Clinician-Prescribed · 4-in-1 Sublingual

Four reasons
tonight
goes well.

The world's first 4-in-1 formula that activates your desire and your body. Fast-acting, clinician-prescribed, and delivered discreetly.

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US-Licensed Doctors Discreet Packaging Works in ~10 Min
The 4-in-1 Breakthrough

Minutes to Start.
Hours to Spare.

Pills are slow. Our rapid-absorb liquid goes under your tongue and hits your system in as little as 10 minutes. One solution — four powerful ingredients.

1

PT-141

Ignites Desire

Acts centrally via the nervous system to heighten desire and arousal — bridging the gap between mind and body, independent of blood flow.

2

L-Citrulline

Rapid Flow

A potent nitric-oxide amplifier that primes circulation for a faster, fuller physical response.

3

Sildenafil

Peak Strength

The active ingredient in Viagra® — maximum rigidity when it counts, amplified by L-Citrulline's dual-strike effect.

4

Tadalafil

Lasts 36 Hours

The longest-lasting blood-flow agent available. Stays active up to 36 hours — so you never have to "time" intimacy again.

Four Actives. One Dose.

Engineered for
Every Stage.

Most treatments solve one problem. TETRA's four actives work in sequence — desire, strength, then staying power.

01
PT-141

Desire

Triggers Desire

Don't just get ready — get in the mood. Acts centrally through the nervous system, independent of blood flow.

0% Mind & Body
02
L-Citrulline + Sildenafil

Response

Harder & Faster

A dual-strike of nitric-oxide amplification paired with peak-strength support. Ready in as little as 15 minutes.

0Min to Onset
03
Tadalafil

Endurance

36-Hour Window

One dose, all-weekend coverage. No pill-timing anxiety, no planning your evening around a prescription.

0Hour Window
What You Receive

Your Personalized
Prescription.

If a licensed physician approves your treatment, your custom-compounded TETRA™ formula ships directly from a US state-licensed pharmacy.

℞ Prescription Only
TETRA 4-in-1 sublingual prescription
TETRA™ 4-in-1 Sublingual
Rapid-Dissolve Performance Formula
ActivesSildenafil · Tadalafil+ PT-141 · L-Citrulline
RouteSublingualDissolves under the tongue
Onset~10 MinutesBypasses stomach & liver
DurationUp to 36 HoursSingle-dose response window
Prescribed byUS-Licensed PhysicianReviewed against your health profile
Dispensed byUS State-Licensed PharmacyPlain, unmarked packaging
Dosage is personalized by your provider based on your intake evaluation. Prescription products require an evaluation with a licensed medical provider.
10MIN
Activation Time
4
Powerful Ingredients
36HR
Response Window
The TETRA Advantage

Built Around
Your Timing.

Good nights aren't schedule. Your treatment shouldn't either.

TETRA sublingual formula

Dissolves, Doesn't Wait

TETRA™ dissolves under your tongue, bypassing the stomach and liver — hitting your bloodstream far faster than swallowed pills.

  • No more waiting 60+ minutes
  • Works in as little as 10 minutes
  • Total, discreet control
Dinner and performance

Works With Dinner

Standard pills can be blocked by a heavy meal. Sublingual absorption means you never choose between a great dinner and a great night.

  • Won't be blocked by food
  • No more "empty stomach" rules
  • Restores true spontaneity
Ready when you are

Still There Tomorrow

With Tadalafil onboard, one dose keeps you responsive for up to 36 hours — not just for "right now."

  • No more pill-timing anxiety
  • Lasts all weekend
  • Be ready for a second round

Four Actives.
One Envelope.

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The Ultimate Stack

One Active Solves
One Problem.

TETRA combines the active ingredients in Viagra® and Cialis® with L-Citrulline for rapid flow — plus PT-141 to drive desire. See how the old way stacks up.

TETRA 4-in-1 · 10 min · 36 hr Viagra® · 30-60 min · 4 hr Cialis® · 30-45 min · 36 hr Levitra® · 25-60 min · 5 hr
One Active vs. Four TETRA™ 4-in-1 Viagra®(Sildenafil) Cialis®(Tadalafil) Levitra®(Vardenafil)
Starts in ~10 minutes
Experience peak strength
Lasts up to 36 hours
Boosts desire (PT-141)
Food won't block it
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Real Medicine, Real Oversight

Built on Clinical
Standards.

