Maximus ED & Sexual Health Review

Complete the Maximus ED intake — symptom pattern, cardiovascular history, prior PDE5 inhibitor response (if any), current medications (nitrate screening), and treatment goals. Free physician consult; most prescriptions written within 24–48 hours.

First medication shipment lands within 3–5 days of script approval (free priority shipping). Start with the prescribed protocol — Tadalafil-only as standard first-line at $49.99/mo, or the Tadalafil + Vardenafil dual-compound for patients who indicated prior monotherapy didn't produce adequate response. Sublingual placement under the tongue 10–15 minutes before sexual activity.

Response should be clear. If Tadalafil monotherapy is producing reliable function, stay there. If partial response, message the prescriber for the dual-compound upgrade — the Vardenafil addition layers a different PDE5 mechanism profile alongside Tadalafil's long-acting effect. The published clinical evidence specifically comparing dual-compound vs single-compound PDE5 protocols is limited — Maximus positions this as a clinical-judgment-driven option, not a default.

For PDE5-responders this is steady-state — periodic refills with the board-certified prescriber. For non-responders even on dual-compound, six months is the point to step back: cardiovascular workup if not done, hormone evaluation (Maximus offers TRT under the same account if low-T contributes), or alternative treatments (shockwave, P-Shot, Trimix) at an in-person clinic. Maximus will refer out for cases beyond PDE5 management.