Get Hard, Stay Hard No Pill to Swallow
Most ED meds help you get it up or keep it up. Ours does both. Two pathways. Under the tongue. Works in minutes.
"Worked the first night. I almost cried." — Marcus T., 47
CLICK TO QUALIFY NOW →Trusted by experts. Priced for real life.
"I finally feel like myself again."
Two formulas. Choose yours.
Both dual-pathway. Both dissolve under your tongue. The difference is how you live.
IgniteRX
Sildenafil/Pycnogenol 80mg/50mg
Take when the moment strikes. No daily commitment. Fast-acting sublingual tablet that dissolves under your tongue and hits in minutes.
Get IgniteRX Now →
PrimeRX
Tadalafil/Pycnogenol 20mg/25mg
One tablet daily. Always ready. No timing, no planning. Round-the-clock confidence that lets you stop thinking about it and start living.
Get PrimeRX Now →The truth no one talks about
It starts as a bad night. Then it becomes a pattern.
You make an excuse. She says it's fine. But you both know it's not. The distance grows. You stop initiating. She stops trying. The silence in the bedroom becomes silence at the dinner table.
You Google it at 2 AM, close the tab, and tell yourself you'll deal with it later. Weeks become months. Months become years. Meanwhile, the problem isn't getting better on its own — because it's not in your head. It's in your blood flow.
The cost of doing nothing isn't zero. It's your confidence, your connection, and the version of yourself you used to be.
It's not in your head. It's in your blood flow.
Over 80% of ED is caused by restricted blood flow—not stress, not psychology. It's a medical issue with a medical solution.
Our dual-pathway formula boosts nitric oxide production AND blocks the enzyme that kills it. Two mechanisms working together. Dissolves under your tongue. No pill. No waiting.
The numbers don't lie. ED treatment works.
Millions of men deal with ED. The science behind PDE5 inhibitors is proven and trusted worldwide.
Over 80% of ED cases have a physical cause — not psychological. It's a blood flow issue, not a mindset issue.
Over 30 million men in the US experience ED. Most never seek treatment — even though it works.
Dual-pathway formulations achieved 92.5% normal erectile function in clinical studies. Stanislavov & Nikolova, 2003
Unlimited access to the care team, any time.
Most ED pills only do half the job.
They block one enzyme. That helps some men. But up to 40% don't respond—because blocking the drain doesn't matter if the faucet was never turned on.
Our dual-pathway formula produces more nitric oxide (Pycnogenol) AND protects it from breaking down (Sildenafil or Tadalafil). Both sides of the equation. One dissolving tablet.
CLICK TO QUALIFY NOW →Men using both pathways together achieved clinically normal erectile function.
Nearly half of men don't get real results from a PDE5 inhibitor alone. That's the gap dual-pathway closes.
Sublingual absorption bypasses the stomach for faster, more predictable results.
Clinical Evidence
The data behind dual-pathway formulations
Every number below comes from peer-reviewed research. We cite the journal, name the enzymes, and show the biology—because confidence starts with evidence.
Nearly half of men don't get real results from single-compound treatments. That's the whole reason dual-pathway exists.
Cleveland Clinic, 2025
Men using L-arginine + Pycnogenol (the nitric oxide production pathway) combined with PDE5 inhibition experienced clinically normal erectile function.
Stanislavov & Nikolova, 2003
39 randomized controlled trials confirmed Pycnogenol's vascular and antioxidant benefits with strong safety profiles.
Weichmann & Rohdewald, 2024
PDE5 inhibitor + antioxidant combination showed no increase in adverse events compared to PDE5 inhibitor alone, confirming safety of the dual approach.
JAMA Network Open, 2021
Oral dissolving tablets achieved clinically meaningful onset 7.1 minutes faster than conventional formulations due to sublingual absorption.
Sangkum et al., 2021
See if dual-pathway is right for you
CLICK TO QUALIFY NOW →
Imagine this
Feel like yourself again.
Picture a Saturday morning. No anxiety. No second-guessing. You wake up next to her and you're present — not planning, not worrying, not avoiding.
She reaches over. You don't flinch. You pull her closer. The connection is back — not because of a pill, but because you took the one step most men never do.
That's what confidence looks like. And it's closer than you think.
Pick your formula.
Both use dual-pathway technology. The difference is timing.
IgniteRX
Sildenafil/Pycnogenol 80mg/50mg
PrimeRX
Tadalafil/Pycnogenol 20mg/25mg
Your provider will recommend the best fit.
How It Works
Getting started takes three steps.
No awkward waiting rooms. No face-to-face explanations. Just a quick online visit, a licensed provider, and your compound delivered discreetly to your door.
CLICK TO QUALIFY NOW →Complete Your Visit
A quick, 100% private online health assessment. Answer a few questions from the comfort of your home. Takes less than 5 minutes.
