Ignite 4 — Sexual Health — Men

The formula

What each ingredient does

Tadalafil 20mg

A PDE5 inhibitor, one of the most commonly prescribed ingredient classes for ED. It supports blood flow by blocking the PDE5 enzyme, and within the class it is known for its long duration window, which is why providers often choose it for as-needed formulas.

Sildenafil 70mg

Also a PDE5 inhibitor, included here at a higher strength. It works through the same blood-flow pathway as tadalafil, and pairing the two covers both ingredients' profiles in a single tablet.

Apomorphine 4mg

A different pathway entirely. Apomorphine acts on dopamine receptors in the central nervous system involved in sexual-response signaling, which is why providers may combine it with PDE5 inhibitors when a dual-pathway approach is appropriate.

Why Ignite 4

What this treatment offers

Three-ingredient formula

Includes two PDE5 inhibitors plus apomorphine 4mg, which acts on dopamine receptors involved in sexual-response signaling.

For provider-reviewed cases

An option a provider may consider when a patient has already tried other therapies and a combination approach is appropriate.

Rapid-dissolve delivery

Designed to dissolve in the mouth without water and be taken as directed by your provider.

Provider-gated

Prescribed only after a full review of your history and prior treatment response.

How it works

Care without the waiting room

Start your assessment

A 5-minute online health questionnaire — no appointment, no waiting room.

Provider review

A licensed provider in your state reviews your history and prescribes if appropriate.

Pharmacy ships direct

Your medication ships from a licensed U.S. pharmacy in discreet packaging.

Ongoing support

Message your care team anytime. Dose adjustments and refills handled online.

FAQ

Ignite 4 questions

What does apomorphine add?

Apomorphine acts on dopamine receptors involved in sexual-response signaling. Ignite 4 includes 4mg of apomorphine per tablet. Your provider can explain whether this mechanism is appropriate for your history.

How is Ignite 4 different from Mach 1?

Mach 1 pairs tadalafil 20mg with sildenafil 70mg. Ignite 4 adds apomorphine 4mg to that pairing. Your provider will determine which formula, if any, is appropriate for you.

How is Ignite 4 different from Tri RDT?

Both combine PDE5 inhibitors with apomorphine, the dopamine-pathway ingredient. Tri RDT comes in three provider-selected strengths with apomorphine 2mg or 3mg. Ignite 4 is a single formula with apomorphine 4mg, our highest apomorphine concentration, for a dopamine-pathway approach tied to sexual-response signaling. Your provider will determine which formula, if any, is appropriate for you.

Important safety informationIgnite 4 is available by prescription only after evaluation by a licensed provider. Compounded medications are prepared for individual patients by licensed pharmacies and are not FDA-approved products; the FDA does not verify the safety, effectiveness, or quality of compounded drugs. Possible side effects of PDE5 inhibitors may include headache, flushing, nasal congestion, dizziness, indigestion, back pain, vision changes, low blood pressure, and rare but serious events such as priapism or sudden vision/hearing loss. Apomorphine may cause nausea, dizziness, sleepiness, low blood pressure, or fainting in some patients. Do not use with nitrates. Tell your provider about all heart medications and blood-pressure medications before use. Tell your provider about all medical conditions and medications during your assessment. Individual results vary. This page is educational and is not medical advice.

Start with a provider review

Your assessment takes about 5 minutes. A licensed provider reviews your information and determines whether treatment is appropriate.

Start Assessment — provider will determine if appropriate →

Sexual Health — Men

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