50% off your first month · Licensed providers · No hidden fees · 100% online
  • Epiq Quad sachet: 4-in-1 formula, 1 dose, Rx only
  • Epiq Quad ingredients: apomorphine, sildenafil, vardenafil and tadalafil

Provider-guided care

Epiq Quad

Rediscover Your Confidence.

A 4-in-1 chewable tablet designed to support desire, arousal, and physical response.

Four ED compounds in one chewable tablet, prescribed only if appropriate.

50% off your first month

Applies to your first month of treatment if a provider prescribes it. Refills renew at the regular price. Prescription required; not everyone qualifies.

Quick to Act

Onset in about 15–30 minutes

Provider Reviewed

Prescribed only after clinical review

Built for the Weekend

Tadalafil stays active for up to 36 hours

Mental + Physical

Supports desire pathways + blood flow

Four Compounds

Four ED compounds in one chewable tablet

Absorbs in the cheek

One tablet, up to 36 hours

Supports desire pathways

Provider reviewed

Your best nights aren't behind you.

Individual results may vary. A prescription is not guaranteed.

GET STARTEDSEE IF I QUALIFY

Licensed providers

•

Rx only

Start online, from home

|

Discreet delivery

One tangerine chewable tablet instead of several pills, formulated with four ED compounds and prescribed only after an online provider review.

— Prescribed by a licensed U.S. provider

Have Injections and Pills Stopped Working for You?See If a Four-Ingredient Tablet Fits You.

If a single-ingredient pill took an hour to kick in... if what you were prescribed has stopped working the way it used to... if you've been injecting just to get results... or if you're simply looking at your options — a licensed provider can talk it through with you.

Take the assessment, have a licensed provider review it, and find out if a 4-ingredient tablet is right for you.

Take the assessment, have a licensed provider review it, and see whether a 4-ingredient tablet is right for you.

Pills, injections and Epiq Quad compared: one chewable tablet with four compounds and no needle

4 INGREDIENTS. 1 TABLET.

01

Vardenafil

7.5 mg

A fast-acting PDE5 inhibitor, included so timing stays flexible.

RAPID ONSET

Paired with sildenafil for the fast lane, dosed below its standalone strength.

02

Sildenafil

40 mg

Supports blood flow during sexual stimulation.

BLOOD FLOW

A widely studied compound in ED care, dosed here below its standalone strength.

03

Tadalafil

4 mg

A longer-acting PDE5 inhibitor that can stay active for up to 36 hours, for unhurried timing.

LONGER WINDOW

One tablet covers a longer window, so there is less need to plan the timing closely.

04

Apomorphine

2 mg

Dopamine agonist that acts on desire and arousal pathways in the brain, not just blood flow.

MENTAL DRIVE

PDE5 inhibitors amplify a signal that already exists; apomorphine helps start it in the brain.

BUCCAL ABSORPTION

Designed around your body.

Designed around your body.

Desire doesn't keep a clock — and your treatment shouldn't either.

Works in Minutes, Not Hours

Chew It. Let It Absorb.

Epiq Quad is a tangerine chewable tablet. Chewed slowly and held in the cheek, it is absorbed through the lining of the mouth instead of waiting on digestion — so support arrives on your timeline, not the digestive clock's.

Epiq Quad is a tangerine chewable tablet. Chewed slowly and held in the cheek, it is absorbed through the lining of the mouth, so support arrives on your timeline.

Take it 15–30 minutes before activity

Chewed slowly and absorbed in the cheek

One tablet per dose, as needed

Epiq Quad System

A couple embracing at home

Blood Flow and Desire, Together

ED Starts in the Brain and the Body.

An erection depends on blood flow, and on the signals that start in the brain. Epiq Quad pairs three PDE5 inhibitors, which act on blood flow, with apomorphine, which acts on the dopamine pathways involved in desire — both sides of the response in one prescribed chewable tablet.

Epiq Quad contains Apomorphine, an ED compound that acts on desire at the neurological level. A pathway that blood flow alone does not reach.

