Mavrox offers compounded prescription options for erectile dysfunction (ED) and premature ejaculation (PE): Performax, an as-needed sublingual tablet; Tadalafix, a once-daily sublingual tablet; and Xtend, a 3-in-1 sublingual tablet for PE. All three are available in all 50 states and require evaluation by a licensed provider. Below is an overview of each product, including pricing and dosing information.
Active ingredient: Vardenafil HCl (intranasal)
Roxus® is a compounded prescription nasal spray that delivers vardenafil, a proven PDE-5 inhibitor, directly through the nasal membrane instead of the digestive tract. By bypassing hepatic first-pass metabolism, Roxus® is designed to take effect faster and at a lower dose than oral ED medications — making it a good option for men who want rapid onset, who have difficulty swallowing pills, or who haven't responded consistently to oral therapy.
Pricing
Plan | Price | Supply |
Roxus® Every 2-Month Plan | $199 billed every 2 months | 1 bottle (14 doses) shipped every 2 months · 7 doses/mo |
Roxus® Monthly Plan | $199/month | 1 bottle (14 doses) shipped every month · 14 doses/mo |
Roxus® 3-Month Plan | $499 billed every 3 months (Save $100) | 3 bottles (42 doses) every 3 months · 14 doses/mo |
Dosing and directions
One spray per nostril per application (5mg total per application).
Do not exceed 1 application (5mg) in 24 hours.
Onset in as little as 5 minutes; noticeable effect typically under 10 minutes.
Use exactly as prescribed by your healthcare provider.
Active ingredients: Apomorphine 3mg + Tadalafil 20mg + Vardenafil 15mg
Performax is a compounded prescription sublingual tablet that combines three clinically recognized active ingredients into one fast-dissolving formulation. Because it's taken as needed before sexual activity, it's designed for men who want flexibility rather than a daily routine. The three ingredients work through complementary pathways — one acting centrally through the brain, and two acting peripherally to support blood flow — which may offer more comprehensive support than a single-ingredient product.
Pricing
Plan | Price | Supply |
Performax (12 tablets) | $139 billed every 90 days | 90-day supply, subscription only |
Performax (18 tablets) | $179 billed every 90 days | 90-day supply, subscription only |
Dosing and directions
Take 1 tablet sublingually (under the tongue) 30–60 minutes before sexual activity.
May be taken with or without food.
Do not take more than one tablet per day.
Use exactly as prescribed by your healthcare provider.
Active ingredient: Tadalafil 5mg
Tadalafix is a compounded prescription tablet designed for daily use. By maintaining a steady level of tadalafil in the body, it supports more spontaneous erections without the need to plan or time a dose around sexual activity — making it a good fit for men who prefer a simple, once-daily routine over as-needed dosing.
Pricing
Plan | Price | Supply |
Tadalafix | $149 billed every 90 days | 90-day supply, subscription only |
Dosing and directions
Dissolve 1 tablet under the tongue once daily, at approximately the same time each day.
May be taken with or without food.
Do not take more than one tablet per day.
Use exactly as prescribed by your healthcare provider.
Active ingredients: Paroxetine + Tadalafil + L-Theanine (available in two strengths)
Xtend is a compounded 3-in-1 tablet designed for premature ejaculation (PE) rather than ED alone. It combines an SSRI to help delay ejaculation, a low dose of a PDE5 inhibitor to support erectile function and confidence, and L-theanine, a calming adjunct included to help ease performance-related anxiety. Xtend is available in two strengths so you and your provider can choose the dose that fits you best.
Pricing
Plan | Price | Supply |
Xtend Medium strength | $99.00 / 3 months | 18 tablets every 3 months · 12 uses/month |
Xtend Max strength | $179.00 / 3 months | 36 tablets every 3 months · 12 uses/month |
Dosing and directions
Medium strength: dissolve ½ tablet under the tongue or between the cheek and gum at least 1 hour (ideally 2–3 hours) before anticipated sexual activity. Do not exceed 1 tablet in 24 hours.
Max strength: start with ½ tablet dissolved under the tongue or between the cheek and gum at least 1 hour (ideally 2–3 hours) before sexual activity. If tolerated, future doses may be increased to 1 tablet. Do not exceed 1 tablet in 24 hours.
Use exactly as prescribed by your healthcare provider.
Which one is right for me?
Choose Performax if you prefer an as-needed medication timed around sexual activity and want multi-ingredient support with fast sublingual absorption.
Choose Tadalafix if you prefer a simple daily routine that supports spontaneity without planning around a dose.
Choose Xtend if premature ejaculation is your primary concern and you're looking for combined support for ejaculatory control, erectile confidence, and performance anxiety.
Choose Roxus® if you want the fastest onset of any option here, prefer a non-oral route, or haven't had consistent results with oral PDE-5 inhibitors.
A licensed provider will help determine which option is appropriate based on your medical history and health needs.
Compounded medications are not approved or evaluated for safety, effectiveness, or quality by the FDA. Treatment decisions are made by a licensed provider based on your individual medical history and health concerns. This article is for general informational purposes and is not a substitute for professional medical advice.
Prescription required. Individual results may vary. Compounded medications are not approved or evaluated for safety, effectiveness, or quality by the FDA. Do not take with nitrates or riociguat. Do not stop taking paroxetine without consulting your healthcare provider. Seek medical attention for suicidal thoughts or an erection lasting longer than 4 hours.