
Desire.
Speed.
Strength.
Stamina.
The 4-in-1 formula built to activate your desire and your body. Fast-absorbing, clinician-prescribed, and delivered discreetly.
- Four active ingredients in one dose
- Under the tongue, not swallowed
- Up to 36 hours of readiness
- Clinician-prescribed, delivered discreetly
Three-minute private intake. If a provider doesn’t prescribe, you’re refunded in full.
4
active ingredients, one dose
36 hr
response window (tadalafil)
$12
per dose, no membership fee
3 min
private online intake
The 4-in-1 breakthrough
Ready faster.
Lasts all weekend.
Pills are slow. Ignite is a rapid-absorb liquid that goes under your tongue, so it’s designed to hit your system in minutes. One vial. Four ingredients. Each one with a job.

Apomorphine
Desire
L-Citrulline
Nitric oxide support
Sildenafil
Peak strength
Tadalafil
Up to 36 hours
Ignite by StaveMD · 4-in-1 performance
One vial. Four things that have to fire.
A single-ingredient pill does one job: blood flow. Desire, speed, strength and stamina are four different jobs, and Ignite puts an ingredient on each.
- 01
The spark
Apomorphine
- Mechanism
- A dopamine agonist that acts centrally, through the nervous system, rather than on blood flow.
- Benefit
- Addresses the mental side of arousal — the part a blood-flow-only pill leaves out.
- 02
The flow
L-Citrulline
- Mechanism
- An amino acid the body converts to L-arginine, the raw material for nitric oxide — the signal that relaxes blood vessels.
- Benefit
- Supports the blood-flow pathway the PDE5 inhibitors act on.
- 03
The strength
Sildenafil
- Mechanism
- The most-studied PDE5 inhibitor. Increases blood flow in response to stimulation.
- Benefit
- The workhorse: firmness when it matters.
- 04
The stamina
Tadalafil
- Mechanism
- The longest-acting PDE5 inhibitor, with a half-life of roughly 17.5 hours.
- Benefit
- Keeps you responsive for up to 36 hours from one dose, so intimacy doesn't have to be scheduled.
The Ignite advantage
Engineered for your body.
Sex doesn’t happen on a schedule. Your treatment shouldn’t either.
Melts in minutes
No more waiting an hour.
Ignite is a rapid-absorb liquid that dissolves under your tongue. Sublingual absorption bypasses the stomach and the liver's first pass, which is why it's designed to reach your bloodstream faster than a swallowed pill.
- Designed for minutes, not an hour
- Total, discreet control
- Nothing to explain
Dinner and performance
Order the steak.
A heavy meal can slow a swallowed sildenafil tablet — it's on the label. Under-the-tongue absorption means you don't have to choose between a great dinner and a great night.
- Not blocked by food
- No 'empty stomach' rules
- Spontaneity, restored
Ready when you are
One dose. All weekend.
With tadalafil on board, one dose doesn't just work for right now — it keeps you responsive for up to 36 hours. No pill-timing anxiety, and ready for a second round.
- No pill-timing anxiety
- Lasts all weekend
- Be ready for round two (or three)
No waiting rooms. No pharmacy lines. A U.S.-licensed provider reviews your case online.
Why settle for an incomplete formula?
Old way vs. the Ignite way
| Single-ingredient tablet | Ignite 4-in-1 | |
|---|---|---|
| Actives per dose | One | Four |
| How it's taken | Swallowed tablet | Rapid-absorb liquid under the tongue |
| Onset | Typically 30–60 minutes | Designed for minutes, not an hour |
| Response window | About 4 hours (short-acting) or up to 36 hours (long-acting) — not both | Fast-acting sildenafil plus 36-hour tadalafil, with L-citrulline supporting blood flow |
| After a heavy meal | Absorption of short-acting tablets can be delayed | Absorbed under the tongue, not through the stomach |
| Desire | Blood flow only | Apomorphine acts centrally on arousal |
Onset and duration figures for single-ingredient tablets are from their FDA labeling; figures for Ignite describe what the formulation is designed to do. The combined product has not been studied in clinical trials as a finished product. Individual results vary.
Four meds. One dose. One price.
The power of 4. Delivered.
Prescribed online and shipped straight to your door. No lines. No awkwardness. The full price is shown before you pay, and it covers everything on the card.
- Apomorphine
- L-Citrulline
- Sildenafil
- Tadalafil
10-pack · single-dose vials
$119
$12 per dose · no membership fee · no insurance required
- Licensed provider review and prescription
- 10 single-dose vials, compounded by a licensed U.S. pharmacy
- Free, discreet shipping in a plain package
- Unlimited messaging with your care team
- Cancel from your account — no phone call
Risk-free: if a provider doesn’t prescribe, you don’t pay.
No waiting rooms. No pharmacy lines.
3 steps to total confidence
- Step 1
Online visit
Answer a few questions on the private intake form. It takes about three minutes, from your phone, with no appointment.
- Step 2
Provider review
A U.S.-licensed provider reviews your case — usually within a day. If treatment is appropriate, they write the prescription and set your dose.
