AV ROCKET™

(Single-compound antioxidant support)

Tadalafil 20 mg + Sildenafil 70 mg (Compounded Rx)

AV Rocket is our high-impact, on-demand option that pairs the staying power of tadalafil with the fast kick of sildenafil—built for men who want decisive performance without over-planning.

Who it’s for

You want strong rigidity and a broader timing window.
Single-agent pills haven’t delivered the reliability you want.
You prefer a clinician-directed plan that adjusts to your results.

U.S.-Licensed Providers

503A Pharmacy Approved

HIPAA Compliant

Free Discreet Shipping

From $99.99/mo

As low as with 6-month plan

Medication, labs & provider care in one price

4.9

from 2,400+ patients

LegitScript-certified

Licensed in all 50 states

Why customers choose AV Rocket

Progesterone is often considered when sleep and cycle-related symptoms are part of the picture. A provider reviews your history to determine whether it may be appropriate for you.

Fast + long window in one dose

Tadalafil supports an extended readiness window; sildenafil helps you rise to the moment.

Designed for tougher cases

A dual-PDE5 approach considered in men who did not get enough from a single agent

Simple experience

Private intake, clinician guidance, discreet shipping, easy monthly refills.

What’s inside (per dose)

Sildenafil is for the man who wants a focused, same-night answer instead of a longer, looser runway.

20mg

Tadalafil

Long-acting

Strong rigidity and a broader timing window.

70mg

Sildenafil

Short-acting

Fast onset support when timing matters.

Compounded to this ratio. One dose contains both.

How it works

Erections depend on a signal your body already makes. A PDE5 inhibitor does not create that signal — it keeps it from fading too fast.

The signal

Nitric oxide triggers cGMP, the "relax & fill" message.

The response

Blood flows into the corpora cavernosa.

The limit

That signal clears before it has finished its work.

PDE5 inhibitors preserve that signal.

Tadalafil

Maintains a longer window of responsiveness.

Sildenafil

Adds a rapid on-demand effect.

Under clinician supervision, combining a long-acting PDE5 with a short-acting PDE5 can support firmness and timing in select men.

Safety highlights

Never combine

Do not use with nitrates or riociguat

Tell your clinician

Tell your clinician about alpha-blockers or strong CYP3A inhibitors

Get care immediately

Seek care for chest pain, fainting, sudden vision/hearing loss, or erection > 4 hours

Prescription only if appropriate. Compounded medication; not an FDA-approved finished drug.

What to expect

Use on days you plan intimacy

Following the schedule set out in your plan.

Do not add any other ED medication

Unless your clinician instructs you to. This one matters more than the rest.

Fast, discreet monthly delivery

Start with an online visit

A clinician reviews your history and sets the plan before anything ships.

Rated by real patients. Not by us.

Individual results vary. Patients commonly report changes in energy, mood, focus, libido, strength and overall quality of life across the first several weeks and months of treatment.

“Amazing company and amazing way to save money compared to going through a doctor.”

“Great Experience, All questions were answered and so much knowledge was presented.”

“I was paying over double at my doctor’s office for the same treatment. Ascend Vitality handled everything online, no hassle, and their team actually explained things clearly. Huge cost savings, and my results have been amazing.”

“Wasn’t sure about this at first but after being recommended i decided to try them out. arrived very fast, not only is it super convenient im saving money by going through ascend. results have been great so far and i’ve never felt better”

Answers, upfront.

Straight answers on how Ascend Vitality works, what’s included, and what to expect after checkout.

What is Ascend Vitality?

Ascend Vitality is a telehealth company that provides personalized medical care directly to your door. Our licensed providers work with you to help you reach your health and body goals, offering tailored treatments and ongoing support.

How does Ascend Vitality work?

Your path to treatment at Ascend Vitality begins with a simple online process. First, you’ll complete our comprehensive intake form where you’ll share information about your symptoms, medical history, and current health status. This information helps us understand your needs and ensures safe, appropriate care.

After submitting your intake form, a licensed healthcare provider will carefully review your information and develop a personalized treatment plan. Depending on your state’s requirements, your care will proceed in one of two ways:

For residents in states requiring face-to-face consultation, you’ll be prompted to schedule a video or audio visit with your provider. You’ll see available appointment times and can choose one that best fits your schedule. During this consultation, you’ll discuss your symptoms and treatment options directly with your provider.

For residents in states without video or audio visit requirements, your provider will review your information and send a detailed treatment recommendation directly to your secure message inbox through the Ascend Vitality platform. You can then review their recommendations and ask any questions you may have.

Who are the providers at Ascend Vitality?

Ascend Vitality works partner pharmacies and a private doctor network to write prescriptions and fulfill orders. You can find more information about our partner pharmacies by scrolling to our footer and visiting the ‘Partner Pharmacies’ link under the Contact section.

Does Ascend Vitality require insurance?

Not at all! Ascend Vitality doesn’t require insurance. We offer transparent pricing on treatments and your medical visit, ongoing shipments, and provider messaging are all included in one low price.

What states is Ascend Vitality available in?

Ascend Vitality is available in all U.S. states and Washington, D.C., excluding Louisiana, Mississippi, Kansas, New Mexico, and West Virginia.