How are troches different from vials?

Troches (ODT) are small tablets that dissolve under the tongue or between cheek and gum, bypassing the digestive tract. Vials are liquid single-dose formulations. Both deliver compounded blends; troches are convenient for on-demand discreet use, vials work well for fast onset.

How quickly do these medications work?

Onset varies by formulation and individual factors. Most patients see effect within 15-30 minutes for troches (sublingual absorption) and a similar window for vials. Your physician will review timing expectations and help you pick the formulation that fits your needs.

Are there side effects?

Common side effects can include headache, flushing, nasal congestion, or temporary visual changes. Serious side effects are rare. Your physician will review your medical history, current medications, and contraindications before prescribing.

Can I take these with other medications?

These ingredients can interact with nitrates and certain blood-pressure drugs, and may not be safe with some heart conditions. Disclose all medications and conditions during your assessment so your physician can evaluate safety.

Is this covered by insurance?

Our sexual health program is cash-pay only — pack-based pricing with full per-unit transparency. Larger packs lower the per-dose cost. Your pack price includes the compounded medication, physician consultation, and discreet shipping.

How is shipping handled?

All medications ship in plain packaging from a licensed U.S. pharmacy. Your card statement uses a discreet billing descriptor — nothing on the package or statement identifies the program. Tracking is provided once the order leaves the pharmacy.

How quickly can I get started?

Most patients complete the 3-minute assessment, receive a physician decision within 24 hours, and have medication shipped the same day if approved. Many patients receive their first pack within 48 hours of starting.

Sexual Health

Doctor-prescribed performance, on your terms.

Compounded single-dose vials and dissolvable troches — sildenafil, tadalafil, vardenafil, apomorphine. Reviewed by U.S.-licensed physicians, shipped discreetly. No clinic, no pharmacy line.

Check My Eligibility Takes 3 minutes

Licensed U.S. Physicians

Discreet Shipping

Prescribed in 24 Hours

Licensed U.S. Physicians

Discreet Shipping

Prescribed in 24 Hours

Quick Assessment

3 minutes

Get Prescribed

24 hours

Shipped Discreetly

Fast delivery

Your Options

Single-dose vials and dissolvable troches,
from $4/dose.

Choose the formulation that fits your moment — fast-acting blends for on-demand use, troches that dissolve under the tongue, and a daily option for steady support. Larger packs lower the per-dose cost.

Quadruple Powered Vial

From $12/vial · 10-pack

Sildenafil 40 + Tadalafil 11 + Vardenafil 7.5 + Apomorphine 2 mg

Get started View details

Triple Powered Vial

From $11/vial · 10-pack

Sildenafil 40 + Tadalafil 5 + Vardenafil 10 mg (or 40+5+20)

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Triple Powered Up Vial

From $11/vial · 10-pack

Sildenafil 40 + Tadalafil 5 + Apomorphine 2 mg

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Double Powered Vial

From $10/vial · 10-pack

Sildenafil 40 + Tadalafil 11 mg (or 40+22)

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Go Long Vial

From $10/vial · 10-pack

Silodosin 7 + Tadalafil 4 mg

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Triple Powered Troche

From $13/pill · 12-pack

Sildenafil 110 + Tadalafil 22 + Apomorphine 2 mg (or 55+11+2)

Get started View details

Double Powered Troche

From $12/pill · 12-pack

Sildenafil 110 + Tadalafil 22 mg (or 55+11)

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Go Long Troche

From $12/pill · 12-pack

Silodosin 8 + Tadalafil 10 mg

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Daily Boost Troche

From $4/pill · 28-pack

Tadalafil 2.5 / 5 mg daily

Get started View details

Formulation and dose determined after physician consultation. All medications dispensed by a licensed U.S. pharmacy.

Why Compounded

Confidence, on demand.

Compounded formulations combine multiple active ingredients in a single dose — clinician-tuned to your goals, dispensed by a licensed U.S. pharmacy, and delivered to your door in plain packaging.

Teledris sexual health patient — confident man

Teledris patient — confident after treatment

Multi-ingredient blends in one dose

Onset within 30 minutes for many patients

Plain packaging, discreet billing

* Individual response varies. Your physician will determine the right formulation and dose for you.

How It Works

From first click to first dose.

No clinic visits. No awkward pharmacy lines. Just discreet, clinician-led care delivered to your door.

Step 01

Complete Your Assessment

Answer a few health questions in 3 minutes. We review your medical history, current medications, and goals.

Takes only 3 minutes

HIPAA secure

No appointments needed

Step 02

Provider Reviews Your Case

A U.S.-licensed physician evaluates your information within 24 hours and chooses the right blend and dose for you.

Licensed physicians

Reviewed within 24 hours

Personalized plan

Step 03

Medication Delivered

If prescribed, your pack ships in plain packaging from a licensed pharmacy. Tracked delivery, discreet billing descriptor.

Plain packaging

Discreet billing

Licensed pharmacy

Step 04

Ongoing Support

Message your care team anytime. Refills, dose adjustments, and questions answered fast.

Unlimited messaging

Easy refills

Dose adjustments included

Start Your Visit

Clinician-Led Care

Real prescriptions. Real physicians. Real privacy.

Every assessment is reviewed by a U.S.-licensed physician. Every formulation is compounded by a licensed pharmacy. Every shipment is discreet — plain packaging, plain billing.

Dr. M. Aldana, MD

Medical Director, Men's Health

What's included in your care

Plain packaging and discreet billing
Licensed U.S. physicians only
Message your care team anytime
Compounded by licensed pharmacies
Refills and adjustments within 24 hours

Ready to feel back on top?

See if you qualify in 3 minutes. Doctor decision within 24 hours.

Check My Eligibility Still have questions? View FAQ

FAQ

Questions about sexual health treatment.

A powered vial is a single-dose compounded liquid that combines multiple active ingredients — sildenafil, tadalafil, vardenafil, or apomorphine — in one dose. The blend and strength are determined by a licensed physician after reviewing your assessment.

Doctor-prescribed performance, on your terms.