Performance Oral

Performance Oral combines two PDE5 inhibitors that complement each other. Tadalafil daily keeps a baseline level of vasodilator support in your system — so when desire is there, response follows naturally. Sildenafil PRN provides a stronger acute response when needed for specific moments.

Both work by relaxing blood vessels and improving blood flow. Together they cover both spontaneous and planned scenarios.

Works in 30–60 minutes (PRN dose). Effect lasts 4–6 hours. No needles.

PDE5 inhibitors relax smooth muscle in blood vessels, improving blood flow when arousal triggers the vasodilatory cascade. Daily low-dose Tadalafil (typically 2.5-5mg) keeps a baseline level so spontaneous moments work naturally. Sildenafil PRN (50-100mg) offers a stronger acute response for planned activity. The two are coordinated by your physician — most clients use Tadalafil daily as the foundation and Sildenafil only for specific moments when more acute response is needed. Both should never be used at full doses on the same day.

• Reliable, predictable performance
• Two mechanisms in one protocol
• Spontaneous and planned scenarios covered
• No needles, no injections
• Faster acute response than daily-only protocols
• Personalized strength by your physician

Day 1: Sildenafil PRN works in 30–60 minutes when needed.
Week 1–2: Daily Tadalafil reaches steady state — baseline improvement in spontaneous response.
Ongoing: Reliable, consistent performance across both spontaneous and planned scenarios.

• Compounded Tadalafil (daily, monthly supply)
• Compounded Sildenafil (on-demand)
• Doctor consultation and ongoing care
• Direct messaging with your physician
• Free tracked shipping

Tadalafil
• Form: Oral tablet, daily
• Strength: personalized by your physician
• Storage: Room temperature

Sildenafil
• Form: Oral tablet, on-demand
• Strength: personalized
• Storage: Room temperature

Compounded at: 503A-licensed US pharmacy partner

• Tadalafil: daily, same time each day, with or without food
• Sildenafil: 30–60 minutes before activity, on empty stomach for best response
• Avoid heavy or high-fat meals before Sildenafil dose
• Avoid grapefruit juice — interferes with metabolism

Continuous use. No cycling required.

Possible: headache, flushing, nasal congestion, mild indigestion, back pain (Tadalafil), visual color changes (Sildenafil).

Seek immediate care for: erection lasting over 4 hours, sudden vision or hearing changes, chest pain.

Both forms use the same active molecules — just delivered differently.

Injections enter the bloodstream directly, so around 95% of the compound reaches your cells. Oral forms pass through the digestive system, with 30–40% reaching the bloodstream. To compensate, oral protocols use higher concentrations.

In practice: injections act faster (results in 2–3 weeks). Oral protocols act gentler and more gradually (results in 4–6 weeks). Neither is "better" — they're different paths to similar outcomes.

The price difference reflects what each form requires to produce. Sterile injectables need clinical-grade processes (sterility testing, cold-chain shipping). Oral forms can be produced more simply.

Do not use if you:
• Take nitrates or nitric oxide donors (severe blood pressure drop)
• Take certain alpha-blockers without physician coordination
• Have severe cardiovascular disease, recent stroke, or uncontrolled hypertension
• Have severe liver or kidney disease
• Have hereditary retinal disorders

Your physician reviews your full medical history and medication list before clearing you.

Your protocol ships from a licensed US compounding pharmacy in discreet, unmarked packaging. Most orders arrive within 5–7 business days after your doctor approves your prescription.

Sterile injections ship refrigerated overnight when needed — at no extra cost. You'll get a tracking link by email the moment your box leaves the pharmacy.

Shipping is included in every monthly plan. We deliver to all 50 US states.

Stop and contact your physician immediately if you experience:
• Erection lasting over 4 hours
• Sudden vision or hearing changes
• Chest pain or cardiac symptoms
• Signs of severe allergic reaction
• Any unexpected symptoms

Inform other healthcare providers — especially before surgery. Never share medications. Never reuse syringes (injection protocols).