Vials + Vitals
Start Intake
Discreet Matte PouchTadalafil 20 mg / Sildenafil 70 mg / Apomorphine 4 mg
Ignite 4 — Oral Tablet
  • 503B Compounded
  • USP 71 Sterility Tested
  • Discreet Courier Pack

Ignite 4

Dual PDE5 stack with apomorphine for anxiety-driven cases.

Primary strength: Tadalafil 20 mg / Sildenafil 70 mg / Apomorphine 4 mg

Package quantity

Your selection

$149/month

1-month cadence · billed as $149

Check Medical Eligibility

No hidden consultation fees. 100% immediate refund if not approved by our US physicians.

What's in the box

Inclusion Manifest: Complete Transparent Delivery

Ignite 4 Discreet Matte Pouch
01

Discreet Matte Pouch

Child-Resistant Discreet Matte Pouch

Clinician reviewing a protocol during a telehealth consult
02

Physician Titration & Dosing Guide

Comprehensive clinical schedule detailing titration steps, timing instructions, and 24/7 care team access.

Analytical laboratory potency testing
03

Accredited 503B Batch Potency COA

Third-party certificate of analysis confirming identity, potency and purity for your batch.

Plain discreet shipping box opened at home
04

100% Discreet Courier Shipper

Tamper-evident, unbranded exterior packaging with zero medical markings or Rx indications.

The science, explained simply

Mechanism of Action & Bio-Additive Synergy

Active compounds in this protocol

  • Tadalafil 20 mg
  • Sildenafil 70 mg
  • Apomorphine 4 mg

Apomorphine breaks the loop

A central dopaminergic trigger initiates arousal independently of performance anxiety, while the PDE5 pair handles the vascular side.

Dosage

Pharmacokinetic Onset Timeline: Dose to Peak

  1. 1

    0-15 minutes

    Buccal absorption

    Dose held sublingually

    Compound crosses the oral mucosa directly into circulation, bypassing the gut.

  2. 2

    ~30 minutes

    Peak plasma

    Maximum concentration

    Vasodilation and CNS signaling reach their strongest point.

  3. 3

    24-36 hours

    Therapeutic window

    Sustained response

    Responsiveness persists well past peak; never take a second dose inside 24 hours.

Savings

Subscription Cadence & Multi-Month Savings

Pricing shown for 6-count. Selecting a cadence updates your eligibility check.

Check Medical Eligibility

Quality assurance

Clinical Audit & Patient Questions

Content Uniformity

Passed — HPLC tested

Sterility / Endotoxin

Passed — USP 71 / 85

cGMP Inspected

503B / 503A US pharmacy

Cold-Chain Certified

Insulated transit verified

Usually yes. Upload your most recent prescription or dosing record during intake and your reviewing physician can continue you at your current step instead of restarting titration.

Yes — 100% refunded immediately, with no consultation fee. You are only charged once a licensed US physician approves your protocol.

Room temperature in its foil until the moment you dose — the seal is what protects potency.

Most patients report onset within 20-45 minutes. Your clinician confirms the timing window for your exact strength.