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The first and only PDE5 nasal spray for ED. Works in as fast as 5 minutes, even after a drink. So when the moment shows up, you don't have to plan around a pill.

Apomorphine's sublingual delivery method allows for rapid absorption into the bloodstream, ensuring you're prepared for intimacy without the wait. Experience the moment as it happens, rather than planning ahead.
Because Roxus® bypasses the digestive system, drinks and dinner don't get in the way. Take it on date night. Just take it when you need it.

No 45-minute warning. No timing dinner around it. No slipping away to the bathroom. Roxus® works fast enough to fit how the night actually unfolds.
Rx Only · Compounded · Not FDA-Approved
IMPORTANT SAFETY INFORMATION: Roxus® is a prescription-only compounded medication and has not been evaluated or approved by the FDA as a finished drug product. Compounded medications are prepared by a licensed compounding pharmacy pursuant to a valid prescription. Do not take if you use nitrates for chest pain, have low blood pressure, or have been advised against sexual activity. Do not exceed your prescribed dose. Consult your provider before starting any treatment. Individual results vary.
A potent, fast-acting PDE5 inhibitor that improves blood flow to where it counts. Delivered via nasal spray instead of a pill, Vardenafil reaches peak concentration in as little as 9 minutes, compared to 56 minutes for oral tablets.



Tilt your head slightly forward, insert the nozzle into one nostril, and spray. Repeat this process for the other nostril as instructed.
Most men feel the effects within 5 to 12 minutes. No need to plan ahead. No need to time it around dinner. No need to step away.
Because Roxus® bypasses your digestive system, food and alcohol have minimal effect on absorption. Take it on a date. Take it after a drink. Take it when the night actually starts.
Roxus® is on-demand. Take it when you need it. Do not exceed your prescribed dose in any 24-hour period.
Do not take Roxus® with nitrates, alpha-blockers, or if you have been advised against sexual activity. Do not exceed your prescribed dose. Contact your provider if you experience prolonged side effects.
Sildenafil is a single-active-ingredient ED treatment, best known as Viagra®. Performax is a compounded sublingual formula that combines three active ingredients — apomorphine, tadalafil, and vardenafil — chosen to support arousal and blood flow at the same time. It's not a single-ingredient generic. It's a triple-agent compounded medication designed for fast, on-demand use.
Most men feel the effects of Performax within 30 to 60 minutes of dosing. Because it's sublingual, onset can be faster than swallowed tablets. Your provider can give you more specific expectations based on your assessment.
No. Performax is a compounded medication, which means it's prepared at an FDA-registered compounding pharmacy and is not FDA-approved as a combined formula. Compounded medications are legal, prescription-only, and reviewed for safety by your provider.
No. Performax is prescription-only. The good news is the process is quick. Fill out a 5-minute online assessment, a US-licensed provider reviews it, and if you're eligible they prescribe Performax. No in-person visit required.
Common side effects can include headache, flushing, nasal congestion, dizziness, nausea, indigestion, back pain, or muscle aches. Less common but serious reactions include changes in vision or hearing, low blood pressure, and prolonged erections lasting more than four hours, which require immediate medical attention. Talk to your provider for the full safety profile based on your medical history.
Yes. Your order ships in plain packaging with the pharmacy name on the label. Nothing on the box references Mavrox, Performax, or ED treatment. Only the pharmacy is identifiable.
