Performaxx
Triple-Agent Formula

Performaxx

Sublingual Flex-Dose Tablet  ·  1 Tablet

From $89/mo

Apomorphine 3mg Tadalafil 20mg Vardenafil 15mg

Performaxx is a compounded, multi-mechanistic sublingual formulation designed to support erectile response and sexual performance, especially in men who have not responded optimally to monotherapy with phosphodiesterase type 5 (PDE5) inhibitors. It addresses both central arousal pathways and peripheral mechanisms simultaneously.

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Performaxx is a compounded, multi-mechanistic sublingual tablet designed to support erectile response in men, especially those who have not responded optimally to standard single-agent PDE5 inhibitors. It combines three active ingredients (Apomorphine, Tadalafil, and Vardenafil) that work across both central arousal pathways and peripheral vascular mechanisms simultaneously.
Place ½ to 1 full tablet under your tongue and allow it to dissolve completely. Do not chew or swallow whole. Take it 30–60 minutes before sexual activity. New patients should start with half a tablet to assess tolerance. Do not exceed one dose per 48-hour period.
Standard ED medications like Viagra or Cialis use a single PDE5 inhibitor. Performaxx combines two PDE5 inhibitors (Tadalafil and Vardenafil) with Apomorphine, a dopamine receptor agonist that activates the arousal signal in the brain. This triple-agent approach addresses mechanisms that single-agent treatments miss entirely, making it effective for men who haven't had success elsewhere.
Common side effects may include headache, flushing, nasal congestion, and mild nausea (most associated with the Apomorphine component). These are generally mild and transient. Do not use Performaxx if you take nitrates for chest pain, have severely low blood pressure, or have been advised against sexual activity due to cardiovascular conditions. Consult your provider if you have any concerns.
The Formula

Three agents. One complete response.

Performaxx combines three complementary active ingredients that work across different biological pathways to support the full erectile response.

01
Apomorphine
3mg
Central Arousal Pathway

A dopamine receptor agonist that acts centrally in the brain to initiate the arousal signal. It addresses the neurological component of erectile response, which standard PDE5 inhibitors don't touch.

02
Tadalafil
20mg
PDE5 Inhibition, Long Duration

A long-acting PDE5 inhibitor that promotes smooth muscle relaxation and vasodilation in penile tissue. Provides sustained support with a duration of action up to 36 hours.

03
Vardenafil
15mg
PDE5 Inhibition, Rapid Onset

A potent, fast-acting PDE5 inhibitor that complements Tadalafil with quicker onset. Together they provide dual PDE5 inhibition for men who need more than a single agent can deliver.

Dosage & Use

Simple. Flexible. On your schedule.

01

Place under your tongue

Performaxx is a sublingual tablet. Place it under your tongue and allow it to dissolve fully. Do not chew or swallow whole.

02

Take 30–60 minutes before activity

Plan for at least 30 minutes before sexual activity. The sublingual delivery allows for faster absorption than standard oral tablets.

03

Start with half a tablet

New patients should begin with ½ tablet to assess tolerance. A full tablet may be taken as directed by your provider.

04

Use only as needed

Performaxx is an on-demand treatment. Take it only when needed. Do not use daily unless directed by your provider.

Important: Do not exceed more than one dose in a 48-hour period. Do not take with nitrates, alpha-blockers, or if you have been advised against sexual activity by a physician.

Man, confident and relaxed
Who It's For

Designed for men who need a different approach.

Performaxx is not a first-line treatment for everyone. It is engineered for men with specific challenges.

Non-Responders to Standard PDE5 Inhibitors

Men who have tried Viagra, Cialis, or Levitra with limited or inconsistent results. Performaxx combines two PDE5 inhibitors with a central pathway agent for a more complete response.

Men Seeking On-Demand Performance

Those who prefer an as-needed treatment that's taken before intimacy, rather than a daily regimen. Performaxx's sublingual delivery supports faster onset than standard oral tablets.

Men 45+ with Complex ED

Older men whose ED may involve multiple contributing factors: vascular, neurological, and hormonal. Performaxx's multi-mechanistic design addresses several pathways simultaneously.

Patient Stories

What Performaxx patients say.

★★★★★

I tried Viagra for years. Within a week on Performaxx I noticed a difference I hadn’t felt in a long time. My confidence is back.

Michael T.
Michael T.
Age 52 · Performaxx™ patient
★★★★★

My doctor had me on a single-agent pill that wasn’t cutting it. Performaxx is a completely different level. The triple formula makes a real difference.

Carlos V.
Carlos V.
Age 49 · Performaxx™ patient
★★★★★

Nothing else worked. Performaxx was the first treatment that gave me consistent results. I wish I had found this sooner.

David K.
David K.
Age 56 · Performaxx™ patient
★★★★★

I was skeptical about a compound formula but three months in, I’m a believer. The results are consistent and my partner noticed the difference immediately.

Robert M.
Robert M.
Age 61 · Performaxx™ patient
Couple, warm light

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Complete a free 2-minute health assessment. A licensed provider reviews your information and issues a prescription if appropriate, typically within 24 hours.

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FAQs

Common questions about Performaxx

Viagra and Cialis each use a single PDE5 inhibitor. Performaxx combines two PDE5 inhibitors (Tadalafil and Vardenafil) with Apomorphine, a central dopamine agonist that activates the arousal pathway in the brain, a mechanism that standard ED medications don't address at all. This multi-mechanistic approach is why Performaxx is often effective for men who haven't had success with standard treatments.
Because Performaxx dissolves sublingually (under the tongue), it is absorbed more rapidly than standard oral tablets. Most patients notice effects within 30–60 minutes. We recommend taking it at least 30 minutes before sexual activity. The Tadalafil component provides sustained support for up to 36 hours.
Performaxx is a compounded medication and is not FDA-approved as a finished drug product. However, it is compounded by a licensed US pharmacy using FDA-approved active pharmaceutical ingredients. All individual active ingredients (Apomorphine, Tadalafil, and Vardenafil) are individually FDA-approved for related indications.
Yes. Performaxx requires a valid prescription from a licensed US provider. The Mavrox process is fully online. Complete a short health intake, and a licensed provider will review your information and issue a prescription if clinically appropriate, typically within 24 hours. No office visit or video call required.
As with all ED medications, side effects are possible. Common side effects may include headache, flushing, nasal congestion, and mild nausea (associated with Apomorphine). Do not take Performaxx if you use nitrates for chest pain, have severely low blood pressure, or have been advised to avoid sexual activity due to cardiovascular conditions. Your provider will review your health history during the intake process.
Performaxx is compounded at a licensed US pharmacy and shipped in plain, unmarked packaging directly to your door, free of charge. There is no pharmacy pickup and no identifying information on the exterior packaging.