Every TETRA prescription is reviewed and issued by a US-licensed clinician. No shortcuts, no grey market.

US-Licensed Clinicians

Your intake is reviewed by a clinician licensed in your state. If treatment isn't appropriate for you, you aren't prescribed it.

US Compounding Pharmacy

Formulated and dispensed by a licensed US compounding pharmacy operating under state board oversight.

Unmarked Delivery

Shipped in plain, unbranded packaging. Nothing on the box indicates what's inside or who it's from.

Cancel Anytime

No lock-in and no cancellation fee. Adjust or cancel your plan from your account at any time.

Prescription products require an online consultation with a licensed clinician who will determine whether a prescription is appropriate. Individual results vary.

Nobody Plans
The Good Nights.

Neither should your treatment. One dose keeps you responsive for up to 36 hours — no pill-timing, no planning your evening around a prescription.

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Hospital-Grade Power Without the Markup

Four Prescriptions.
One Dose.

We cut out the middleman to deliver the advanced 4-in-1 formula directly to your door. No lines. No awkwardness. Just results.

Most Popular
TETRA 4-in-1 prescription
TETRA™ 4-in-1 Prescription
Starting at
$179$114
36% Off Retail
Or bundle & save more
  • Doctor consultation included
  • Free rush shipping
  • 24/7 medical support
  • Cancel anytime
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Risk-free: if you don't qualify, you don't pay.

A Licensed Doctor
Reviews Every Case.

No algorithm writes your prescription. A US-licensed physician reviews your intake and decides whether treatment is appropriate for you — usually within 24 hours.

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How It Works

Three Steps. Four Actives.

01

Two-Minute Intake

Answer a few questions on our secure intake form. It takes about two minutes.

02

Clinician Review

A US-licensed doctor reviews your case within 24 hours. If approved, your script is issued.

03

Unmarked, To You

Your treatment arrives in a plain, unmarked package. Free rush shipping included.

The Evidence

Four Actives.
Decades of Data.

We don't have testimonials to show you yet — TETRA is new. What we can show you is the clinical record behind every molecule in the formula, and exactly who is accountable for your prescription.

Sildenafil

FDA-approved 1998

The active ingredient in Viagra®. Among the most extensively studied PDE5 inhibitors in modern medicine, with more than two decades of published clinical use.

Tadalafil

FDA-approved 2003

The active ingredient in Cialis®. Characterized by the longest duration of action among approved PDE5 inhibitors — up to 36 hours per its approved labeling.

PT-141

Melanocortin pathway

Bremelanotide acts on melanocortin receptors in the central nervous system — a mechanism entirely distinct from blood-flow agents. Prescribed off-label in this formulation.

L-Citrulline

Nitric-oxide precursor

An amino acid the body converts to L-arginine, the direct substrate for nitric-oxide synthesis. Widely available and well characterized in the nutrition literature.

US-licensed clinician reviews every case
State-licensed pharmacy compounds and dispenses
No prescription without clinical approval

Compounded medications are not FDA-approved as combination products. Individual results vary. TETRA is available only where a licensed clinician determines it is appropriate.

US-licensed physician telehealth consultation
Doctor-Led Care

Real Medicine.
Real Oversight.

TETRA isn't a supplement — it's a prescription formula built on four clinically studied compounds, prescribed by US-licensed physicians when appropriate for you.

  • Sildenafil & tadalafil: FDA-approved actives with decades of clinical use
  • Compounded at US state-licensed partner pharmacies
  • Licensed provider review on every order — no exceptions
  • Ongoing support and dosage adjustments included

Confidence Is
The Real Result.

The point was never the prescription. It's showing up as yourself again — present, relaxed, and not thinking about it.

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Four Reasons to
Start Tonight.

Your private, two-minute evaluation is the first step. A licensed doctor is standing by to review your case.

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Free, expedited delivery Doctor-led plans & coaching No hidden fees
Four actives. One dose.Clinician-prescribed · from $114
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