One evaluation, three clinician-prescribed formulas — the fastest, the longest, and the everyday. Because "take a pill and wait an hour" was never the only answer.
Erectile dysfunction isn't one problem, so we don't sell one answer. Same clinician review, same US pharmacy, same free shipping — pick the one that matches what's actually getting in the way.
Four mechanisms in one rapid-absorb liquid. Three PDE5 inhibitors for the physical response plus a central-acting activator for desire. Absorbs under the tongue in about 10 minutes and holds a window up to 36 hours.
A dissolvable troche for men whose problem isn't getting there — it's staying there. Tadalafil holds the erectile response while silodosin works on ejaculatory timing. No water, no wait.
One low dose every morning instead of planning around a single one. Four weeks per pack — for men who want readiness to be the default state rather than an event they have to schedule.
Prescription products. Prices shown are the complete program price and include clinician review and free shipping — there is no separate membership fee. All three formulas require an online consultation; a US-licensed clinician decides whether treatment is appropriate for you, and not every formula is appropriate for every patient. These are compounded formulations prepared by a licensed US pharmacy; compounded drugs are not FDA-approved and are not reviewed by the FDA for safety or effectiveness. Availability varies by state. If you don't qualify, you don't pay.
SURGE MAX is a rapid-absorb liquid. A few drops, in your bloodstream in 10 minutes. Eat, drink, live like a man, not a patient.
Most ED treatments give you one molecule and call it a day. SURGE MAX layers four. Each targeting a different mechanism. To deliver a complete performance response from brain to bloodstream.
The original gold standard. The molecule that defined the category and has been studied in millions of patients. Delivers maximum rigidity and reliability where it matters.
Most ED medications only address blood flow. They ignore the most important part of arousal: desire itself. Apomorphine activates dopamine receptors in the brain to restore the mental wiring that gets the whole system online.
Vardenafil and Sildenafil are the two most potent PDE5 inhibitors ever studied. Together, they ensure rapid, reliable, full strength. Without the dropoff that ruins the moment.
Tadalafil is the longest-acting molecule in the category. One dose covers Friday dinner through Sunday brunch. No watching the clock. No second-guessing. Just performance. When she wants it.
60-second check · No charge if you don't qualify
A few drops of SURGE MAX liquid absorb in under 90 seconds. No water. No swallowing a horse pill. No waiting around for it to work.
Bypassing the gut means food and a glass of wine won't dull the dose. Enjoy the night the way it was supposed to go.
A 36-hour window means you don't have to plan, predict, or perform on a stopwatch. One dose covers the weekend.
SURGE MAX $17.90 / dose · Go Long $12.42 / dose · Daily Boost $4.25 / day · Free rush shipping
Three quick questions. Then a US-licensed clinician reviews your free evaluation and decides which formula is a fit.
How long do traditional ED pills usually take to kick in for you?
How long do you want the effect to last?
Are you currently taking nitrates or being treated for a serious heart condition?
A US-licensed DirectCare AI clinician will review your full evaluation and determine if SURGE MAX is right for you. No charge if you don't qualify.
Continue to Free Evaluation →This pre-screen is not a medical diagnosis. Final eligibility is determined by a US-licensed clinician after a full intake review. HIPAA-protected.
Answer a few private questions on our secure intake. No appointment. No waiting room. No awkward conversation at the front desk.
A licensed DirectCare AI clinician reviews your case within 24 hours and writes the right protocol for you. Message them anytime.
Your formula ships from a US compounding pharmacy in plain, unmarked packaging. Free rush shipping on every order.
A single-ingredient pill runs about $5 generic and up to $85 for brand-name Viagra — plus the office visit and the pharmacy trip. Here's what changes when you skip the markup and the middleman.
Billed once as $179 for the 10-pack.
If you don't qualify, you don't pay. Guaranteed.
4 MECHANISMS in one dose · Or step down to Go Long $12.42/dose · Daily Boost $4.25/day · Clinician review and shipping included on all three.