Get Your Prescription
A licensed provider looks at your health info and writes you a prescription for the right dual-pathway compound.
Receive Discreet Delivery
Your compound arrives in unmarked packaging, delivered straight to your door. No one will ever know what is inside.
Ongoing Care
Unlimited 24/7 support included.
Elevated Health RX provides 24/7 access to a dedicated team of men's health specialists. Unlimited appointments, messaging, and support—available around the clock for guidance, questions, or dosage adjustments.
Real Results
Men don't come back for nothing.
Thousands of guys have already done this. Here's what they say.
"The whole process was so easy. Online visit, prescription same day, package at my door in 3 days. No pharmacy. No awkward conversations."
"I put this off for two years because I was embarrassed. The provider was incredible - professional, zero judgment. I should have done this so much sooner."
"The dissolving tablet kicked in within 15 minutes. My wife noticed the difference immediately. Our relationship has never been better."
"Discreet packaging, fast delivery, and the support team actually picks up the phone. First time I've felt like myself in years."
"Shipping took 5 days instead of the 3 I expected, but the product itself? Incredible. My doctor walked me through everything. Results from night one."
"I went from dreading intimacy to looking forward to it. The daily tablet means I'm always ready. It changed everything."
"I was ready to accept this was my life now. Then I tried Elevated Health RX. First night, it worked. I almost couldn't believe it."
You have questions. We have answers.
That's exactly who this is built for. Up to 40% of men don't respond to a single-compound pill—because it only addresses half the problem.
Our formula works both pathways simultaneously, which is why it hit 92.5% clinical success. If the old approach failed you, this is a fundamentally different one.
It dissolves under your tongue, so it bypasses your stomach entirely—7.1 minutes faster than traditional pills.
IgniteRX (on-demand) kicks in within 15 minutes and lasts 4–6 hours. PrimeRX (daily) keeps you ready around the clock with up to a 36-hour window per dose.
No swallowing. No waiting an hour hoping it kicks in.
Yes. JAMA Network Open found zero increase in side effects when combining a PDE5 inhibitor with an antioxidant versus taking the PDE5 inhibitor alone.
Pycnogenol itself has safety data from 39 randomized controlled trials. A licensed U.S. provider reviews your health history before prescribing anything. If there's a contraindication, they'll catch it.
A fraction of what brand-name drugs cost. Your plan includes the compound, provider consultations, 24/7 support, and discreet delivery.
No hidden fees. No insurance required. Less than a dinner out for a month of treatment. And if you're not satisfied, we have a guarantee.
No. Everything is 100% private.
The consultation is online—no waiting rooms, no face-to-face. Your compound ships in unmarked packaging with no indication of what's inside. Your bank statement won't give it away either.
30 million men in the US deal with this. It's a blood flow issue, not a personal failure. Nobody has to know.
No. The entire process is online. You complete a quick health assessment, a licensed U.S. provider reviews it and writes your prescription, and your compound ships to your door.
Takes less than 5 minutes to get started. No appointments, no pharmacy lines, no awkward conversations.
Our dual-pathway formulation has a 92.5% clinical success rate—significantly higher than single-compound alternatives.
Your provider can also adjust your dosage or switch your formula. You have unlimited consultations included.
And if you're still not satisfied, we have a satisfaction guarantee. There's no risk in trying.
Most online ED companies sell you the same single-compound pill—one mechanism, up to 40% failure rate.
We use a dual-pathway oral dissolving tablet that absorbs under your tongue instead of sitting in your stomach. You also get 24/7 provider access, not a chatbot.
Different science. Different delivery. Different results.
Elevated Health RX Guarantee
The only thing to lose is the doubt.
Try it for 30 days. If you don't notice a real difference, contact our care team and we'll issue a full refund on your first order — no questions asked, no forms, no hassle. We can offer this because 92.5% of men on dual-pathway see results. We're betting you will too.
CLICK TO QUALIFY NOW →Our Providers
Meet the providers behind your care.
Our licensed providers specialize in men's sexual health. Every prescription is backed by real medical expertise, not an algorithm.
Dr. Ana Lisa Carr
St. George's University, School of Medicine
Dr. David Mansour
Board-Certified Doctor of Osteopathic Medicine
Dr. Kelly Tenbrink
American Board of Emergency Medicine
Dr. Ana Lisa Carr
St. George's University, School of Medicine
Dr. David Mansour
Board-Certified Doctor of Osteopathic Medicine
Dr. Kelly Tenbrink
American Board of Emergency Medicine
Your confidence is worth reclaiming. Start tonight.
A private consultation takes less than 5 minutes. If approved, your dual-pathway compound ships discreetly to your door. No waiting rooms. No judgment. Just results.