Direct Max 3-in-1 — Triple-Action ED Treatment
Three powerful mechanisms in one rapid dissolve tablet. Apomorphine activates dopamine pathways in the central nervous system for natural arousal. Sildenafil delivers fast-acting PDE5 inhibition with a 4-6 hour window. Tadalafil provides long-acting PDE5 coverage for 24-36 hours. No injection needed — compounded by a licensed pharmacy and prescribed by our physicians.
- Triple-action formula
- Rapid dissolve tablet (no injection)
- Apomorphine + Sildenafil + Tadalafil
- Discreet shipping
- Physician-prescribed
Choose Your Treatment Plan
Select a consultation and treatment program. A licensed physician will evaluate your health profile and prescribe if appropriate.
+ $20.95 UPS Next Day Air shipping per shipment
What's in the Box
Everything you need for your treatment, delivered right to your door.
Rapid Dissolve Tablets
30-day supply of triple-action tablets combining Apomorphine, Sildenafil, and Tadalafil in a rapid dissolve formula
Dosing Guide
Detailed instructions on timing, food interactions, and what to expect from your triple-action treatment
Provider Messaging
Confidential direct access to your prescribing physician for questions and dosage adjustments
How It Works
From assessment to treatment in four simple steps.
Confidential Assessment
Complete a HIPAA-compliant health questionnaire covering your medical history, current medications, and symptoms.
Physician Prescription
A licensed physician reviews your assessment and prescribes the appropriate Direct Max dose for your needs.
Discreet Delivery
Your rapid dissolve tablets are compounded by a licensed pharmacy and shipped in unmarked packaging within 2-4 business days.
Ongoing Support
Message your physician anytime for dosage adjustments, questions, or follow-up care. Refills are simple and automatic.
Key Benefits
Science-backed benefits you can expect from your treatment.
Triple Mechanism of Action
Three compounds working through different pathways deliver superior results compared to any single-agent treatment
Rapid Dissolve Convenience
Place the tablet under your tongue for fast absorption — no water, no injection, no waiting for a pill to digest
Central + Peripheral Action
Apomorphine targets brain arousal pathways through dopamine activation while PDE5 inhibitors increase blood flow peripherally
24-Hour Coverage
Sildenafil provides immediate 4-6 hour response while Tadalafil extends coverage up to 24-36 hours
No Injection Required
A convenient oral rapid dissolve tablet replaces painful injections — discreet and easy to use anywhere
Physician Monitored
Your prescribing physician monitors your progress, adjusts dosing, and ensures safe ongoing treatment
Frequently Asked Questions
Find answers to common questions about this treatment.
Ready to Get Started?
Complete your telehealth consultation in minutes. A licensed physician will evaluate your health profile, and if appropriate, prescribe a personalized treatment plan fulfilled by our licensed pharmacy.
Direct Max 3-in-1 ED Treatment
From $99/mo