During your evaluation, you'll share your health history and goals with our medical team. A board-certified physician will review your information and recommend the protocol best suited to your needs. If you have a preference, you can discuss it with your care team—but ultimately, medical eligibility determines what can be prescribed.

PDE5 inhibitors (like the medications in our Blood Flow protocol) can interact with certain other medications, particularly nitrates and some blood pressure medications. During your evaluation, you'll disclose all current medications, and our physicians will ensure your protocol is safe. Never combine with nitrate medications without physician guidance.

The most common side effects of PDE5 inhibitors are mild and temporary: headache, flushing, nasal congestion, and in some cases, temporary visual changes. Most men experience minimal or no side effects, especially with daily low-dose protocols. Our physicians start with appropriate doses and adjust based on your response.

Most telehealth ED providers offer a one-size-fits-all prescription with minimal follow-up. Maximus is different: we offer multiple medication options including our exclusive Vardenafil + Tadalafil combination, personalized dosing protocols, ongoing physician support, and a focus on optimization—not just treating symptoms. We also conduct our own clinical research and publish real outcomes.

Many men notice effects from their first dose, especially with as-needed protocols. Daily protocols build steady-state levels over several days, with most men experiencing full benefits within 1-2 weeks. Gym and cognitive benefits may be noticed quickly; bedroom performance benefits are often apparent immediately.

If our physicians determine that Blood Flow isn't right for you based on your health history, you won't be charged. Your health and safety are our priority—we only prescribe when it's medically appropriate.