Vardenafil, Tadalafil, and Sildenafil
- Better sex, workouts, recovery, and focus—every day
- Taken daily, as-needed, or microdosed based on your goals
- Be your strongest, sharpest self for less than $2/day
Do not take PDE5 inhibitors with nitrates in any form (risk of severe, potentially fatal hypotension). Use caution with alpha-blockers. PDE5 inhibitors are contraindicated where sexual activity is inadvisable due to cardiovascular risk.
Prescription
starting at $44.99/mo
24/7 support from your personal care team
Licensed US compounding pharmacies
Unlimited access to Board-certified doctors
What are Vardenafil, Tadalafil, and Sildenafil?
What are Vardenfail, Sildenafil, and Tadalafil?
Vardenafil, Tadalafil, and Sildenafil are potent prescription PDE5 inhibitor medications used to increase blood flow for stronger, longer-lasting intimacy and PDE5 inhibitors increase blood flow by raising nitric oxide signaling — the same mechanism used to treat erectile dysfunction. Benefits beyond blood flow are not established. Talk with your clinician about whether a PDE5 inhibitor fits your goals.
How do PDE5 inhibitors work?
PDE5 inhibitors are prescription medications that improve blood flow by blocking the enzyme phosphodiesterase type 5 (PDE5). They're commonly used to treat erectile dysfunction (ED), but also enhance overall circulation, supporting better sexual performance, workout endurance, and daily focus. By increasing nitric oxide signaling, PDE5 inhibitors like sildenafil, tadalafil, and vardenafil improve whole-body oxygenation, especially the muscles and the brain—leading to sharper focus, improved mood, and greater mental clarity. This makes PDE5 inhibitors powerful tools for optimizing your sexual, physical, and mental performance.
Are PDE5s right for me?
Anyone looking to enhance sexual or workout performance, improve daily stamina, and boost mental focus through better vascular function may benefit from PDE5 inhibitors. While the benefits of PDE5 inhibitors are not limited to those with pre-existing conditions, they’re especially effective for those with age-related vascular decline, or underlying conditions like hypertension or diabetes that impair circulation. PDE5 inhibitors are also ideal for men experiencing erectile dysfunction and reduced sexual performance. Always consult a medical provider to determine if PDE5 inhibitors are right for your health profile and goals.
Vardenafil, Tadalafil, and Sildenafil Blood Flow Enhancement
Get started for less than $2/dayEvery treatment. Every dose. Every goal.
Daily, as-needed, microdose
Vardenafil* + Tadalafil
Fast-acting power and long-lasting performance. Flexibility when you need it, potency when it counts. Maximum results. No compromises.
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Daily, as-needed, microdose
Tadalafil
As needed for those who don’t want to plan—or daily to stay ready all the time. Flexibility meets lasting potency, with power you can count on.
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As needed
Vardenafil*
For those who want a quicker start and just the right duration. Not too short, not too long—timed for your life. Balanced onset. Smooth finish.
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As needed
Sildenafil
Well-researched, tried-and-true. Reliable 4–6 hour window with proven results, and smart value. The classic choice—because it works.
Start now*Vardenafil can prolong the QT interval. Do not use Vardenafil if you take a Class IA (e.g., quinidine, procainamide) or Class III (e.g., amiodarone, sotalol) antiarrhythmic medication, or if you have known QT prolongation. Consult your practitioner before taking Vardenafil.
Performance medicine you can trust. Results that last.
- Unlimited access to personal doctor and care team
- 100% online. No clinic or lab visits required.
- Doctor-guided care that adapts to your results
- Board-certified doctors that treat people, not numbers
How it works
01
Start your consultation
Get approved in minutes, then message your Maximus doctor to personalize your protocol.
02
Discreet shipping direct to your door
Get your medication to your doorstep—shipped fast and discreetly. No clinics or labs required.
03
Track results. Adapt treatment.
Your doctor and care team monitor your results and adjust treatment for peak performance.
Your blood flow questions answered
Can I take Blood Flow medication even if I don’t have ED?
Yes! Thanks to modern and optimized daily-use formulations, even without symptoms of ED, Blood Flow treatment enhances intimacy and satisfaction. It also supports increased circulation, leading to better workouts and reduced fatigue in the gym, along with sharper focus, improved memory, and faster mental processing throughout your day-to-day.
Can I microdose Blood Flow medication?
Yes. Taking a daily blood flow microdose is an effective and potent way to enjoy the benefits of enhanced blood flow with less side effects. Microdosing also unlocks effects growing over time with daily use, giving those sensitive to treatment more flexibility and long term effects without significant side effects.