- Step 3
Fast, discreet delivery
Your vials arrive from a licensed pharmacy in a plain, unmarked package. Free shipping. Refills reviewed by your provider; cancel from your account any time.
U.S.-licensed providers
Board-certified physicians and nurse practitioners review every intake through our clinical network.
Private, start to finish
Online intake, messaging inside your account, plain packaging with nothing on the outside.
Free discreet shipping
Cash-pay, one flat price shown in full before you pay. No insurance needed. HSA/FSA accepted.
FAQ
Straight answers.
What is Ignite?
Ignite is a compounded prescription for erectile function and desire: four active ingredients — sildenafil, tadalafil, L-citrulline and apomorphine — in one rapid-absorb liquid you hold under your tongue. The exact strength of each is set by the prescribing provider and printed on your label. Each dose is its own single-use vial. A licensed provider decides whether it's appropriate for you after reviewing your health history, and a licensed U.S. compounding pharmacy prepares it on that prescription.
How is it different from a regular ED pill?
Most ED tablets are a single PDE5 inhibitor you swallow — they work on blood flow, take 30–60 minutes, and a heavy meal can slow them down. This formula combines two PDE5 inhibitors (one fast-acting, one long-acting) and L-citrulline, which supports the body's own nitric oxide, with apomorphine, which acts centrally on arousal rather than on blood flow. Taken under the tongue, it's designed to absorb faster and to keep working for up to 36 hours.
Is it the same as Viagra, Cialis or Levitra?
No. Those are FDA-approved, single-ingredient branded tablets. This is a different finished product: a compounded, multi-ingredient sublingual prepared for you individually on a provider's prescription. Compounded medications are not FDA-approved, and the FDA does not evaluate them for safety, effectiveness or quality. Your provider will discuss whether it's a good fit.
How fast does it work, and how long does it last?
It's formulated to dissolve under the tongue and absorb faster than a swallowed tablet — many men take it 15–30 minutes ahead. Tadalafil, the long-acting ingredient, can stay active for up to 36 hours, so one dose can cover the whole weekend. Onset and duration vary from person to person.
How much does it cost?
$119 for a 10-pack of single-dose vials — $12 a dose. That covers the provider review, your prescription, the medication and shipping. No membership fee, no insurance needed, and the full price is shown before you pay.
Who shouldn't take it?
Anyone taking nitrates (for chest pain), riociguat or certain alpha-blockers; men with unstable heart disease, a recent heart attack or stroke, uncontrolled blood pressure, or severe liver or kidney disease. You must be 21 or older, and men 75 and over are eligible for single-ingredient options only. Your intake asks about all of this, and a licensed provider reviews it before anything is prescribed. Always list every medication you take.
What are the side effects?
The most common are headache, flushing, nasal congestion, indigestion and, with apomorphine, nausea or dizziness. They're usually mild and pass as the dose wears off. Seek care immediately for chest pain, an erection lasting more than four hours, or sudden vision or hearing changes. Because this is a compounded medication, its profile may differ from the branded single-ingredient products.
Is it discreet?
Yes. The intake is online, your provider messages you inside your account, and the package is plain with nothing on the outside about what's in it.
What if a provider decides it isn't right for me?
Then no medication is ordered and you're refunded in full. Completing the intake doesn't guarantee a prescription — a licensed provider makes that call.
Can I cancel?
Any time, from your account, with no phone call. You can request a refund for any reason, at any time. The one exception: a month whose medication has already been ordered for you is not refundable. If a licensed provider reviews your intake and decides treatment isn't appropriate for you, no medication is ordered, so you are refunded in full.
Do you also do weight loss?
Yes — compounded semaglutide and tirzepatide, prescribed the same way, from $169 and $249 a month with the same price at every dose. It's a separate program with its own intake; see the weight-loss plans on our homepage.

Your best performance is one click away.
Your private, three-minute evaluation is the first step. A licensed provider reviews your case — and if it’s not a fit, you’re refunded in full.
- Free, discreet delivery
- Provider-led care
- No hidden fees
Here for weight loss instead? Compounded semaglutide from $169 and tirzepatide from $249 a month, same price at every dose. See weight-loss plans
StaveMD is a telehealth platform; clinical care is delivered by licensed providers through OpenLoop Health’s clinician network. Ignite is a compounded medication prepared by a licensed U.S. pharmacy under a provider’s prescription. Compounded medications are not FDA-approved and are not evaluated by the FDA for safety, effectiveness or quality; the four-ingredient combination has not been studied in clinical trials as a finished product. It is a different finished product from any FDA-approved branded tablet, not a generic and not a substitute. StaveMD does not manufacture or compound medication, and the medication you receive will look different from the images on this page. A licensed provider determines whether treatment is appropriate; not everyone will qualify, and sexual-health products are available to adults 21 and older. Do not use with nitrates. Statements about onset, duration, desire and performance describe what the formulation is designed to do, not guaranteed outcomes. Individual results vary. People shown in imagery are models, not StaveMD patients.