Three PDE5 inhibitors for blood flow

Formulated for the mental side

Apomorphine for desire pathways

Acts on desire at the source

One chewable tablet, prescribed for you

Mind and body working together

A couple resting in bed

Epiq Quad vs others

A calmer, more considered approach

Alevoa

By prescription

Reviewed by a licensed provider

Four compounds in one tablet

Blood flow and desire pathways

Treatments delivered to you

Discreet packaging

Prescription only · Provider reviewed · Licensed U.S. pharmacies

What makes it different

  • Four

    compounds in one prescribed chewable tablet, not four separate pills

  • One

    online assessment and provider review decide whether it is right for you

  • Ongoing

    follow-ups and messaging support, so treatment can be reviewed

CARE PRESCRIBED BY A LICENSED PROVIDERCare
Prescribed By
A Licensed Provider

Provider-guided care

GET STARTED

Speed Meets EnduranceOne Tablet. Four Compounds.

Illustration only, not to scale: single pills compared with Epiq Quad over time

3 Easy Steps

Step 1

Online assessment

Answer a few questions about your health and history.

Step 2

Provider review

A licensed provider reviews your assessment.

Step 3

Shipped to your door

If prescribed, Epiq Scripts, a licensed U.S. pharmacy, ships it to your door.

The Thinking Behind Alevoa

Patients want access to care that doesn't require sitting in a waiting room to say something they'd rather say privately. Providers want to reach patients efficiently. And the pharmacy compliance piece, done right, protects everyone.


Every treatment starts with a licensed provider reviewing your assessment and making a clinical determination. No shortcuts.


Every Epiq Quad prescription is reviewed and written by a licensed provider based on your individual health assessment and history.

Epiq Quad combines four active compounds in a single provider-prescribed chewable tablet — issued only when a licensed provider decides it is appropriate for you.

A patient and a provider talking through a consultation.
A man holding an Epiq Quad sachet

READY WHEN YOU ARE

Prescribed by Licensed U.S. Providers — Here's What That Means.Prescribed by Licensed U.S. Providers Here's What That Means.

  • Compounded and shipped by Epiq Scripts, a licensed U.S. pharmacy

  • Onset in about 15–30 minutes, tadalafil active up to 36 hours

  • Discreet packaging & delivery to your door (zero judgment)

    Discreet packaging & delivery to your door (zero judgment)

  • 4 active ingredients in 1 chewable tablet (one prescription, not four)

  • Provider-prescribed every time (licensed providers, real oversight)

  • 50% off your first month if prescribed (refills at the regular price)

Take the First Step.

Start with the assessment. End with a clear answer on whether treatment is appropriate for you. Care on your own schedule.

Reviewed and prescribed by a licensed U.S. provider. Discreet

shipping, ongoing provider messaging, and no waiting rooms.

Reviewed and prescribed
by a licensed U.S. provider.

Discreet shipping, ongoing provider messaging, and no waiting rooms.

Frequently Asked

Questions

Most ED pills contain one compound that acts on blood flow. Epiq Quad combines four prescription compounds — sildenafil 40 mg, tadalafil 4 mg, vardenafil 7.5 mg and apomorphine 2 mg — in one chewable tablet absorbed in the cheek. Three are PDE5 inhibitors that act on blood flow, and apomorphine acts on the dopamine pathways involved in desire. A licensed provider decides whether it is right for you.

Chew the tablet slowly and let it absorb in your cheek about 15–30 minutes before activity, rather than swallowing it quickly. Take one tablet per dose, as needed. Individual response varies, and your provider sets the directions with your prescription.

Yes. Every Epiq Quad prescription is reviewed and written by an independent licensed provider in the LocumTele network, and compounded and shipped by Epiq Scripts, a licensed U.S. pharmacy. Epiq Quad is a compounded medication. Compounded drugs are not FDA-approved and are not reviewed by the FDA for safety or effectiveness.

That is a clinical question, and it is what the provider review is for. Your provider looks at your health history, your current medications, and any heart or blood-pressure conditions before deciding whether Epiq Quad is appropriate for you, and will discuss possible side effects with you. If it is not appropriate, no prescription is issued.

Expect the familiar PDE5 effects such as headache, flushing and congestion, and possible nausea or lightheadedness from apomorphine. Never take it with nitrates (including poppers) or riociguat, or with another PDE5 inhibitor or dopamine agonist. Get urgent care for chest pain, fainting, or an erection lasting more than 4 hours.

Yes. After you complete the online assessment, an independent licensed provider reviews your information and issues a prescription only if treatment is appropriate. A prescription is never guaranteed, and depending on your state a live visit may be required first.

If you are prescribed treatment, it ships to your door in discreet packaging with clear instructions. Alevoa's Privacy Policy and HIPAA Notice explain how your information is handled.

See If I Qualify