Erectile Dysfunction
Mfg : Compound PharmacyQuad Elite ED Chew
4-In-1 Compounded ED Medication Quad Formula combines Sildenafil 40mg, Tadalafil 4mg, Vardenafil 2.5mg, and Apomorphine 2mg in a tangerine-flavored chewable tablet for multi-mechanism ED support.
Triple PDE5 Inhibition Sildenafil (30-60 min onset) + Vardenafil (15-30 min onset) + Tadalafil (up to 36-hour duration) for comprehensive vascular support
Central Nervous System Support Apomorphine 2mg acts centrally to support sexual arousal and response pathways
Multi-Mechanism Approach Targets both peripheral vascular and central neurological pathways for comprehensive ED treatment
Convenient Chewable Format Tangerine-flavored, light orange, round chewable tablet with Epiq Script logo imprint
Disclaimer: The FDA may not have evaluated this product for safety, effectiveness, or quality.Product as described
Per Dose $ 00.00
Total Price
Quad Formula is a prescription compounded medication that combines four active ingredients—Sildenafil 40mg, Tadalafil 4mg, Vardenafil 2.5mg, and Apomorphine 2mg—in a single tangerine-flavored chewable tablet. This multi-mechanism formulation targets both peripheral vascular pathways and central nervous system pathways to support erectile function and sexual response. The information provided is for educational purposes only and does not replace professional medical advice.
Product Name: Quad Formula ED Chew
Category: Prescription Erectile Dysfunction Treatment
Active Ingredients: Sildenafil 40mg, Tadalafil 4mg, Vardenafil 2.5mg, Apomorphine 2mg
Form: Chewable Tablet
Appearance: Light orange, round, convex
Flavor: Tangerine
Size: 12mm
Imprint: Epiq Script logo on one side
Manufacturer: Epiq Scripts (URAC- and ACHC/PCAB-accredited compounding pharmacy)
Quad Formula is a multi-ingredient compounded medication that combines three PDE5 inhibitors with a dopaminergic agonist to provide comprehensive support for erectile function. This innovative formulation is designed for patients who may benefit from a multi-mechanism approach to ED treatment.
Sildenafil 40mg: A PDE5 inhibitor that supports erectile function via the nitric oxide–cGMP pathway, generally with a faster onset profile in some patients (30 to 60 minutes). It is intended to enhance penile blood flow during sexual stimulation.
Vardenafil 2.5mg: A PDE5 inhibitor that enhances the nitric oxide–cGMP pathway, supporting increased blood flow to erectile tissue during sexual stimulation. It is often associated with a relatively faster onset of action in some patients (15 to 30 minutes).
Tadalafil 4mg: A PDE5 inhibitor that elevates cGMP, promoting smooth muscle relaxation and increasing blood flow to erectile tissue. Tadalafil is known for its long duration of action (up to 36 hours).
Apomorphine 2mg: A dopaminergic agonist that acts centrally to support pathways involved in sexual response and arousal. Historically studied for erectile dysfunction via central nervous system mechanisms. It may complement peripheral vascular support in select patients.
Quad Formula combines two complementary mechanisms of action:
Peripheral Vascular Support: Three PDE5 inhibitors (Sildenafil, Tadalafil, and Vardenafil) work through the nitric oxide–cGMP pathway to increase blood flow to erectile tissue. Each offers a slightly different onset and duration profile, providing comprehensive vascular support.
Central Nervous System Support: Apomorphine acts as a dopaminergic agonist, supporting central pathways involved in sexual arousal and response. This dual-mechanism approach may benefit patients who do not respond adequately to PDE5 inhibitors alone.
Multi-Mechanism Action: Combines peripheral vascular support with central nervous system activation.
Complementary PDE5 Inhibition: Three PDE5 inhibitors with varying onset and duration profiles.
Central Arousal Support: Apomorphine targets neurological pathways involved in sexual response.
Convenient Chewable Format: Tangerine-flavored tablet that is easy to take.
Compounded Prescription: Custom-prepared for individual patient needs.
Patients who have not responded adequately to single-ingredient ED medications
Individuals seeking a multi-mechanism approach to ED treatment
Patients who may benefit from both vascular and neurological support
Those under the care of a healthcare provider experienced in sexual medicine
Individuals looking for a compounded alternative to standard ED medications
Quad Formula is a custom-compounded prescription medication. It has not been reviewed by the FDA for safety or efficacy and is prescribed based on the clinical judgment of a qualified healthcare provider.
Contraindications: Do not use with nitrates or guanylate cyclase stimulators (risk of severe hypotension). Not for use in patients with severe cardiovascular disease, uncontrolled hypertension, or hypersensitivity to any ingredient.
Common Side Effects: May include headache, flushing, nasal congestion, dizziness, nausea, or mild hypotension.
Precautions: Use with caution in patients with pre-existing cardiovascular conditions, liver or kidney impairment, or those taking multiple medications. Consultation with a healthcare professional is recommended.
Chew one tablet thoroughly before swallowing. Take approximately 30–60 minutes before anticipated sexual activity. Do not exceed the prescribed dose. Follow your healthcare providers specific instructions regarding frequency and timing.