How is Vardenafil + Tadalafil different from generic ED medications?
Most generic ED medications are one pharmaceutical that only improves blood flow, which is a plus for men who struggle gaining and keeping an erection.
Vardenafil + Tadalafil is a synergistic combination of two medications, which increases blood flow better than ED medications alone, while also working through the central nervous system to elevate drive, endurance, and satisfaction.
Unlike some ED medications which come in high dosages designed for occasional use, Vardenafil + Tadalafil is formulated for safe daily use, and has an effect that builds up over time.
What are the benefits of daily use?
Be ready whenever the moment arises—no planning, no pressure. With daily use, the benefits build naturally over time, enhancing your intimacy, boosting workout performance, and sharpening mental clarity so you can feel confident and in control every day.
What are the common side effects of Blood Flow medication?
The adverse effects of 5 mg daily use of tadalafil have been extensively studied in placebo-controlled clinical trials. The drug is generally well-tolerated, however, manageable and infrequent side effects may occur such as:
Headache (observed in 6% of patients), Dyspepsia (observed in 5% of patients), Nasopharyngitis (observed in 3% of patients), Back pain (observed in 3% of patients), Upper respiratory tract infection (observed in 3% of patients), Flushing (observed in 3% of patients), Myalgia (observed in 2% of patients)
Being treated by a licensed doctor who is able to monitor your personal experience and customize your treatment protocol ensures you are able to experience the benefits with minimized risk of adverse effects.
In rare cases PDE5 inhibitors may cause priapism (a prolonged erection lasting more than 4 hours). Seek emergency care immediately.
Rarely, PDE5 inhibitors have been associated with sudden vision loss (NAION). Stop use and seek care immediately.
What states is Blood Flow Protocol available in?
Vardenafil, Tadalafil, and Sildenafil are available in all US States and DC.
Can I use my HSA or FSA card to pay for Blood Flow Protocol?
Maximus accepts Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA).
Using your HSA/FSA is easy. Simply use your HSA/FSA card as you would any other debit or credit card when providing your billing information.
HSA/FSA plans vary on what services they are willing to cover. If you are uncertain whether your plan covers Maximus' services, check with your plan administrator.
Disclaimer: Erectile Dysfunction Treatment: HSA Eligibility
ERECTILE DYSFUNCTION TREATMENT: REQUIRES A PRESCRIPTION TO BE ELIGIBLE WITH A HEALTH SAVINGS ACCOUNT (HSA)
Erectile dysfunction treatment medicines are eligible and may qualify for reimbursement with a prescription with a flexible spending account (FSA), health savings account (HSA), or a health reimbursement arrangement (HRA). Erectile dysfunction treatment medicines are not eligible for reimbursement with a dependent care flexible spending account (DCFSA) or a limited-purpose flexible spending account (LPFSA).
What are erectile dysfunction treatment medicines?
There are several types of medicine available for the treatment of erectile dysfunction. Erectile dysfunction can be the result of a variety of different medical conditions related to the brain, nerves, muscles, and blood vessels. Stress and mental health concerns can exacerbate or worsen these issues, or cause erectile dysfunction separately (Urology Care Foundation).
Medicines for the treatment of erectile dysfunction include pills that increase the effect of nitric oxide which aids in obtaining an erection due to sexual stimulation. Other forms of medication include injections, urethral suppositories, testosterone hormone replacement therapies, penis pumps, penile implants, and blood vessel surgeries (Mayo Clinic).
A psychologist or counselor may also aid in treating erectile dysfunction that is a result of a psychological or mental health condition. Regardless of which treatment medicine is used, a prescription must be obtained for reimbursement eligibility under a consumer-directed savings account.
A doctor will likely recommend a specific treatment. Some erectile dysfunction treatment medicines have adverse side effects, and may not begin working immediately. Most should not be used more than once per day. Many erectile dysfunction treatment medicines are affected by other medications and supplements, and complications may result.
Is there potential for hearing issues with PDE5 inhibitors?
While extremely rare, there have been a few reports of hearing issues, such as tinnitus, in individuals taking PDE5 inhibitors. However, it's important to note that the FDA has not found a direct causal link between the use of PDE5 inhibitors and these hearing issues. These instances are very rare, and the overall risk is considered to be very low. If you experience any hearing changes while taking this medication, consult your provider immediately.
Best Blood Flow.
Better you.
- Get personalized dosing that fits your blood flow goals
- Boost intimacy, workouts & focus — under $2/day
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