Blood Flow
Vardenafil, Tadalafil, and Sildenafil
Find your custom protocol- Better bedroom performance, workouts, recovery, and focus—every day
- Taken daily, as-needed, or microdosed based on your goals
- Be your strongest, sharpest self for about $2/day
Prescription
Starting at $35.99/mo
Free priority shipping
Licensed US compounding pharmacies
Board-certified doctors
Split your payment into manageable installments with Klarna.
Find your custom protocolSubscription billed every 30 days. Plans starting at $35.99/mo (10 mg 4 ct, 1-month plan). Auto-renews. Cancel anytime in your member account or by emailing support@maximustribe.com. See refund policy.
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.
Benefits for the bedroom, the boardroom, and the weight room.
PDE5 inhibitors support erections, stronger gym pumps, faster recovery, sharper focus, and healthy aging.
Claims are based on established pharmacology of the drug class. Individual results vary.
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Better Muscle Pumps
Blood flow medications enhance vasodilation during exercise, improving blood flow to working muscles. Research shows these medications can improve lean mass gains in healthy men.
Blood flow medications enhance vasodilation during exercise, improving blood flow to working muscles. Research shows these medications can improve lean mass gains in healthy men.
Sharper Focus
Improved cerebral blood flow supports attention, memory, and mental clarity. Blood flow medications have been shown to improve cognitive function in clinical studies.
Improved cerebral blood flow supports attention, memory, and mental clarity. Blood flow medications have been shown to improve cognitive function in clinical studies.
Accelerated Recovery
Studies demonstrate reduced arterial stiffness in the recovery period after exercise when utilizing blood flow medications, helping you bounce back faster and train harder.
Studies demonstrate reduced arterial stiffness in the recovery period after exercise when utilizing blood flow medications, helping you bounce back faster and train harder.
Anti-Aging Benefits
Long-term daily use of blood flow medications has been shown to reduce arteriosclerosis progression and lower inflammatory markers—supporting cardiovascular health as you age.
Long-term daily use of blood flow medications has been shown to reduce arteriosclerosis progression and lower inflammatory markers—supporting cardiovascular health as you age.
THE SCIENCE
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 improved circulation to your muscles to support better workouts and recovery, plus better circulation to your brain for enhanced focus.
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.
Every treatment. Every dose. Every goal.
Vardenafil + Tadalafil
Fast-acting power and long-lasting performance. Flexibility when you need it, potency when it counts. Maximum results, no compromise.
Starting at $59.99/mo
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Tadalafil
Flexibility meets lasting potency. Can be used daily or as-needed depending on your performance needs.
Starting at $53.99/mo
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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.
Starting at $59.99/mo
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Sildenafil
Well-researched, tried-and-true. Reliable 4-6 hour window with proven results, and smart value. The classic choice because it works.
Starting at $49.99/mo
Get StartedVardenafil 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.
Side Effects
Important Safety Information
Blood flow treatments are generally well-tolerated, and side effects typically resolve with consistent use as your body adapts. Do not take these medications if you use nitrates or alpha-blockers, as the combination can cause a sudden, unsafe drop in blood pressure. Always discuss your full medical history with your prescribing physician.
Common side effects:
- Headache, flushing, nasal congestion, indigestion, dizziness, back pain, and muscle aches.
- Sildenafil-specific: Transient blurred vision or blue-tinted visual disturbances.
Rare but serious side effects may include:
- Priapism: An erection lasting more than 4 hours, which can cause permanent damage.
- Sudden vision loss (NAION) or sudden hearing loss/tinnitus (Note: The FDA has not established a direct causal link between these medications and hearing issues).
- Severe hypotension (if combined with contraindicated medications) or severe hypersensitivity (allergic) reactions.
- Vardenafil-specific: Prolongation of the QT interval (tell your doctor if you have a history of cardiac arrhythmias).
Performance medicine you can trust. Results that last.
- Unlimited access to a personal doctor and care team
- 100% online. No clinic or lab visits required
- Doctor-guided care that adapts to your results
It's easy to get started.
01
Complete your evaluation
Answer a few health questions online. Takes about 5 minutes. No appointment needed, no waiting rooms.
02
Discreet, direct shipping
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 work with you to adjust treatment for peak performance.
Real, lasting results.
Collected by Maximus from verified customers. Results vary.
Custom care. Powered by telehealth.
We conduct our own research
We actively study our protocols and publish real outcomes. Our clinical data backs everything we offer.
Your care team monitors progress
Ongoing support from board-certified physicians who adjust your protocol based on your results.
Founded by physicians
Built by clinical experts who understand both the science of optimization and the human experience of pursuing better health.
US-licensed pharmacies only
Your medication compounded by a licensed U.S. pharmacy under a physician's prescription. No overseas suppliers, no quality compromises, no uncertainty.
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.
Doctor-prescribed Blood Flow protocols, shipped to your door.
- Get personalized, ongoing dosage adjustments for maximum impact
- Boost intimacy, workouts & focus — about $2/day
