Effective ED Treatment,
Prescribed Online
Discreet, physician-prescribed treatments for erectile dysfunction. Delivered to your door in plain packaging. No pharmacy visits.
Start ConsultationTreatment Options
All medications prescribed by licensed physicians and shipped in discreet, unmarked packaging.
Sildenafil
Generic for Viagra®
PDE5 inhibitor, taken as needed
How it works
Sildenafil increases blood flow by relaxing smooth muscle in blood vessels. It takes effect within 30-60 minutes and lasts 4-6 hours. Taken as needed before intimacy, it is the most widely prescribed ED medication in the world with over two decades of clinical data.
Tadalafil
Generic for Cialis®
PDE5 inhibitor, daily or as-needed
How it works
Tadalafil works through the same PDE5 mechanism as Sildenafil but with a significantly longer half-life. Its 36-hour duration eliminates the need to time doses precisely, and a low daily dose option allows for spontaneity without any planning required.
Sildenafil + Tadalafil Combo
Custom Compound
Compounded for rapid onset + extended duration
How it works
A customized compounded formulation that combines the rapid onset of Sildenafil with the extended duration of Tadalafil. Prepared by a licensed compounding pharmacy, this option is tailored for patients who want both quick response and a longer window of effectiveness.
PT-141
Bremelanotide
Peptide therapy, works on central nervous system
How it works
PT-141 (Bremelanotide) is a melanocortin receptor agonist that works through the central nervous system rather than the vascular system. It activates brain pathways involved in sexual response, making it a clinically distinct option for patients who have not responded to PDE5 inhibitors.
3 Easy Steps
Confidential from start to finish.
Online Assessment
Answer confidential questions about your health and symptoms. Takes less than 5 minutes from any device.
Physician Prescribes
A licensed physician reviews your profile and prescribes the most appropriate treatment for your needs.
Discreet Delivery
Your medication ships from a licensed pharmacy in plain, unmarked packaging. No one will know what is inside.
Backed by Decades of Clinical Research
Sildenafil is effective in 82% of men with erectile dysfunction.
Goldstein et al., NEJM 1998. Over 25 years of clinical use worldwide with an established safety profile.
Tadalafil's 36-hour window means no timing pressure.
Brock et al., JAMA 2002. Daily low-dose Tadalafil allows for spontaneity and has been shown to improve relationship satisfaction.
Individual results may vary. ED treatment should be prescribed by a licensed physician after a thorough medical evaluation. Not all patients are candidates for PDE5 inhibitor therapy.
52% of men experience ED
at some point
Erectile dysfunction is a medical condition, not a character flaw. It affects men of all ages and backgrounds. The causes are most often physiological -- related to blood flow, hormones, or neurological factors -- and highly treatable with modern medicine.
Men in the US affected by ED
Treatment success rate with PDE5 inhibitors
Years of clinical safety data
Source: Massachusetts Male Aging Study; Feldman et al., Journal of Urology, 1994.
Sexual Health Faq
What is the difference between Sildenafil and Tadalafil?
Both are PDE5 inhibitors that increase blood flow to support erectile function. Sildenafil (generic for Viagra®) works within 30-60 minutes and lasts 4-6 hours, making it ideal for planned encounters. Tadalafil (generic for Cialis®) takes about 30 minutes to take effect but lasts up to 36 hours, offering more spontaneity. Your physician will recommend the best option based on your lifestyle and medical profile.
What are the common side effects?
The most common side effects of PDE5 inhibitors include headache, facial flushing, nasal congestion, and indigestion. These are typically mild and temporary. PT-141 may cause nausea and flushing. Serious side effects are rare but should be discussed with your physician. You should not take PDE5 inhibitors with nitrate medications.
How fast does treatment work?
Sildenafil typically takes effect within 30-60 minutes. Tadalafil can take 30 minutes to begin working but its effects can last up to 36 hours. The Sildenafil + Tadalafil compound is designed for rapid onset with extended duration. PT-141 is administered 45 minutes before anticipated intimacy and works through a different pathway.
Is it safe to take ED medication with other prescriptions?
PDE5 inhibitors have known interactions with certain medications, particularly nitrates (used for chest pain) and alpha-blockers. Combining PDE5 inhibitors with nitrates can cause a dangerous drop in blood pressure. During your consultation, your INA physician will review all current medications to ensure safe prescribing.
Do I need a prescription for these medications?
Yes. All ED treatments offered through INA require a prescription from a licensed physician. You will complete a confidential online assessment, and a board-certified physician will review your health profile to determine the most appropriate treatment. This ensures your safety and the legitimacy of your medication.
Is the packaging discreet?
Yes. All INA shipments arrive in plain, unmarked packaging with no indication of the contents. There is no visible medication branding or reference to sexual health on the exterior. Your privacy is a priority at every step of the process.
Ready To Take The First Step?
Complete a confidential assessment in 5 minutes. A licensed physician will review your profile and prescribe treatment if appropriate. Discreet delivery to your door.
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