Sexual wellness
Quattro
Four active ingredients. One private treatment plan.*
Quattro supports erectile response, treatment onset, duration, and arousal signaling through four active ingredients in one compounded sublingual prescription treatment.*
*Results and eligibility differ by individual. Prescription treatment requires an evaluation by an independent licensed provider. Compounded medications are not FDA-approved and are prepared by a licensed pharmacy when clinically appropriate.

At a glance
What this treatment offers*
Multi-pathway
Four active ingredients
One compounded formulation supports blood-flow and arousal pathways through four active ingredients.*
At home
Discreet sublingual format
Use the prescribed sublingual formulation according to the provider’s directions.
Clinician guided
Private clinical review
An independent licensed provider reviews eligibility, health history, and current medicines.
Treatment information
What to know about this treatment
Overview
Quattro is a compounded sublingual prescription treatment for eligible adults with erectile dysfunction. It combines sildenafil, tadalafil, vardenafil, and apomorphine in one formulation to support erectile response, timing, duration, and arousal signaling.*
How it works
The medication is placed under the tongue as directed. Its ingredients support complementary pathways involved in blood flow and arousal.* A licensed provider reviews health history, current medicines, and goals before deciding whether the formulation and dose are appropriate.
Who it is for
Quattro is designed for eligible adults seeking a discreet, multi-ingredient option after a clinical evaluation. The provider determines whether the treatment fits the patient’s health history, symptoms, prior treatment experience, and current medicines.
Important safety information
Important safety information depends on the ingredients, dose, health history, and other medicines. Tell the provider about heart or blood-pressure conditions, nitrate medicines, alpha-blockers, allergies, and every medicine or supplement you use. Seek urgent care for chest pain, a sudden change in vision or hearing, or an erection lasting longer than four hours. Quattro is compounded and is not FDA-approved.
Formulation
Active ingredient information
Formulation and dose are personalized during your clinical review, based on your health history and current medicines.
Blood-flow pathway
Sildenafil
PDE5 inhibitor
Supports blood flow involved in erectile response.*
Blood-flow and duration pathway
Tadalafil
PDE5 inhibitor
Supports blood flow and a longer activity window involved in erectile response.*
Complementary blood-flow pathway
Vardenafil
PDE5 inhibitor
Supports blood flow involved in erectile response through a complementary formulation pathway.*
Arousal-signaling pathway
Apomorphine
Dopamine agonist
Supports central arousal signaling as part of a clinician-selected compounded formulation.*
Frequently asked questions
Common questions, clearly answered
Private clinician-guided care
Take the next step with a private clinical evaluation.
Tell us about your goals and health history in a secure online visit. A licensed provider will decide whether treatment is appropriate.