
BLOOD FLOW
Vardenafil + Tadalafil
✓ Taken daily, as-needed, or microdosed based on your goals.
✓ Be your strongest, sharpest self for about $2/day.


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FDA approved pharmacies
Board-certified doctors







Important Safety Information
Generally well-tolerated. Manageable and infrequent. Side effects typically resolve with consistent use as the body adapts.
Hearing risk: Extremely rare reports of tinnitus in individuals taking PDE5 inhibitors. The FDA has not found a direct causal link between PDE5 inhibitors and hearing issues. The overall safety profile remains favorable.
Common side effects may include: (from placebo-controlled clinical trials of daily 2.5–5mg tadalafil):
- Headache (~6%), dyspepsia (~5%), nasopharyngitis (~3%), back pain (~3%), upper respiratory tract infection (~3%), flushing (~3%), and myalgia (~2%). Nasal congestion and light-headedness, both related to increased blood flow, are also commonly reported.
Rare, but serious side effects may include:
- Sudden vision loss / NAION (non-arteritic anterior ischemic optic neuropathy)
- Sudden hearing loss or tinnitus
- Priapism (erection lasting more than 4 hours; requires immediate medical attention to prevent permanent damage)
- Severe hypotension when combined with nitrates or alpha-blockers (contraindicated)
- Hypersensitivity reactions
Benefits for the bedroom, the boardroom, and the weight room.
PDE5 inhibitors support erections, stronger gym pumps, faster recovery, sharper focus, and healthy aging.
Claims are based on established pharmacology of the drug class.


THE SCIENCE
What are Vardenafil and Tadalafil?

Free priority shipping
FDA approved pharmacies
Board-certified doctors
What are Vardenafil and Tadalafil?
Vardenafil and Tadalafil are potent prescription PDE5 inhibitor medications used to increase blood flow for stronger, longer-lasting intimacy and improved circulation to your muscles to support better workouts and recovery, plus better circulation to your brain for enhanced focus.
How do PDE5 inhibitors work?
PDE5 inhibitors are prescription medications that improve blood flow by blocking the enzyme phosphodiesterase type 5 (PDE5). They're commonly used to treat erectile dysfunction (ED), but also enhance overall circulation, supporting better sexual performance, workout endurance, and daily focus. By increasing nitric oxide signaling, PDE5 inhibitors like sildenafil, tadalafil, and vardenafil improve whole-body oxygenation, especially the muscles and the brain—leading to sharper focus, improved mood, and greater mental clarity. This makes PDE5 inhibitors powerful tools for optimizing your sexual, physical, and mental performance.
Are PDE5s right for me?
Anyone looking to enhance sexual or workout performance, improve daily stamina, and boost mental focus through better vascular function may benefit from PDE5 inhibitors. While the benefits of PDE5 inhibitors are not limited to those with pre-existing conditions, they’re especially effective for those with age-related vascular decline, or underlying conditions like hypertension or diabetes that impair circulation. PDE5 inhibitors are also ideal for men experiencing erectile dysfunction and reduced sexual performance. Always consult a medical provider to determine if PDE5 inhibitors are right for your health profile and goals.
It's easy to get started

01
Complete your evaluation
Answer a few health questions online. Takes about 5 minutes. No appointment needed, no waiting rooms.

02
Physician review
A board-certified physician reviews your information and determines if Vardenafil + Tadalafil is right for you.

03
Treatment delivered
If prescribed, your mediaction ships directly to your door in discreet, unmarked packaging.
Results that speak louder than promises.




Collected by Maximus from verified customers. Results vary.
Boutique care. Powered by telehealth.

We conduct our own research
Unlike most telehealth companies, we actively study our protocols and publish real outcomes. Our clinical data backs everything we offer.

Your care team monitors progress
Ongoing support from board-certified physicians who adjust your protocol based on your results — not a prescription mill.

Founded by physicians
Built by clinical experts who understand both the science of optimization and the human experience of pursuing better health.

US-licensed pharmacies only
Your medication compounded by a licensed U.S. pharmacy under a physician's prescription. No overseas suppliers, no quality compromises, no uncertainty.

