Desire, composed.
QUAD™ 4-in-1 Performance Formula: a rapid-absorb sublingual liquid, clinician-prescribed when appropriate. Four ingredients arranged like notes in a composition, worn privately, made for evenings that refuse to be scheduled.
Completing a visit does not guarantee a prescription. A licensed provider reviews your health information and decides whether treatment is appropriate for you.

Three notes. One accord.
The opening note
PT-141
- Ingredient
- PT-141, the desire note of the formula.
- Mechanism
- Heightens desire via the nervous system, before anything physical is asked to perform.
- Benefit
- The evening opens with wanting, the way it should.
The heart
L-Citrulline + Sildenafil
- Ingredient
- L-Citrulline with Sildenafil, the strength of the composition.
- Mechanism
- L-Citrulline amplifies nitric oxide; Sildenafil carries peak strength.
- Benefit
- The body arrives with the mood, fully present.
The base note
Tadalafil
- Ingredient
- Tadalafil, the lasting finish.
- Mechanism
- Remains active for up to 36 hours after the dose.
- Benefit
- The composition lingers, so the two of you keep the schedule.
The house safety rule
Never combine this formula with nitrates. Your provider screens your medications, heart health, and history during the visit, and prescribes only when treatment is appropriate for you.
Sublingual, by design.
- Direct
- Absorbs under the tongue rather than waiting on digestion, working in as little as 15 minutes.
- Unbothered
- Dinner is not an obstacle; the dose does not queue behind the meal.
- Unhurried
- A responsive window up to 36 hours leaves room for the evening to unfold on its own terms.
From $114/month, set with your provider.
QUAD™ plan
The starting arrangement, prescribed when your provider finds it appropriate for you.
QUAD™ plan
The fuller arrangement, set with your provider around the regimen that suits you.
Prescriptions are issued only after an online consultation with an independent licensed provider. Compounded medications are dispensed by state-licensed pharmacies but are not FDA approved.
Private, at every hand it passes through.
- The visit
- A private online evaluation, completed on your own time. No waiting room, no explaining yourself at a counter.
- The parcel
- Fast, discreet shipping in plain packaging. The box says nothing; that is its job.
- The record
- Health details live inside your secure visit and portal, between you and your care team.
How quickly does it work?
Works in as little as 15 minutes; responsive window up to 36 hours. Individual response varies with your health profile and your provider’s guidance.
Is QUAD™ FDA approved?
No. It is a compounded formula, dispensed by state-licensed pharmacies and not FDA approved, prescribed by a clinician only when appropriate for you. The label says so wherever the product appears.
Who should not wear this composition?
Anyone taking nitrates, first and firmly. Beyond that, your provider screens interactions and heart health during the visit. Completing a visit does not guarantee a prescription. A licensed provider reviews your health information and decides whether treatment is appropriate for you.
Will anyone know?
The packaging is plain, the visit is private, and the record stays in your secure portal.
The intimacy collection
A 3-minute private evaluation begins it.
Completing a visit does not guarantee a prescription. A licensed provider reviews your health information and decides whether treatment is appropriate for you.