determines which treatment options may be clinically appropriate.
- 03
Begin your personalized plan
If prescribed, your treatment is delivered discreetly, with ongoing support and follow-up as needed.
Could a four-in-one treatment be right for you?
This combination may be considered for eligible adult men experiencing erectile dysfunction who want a provider-guided combination option. Eligibility depends on medical history, cardiovascular health, current medications, previous treatment response, and the prescribing provider’s clinical judgment.
A provider may consider:
- Erectile dysfunction symptoms
- Anticipated treatment frequency
- Previous response to ED medication
- Blood pressure and cardiovascular history
- Current prescriptions and supplements
- History of dizziness, fainting, or low blood pressure
- Other health conditions
- Potential medication interactions
What’s included
- Private online health assessment
- Licensed-provider consultation and medical review
- Medication if prescribed
- Ongoing treatment support
- Standard shipping
- Applicable taxes
- No separate membership fee
Important Safety Information
- Do not use this treatment with nitrates or “poppers,” because the combination can cause a dangerous drop in blood pressure.
- Tell your provider about heart or blood-pressure conditions and all medications you take so they can determine whether treatment is appropriate.
- Do not use this treatment if you have had a serious allergic reaction to any ingredient in the dispensed medication.
- Common side effects include headache, flushing, nasal congestion, indigestion, dizziness, and muscle or back discomfort.
Frequently asked questions
What is Epiq Quad?
It is a provider-prescribed compounded combination containing four active ingredients that act through different pathways associated with erectile response and sexual function. A licensed provider determines whether it is medically appropriate.
What ingredients are included?
Sildenafil, Tadalafil, Vardenafil, and Apomorphine.
Why are four ingredients combined?
The formulation combines ingredients associated with different pathways involved in erectile response and sexual function. A licensed provider determines whether that combination is appropriate for an individual patient.
Is a four-ingredient treatment automatically stronger?
No. A four-ingredient combination is not automatically stronger, safer, or more appropriate than a single-ingredient or three-ingredient option. The prescribing provider determines which treatment is suitable.
Can I choose my medication strength?
No. Customers select an anticipated number of uses. The licensed prescribing provider determines the appropriate formulation and treatment details.
What do 6, 12, or 18 uses per month mean?
These options represent the number of prescribed uses included for an anticipated month of treatment. Select the option that most closely reflects your expected needs.
Is this the same as standalone Sildenafil or Tadalafil?
No. This is a compounded combination containing Sildenafil, Tadalafil, Vardenafil, and Apomorphine. Standalone Sildenafil and standalone Tadalafil are separate treatment options with their own product pages.
How does this differ from the three-in-one ED treatment?
The three-in-one treatment contains Sildenafil, Tadalafil, and Apomorphine. This treatment also includes Vardenafil. A provider determines which option, if any, is appropriate.
Does this treatment work immediately?
Individual timing and response vary, and no specific onset or result is guaranteed.
Does it require sexual stimulation?
Sexual stimulation may still be required. Individual experiences vary and outcomes cannot be guaranteed.
Is shipping included?
Yes. Free discreet shipping is included.
What is included in the price?
The licensed provider consultation and medical review, medication if prescribed, ongoing treatment support, applicable treatment materials when provided, taxes, and free discreet shipping. There is no separate membership fee.
What happens if I’m not approved for the medication?
If you are not prescribed the desired medication from our team of medical providers, you will be notified and receive a full refund for all costs incurred.
Can I combine this with another ED medication?
No. Do not combine this treatment with standalone Sildenafil, Tadalafil, Vardenafil, Avanafil, the three-in-one ED treatment, another combination ED product, or any other erectile dysfunction medication unless specifically directed by your prescribing provider.
Will my medication arrive in the pouch shown?
No. The product image is for illustrative purposes only. If prescribed, medication may arrive in different packaging with labeling from the dispensing pharmacy. The medication, quantity, formulation, and instructions will reflect the prescription issued by your provider.
Is treatment guaranteed to work?
No. Individual responses vary, and no particular outcome can be guaranteed.
Explore other sexual wellness options
Oral Tablets
Sildenafil Oral Tablets
A familiar provider-prescribed oral treatment for erectile dysfunction, available through a private online medical assessment.
Oral Tablets
Tadalafil Oral Tablets
A provider-prescribed, longer-lasting oral treatment option for erectile dysfunction.
Oral Combination Treatment
Sildenafil + Tadalafil + Apomorphine
Three-in-One ED Treatment
A provider-guided three-ingredient prescription treatment for eligible men seeking a personalized approach to erectile dysfunction care.
Injection
PT-141
A provider-guided injectable treatment explored for eligible adults experiencing concerns related to sexual desire, arousal, and intimate wellness.
Find out if Epiq Quad may be right for you
Complete a private online medical assessment for review by a licensed provider.
No medication is dispensed unless prescribed by a licensed provider.