Not just telehealth. We're telehealthcare

✓ Unlimited access to your personal doctor and care team
✓ Board-certified doctors that treat you, not averages
✓ 100% online. No in-person visits or insurance required
✓ Hormone therapy from hormone expertsBlood Flow FAQs
Can I microdose Blood Flow medication?
Yes. Taking a daily blood flow microdose is an effective and potent way to enjoy the benefits of enhanced blood flow with less side effects. Microdosing also unlocks effects growing over time with daily use, giving those sensitive to treatment more flexibility and long term effects without significant side effects.
How is Vardenafil + Tadalafil different from generic ED medications?
Most generic ED medications are one pharmaceutical that only improves blood flow, which is a plus for men who struggle gaining and keeping an erection. Vardenafil + Tadalafil is a synergistic combination of two medications, which increases blood flow better than ED medications alone, while also working through the central nervous system to elevate drive, endurance, and satisfaction. Unlike some ED medications which come in high dosages designed for occasional use, Vardenafil + Tadalafil is formulated for safe daily use, and has an effect that builds up over time.
What are the benefits of daily use?
Be ready whenever the moment arises—no planning, no pressure. With daily use, the benefits build naturally over time, enhancing your intimacy, boosting workout performance, and sharpening mental clarity so you can feel confident and in control every day.
What are the common side effects of Vardenafil + Tadalafil medication?
Generally well-tolerated. Manageable and infrequent.
Common (from placebo-controlled clinical trials of daily 2.5–5mg tadalafil):
Incidence: Headache ~6%; Dyspepsia ~5%; Nasopharyngitis ~3%; Back pain ~3%; Upper respiratory tract infection ~3%; Flushing ~3%; Myalgia~2%. Nasal congestion and light-headedness (both caused by excess blood flow) are also common. Side effects typically resolve with consistent use as the body adapts.
Serious (rare):
Sudden vision loss / NAION (non-arteritic anterior ischemic optic neuropathy); Sudden hearing loss or tinnitus; Priapism (erection lasting more than 4 hours; requires immediate medical attention to prevent permanent damage); Severe hypotension when combined with nitrates or alpha-blockers (contraindicated); Hypersensitivity reactions; Hearing risk: Extremely rare reports of tinnitus in individuals taking PDE5 inhibitors. The FDA has not found a direct causal link between PDE5 inhibitors and hearing issues. The overall safety profile remains favorable.
What states is Blood Flow Protocol available in?
Vardenafil, Tadalafil, and Sildenafil are available in all US States and DC.
Can I use my HSA or FSA card to pay for Blood Flow Protocol?
HSA / FSA eligibility under IRS rules requires the product to be prescribed for a diagnosed medical condition (e.g., erectile dysfunction). Clients without an ED diagnosis cannot use HSA / FSA funds for Vardenafil and Tadalafil purchase. Check with your plan administrator and prescribing physician.
Is there potential for hearing issues with PDE5 inhibitors?
While extremely rare, there have been a few reports of hearing issues, such as tinnitus, in individuals taking PDE5 inhibitors. However, it's important to note that the FDA has not found a direct causal link between the use of PDE5 inhibitors and these hearing issues. These instances are very rare, and the overall risk is considered to be very low. If you experience any hearing changes while taking this medication, consult your provider immediately.
Best Blood Flow.
Better you.
Better you.
Doctor-prescribed Blood Flow protocols, shipped to your door.
✓ Get personalized dosing that fits your blood flow goals✓ Boost intimacy, workouts & focus — about $2/day
Best Blood Flow.
Better you.
Better you.
Doctor-prescribed Blood Flow protocols, shipped to your door.
✓ Get personalized dosing that fits your blood flow goals✓ Boost intimacy, workouts & focus — about $2/day

Many products available for purchase through the Service require that you purchase the product on a subscription basis. For subscription-based products, your payment method will be automatically charged at regular intervals as described for that product during the checkout process. You may cancel a subscription at any time before the applicable periodic processing date of your subscription by utilizing the Maximus application or emailing support@maximustribe.com. Subscriptions will auto-renew under the same plan terms initially selected.
Maximus does not provide refunds for medicines that have been shipped. Price or subscription period changes will be communicated to the email address on the account at least seven (7) days in advance of their implementation. Some protocols may require additional lab testing to maintain continuity of care and support proper client outcomes. These lab testing services or materials may require additional payments, which will be communicated on the website and via email to the address on file for the account holder.
Aside from any separately communicated lab testing fees, you will generally see and be required to pay a single 'total' subscription price. Unless otherwise specified, if a subscription product you purchase requires a consultation with a Provider and/or includes a prescription product that you fill through one of the Pharmacies, then the total price you pay may include the amount charged by the Pharmacy for the prescription drug and the amount charged by the Medical Group for the services of the Provider, as well as the amount we charge for use of and access to the Platform. We collect the amounts charged by the Pharmacies and the Medical Groups on behalf of the Pharmacies and Medical Groups and pass the applicable amounts through to them. For additional details about refunds and cancellations, read our full Subscription Refund and Cancellation Policy.

