Desire + Performance.Dual-Action.
Sildenafil, bremelanotide, and pycnogenol combined. Addresses both the physical mechanism and the desire pathway for a complete response.
Sildenafil + Bremelanotide + Pycnogenol (Rx)
On-demand sublingual tablet · Berry
Prices shown reflect first-order introductory pricing. Refills bill at the standard member rate. All products are prescription-only. Eligibility is not guaranteed.
Each Active
What's inside, and why it's there.
Sildenafil
Fast-acting PDE5 inhibitor with 4–6 hour window.
PDE5Bremelanotide
MC4R agonist peptide that activates desire pathways in the central nervous system.
CentralPycnogenol
Enhances nitric oxide synthesis and endothelial function.
VascularThe Old Path
Separate visits. Separate scripts. Unclear totals.
Retail pharmacies rarely carry compounded formulas tuned to your intake. Men stack separate visits, separate scripts, separate premiums, and still miss the combined formula.
The Empire Health Path
One intake. One formula. Unmarked package.
Everything in one compounded formula, reviewed same-day by a US-licensed physician and shipped overnight in plain packaging. Pause, skip, or cancel anytime.
Refills on your schedule
You set the cadence. Pause, skip, or cancel in one click from your dashboard. No contract, no cancellation fees.
FDA 503A · Compounded Rx
This product is a compounded medication prepared under Section 503A of the Federal Food, Drug, and Cosmetic Act. Compounded drugs are not FDA-approved and have not undergone FDA premarket review for safety, effectiveness, or quality. Your prescription is prepared by a state-licensed compounding pharmacy following a US-licensed physician's review of your intake. Eligibility is not guaranteed.
Safety information
What to know before your intake.
Your reviewing physician screens for contraindications and interactions. Disclose everything — current prescriptions, OTC medications, supplements, and medical history — during the intake so they can catch anything that would make this formula unsafe for you.
Do not share your prescription. Compounded medications are prepared specifically for the patient named on the label and should never be given, sold, or shared with another person. Keep out of reach of children and pets.
In Their Words
What members have said.
Attribution limited to initials, age, and state — full names are never published.
Ready to qualify for Sildenafil + Bremelanotide + Pycnogenol?
Five questions. Physician-reviewed. Ships in unmarked packaging.
Start the Free Assessment →