What It Is

Sildenafil (Viagra's generic) and tadalafil (Cialis's generic): FDA-approved medications that improve blood flow. Prescribed after a video consultation and, when appropriate, labs.

Who It Suits

Erections that are unreliable with normal desire. For low desire, see PT-141 or a hormone panel.

How It Is Used

Sildenafil an hour before, as needed; tadalafil daily or as needed. From $129 a month. Not with nitrates or certain heart conditions; the consultation screens.

How to Get It

At Zen IV Spa every program is prescribed by our medical director, a licensed physician, after a $50 video consultation and labs drawn at your home. Medication ships overnight anywhere in New York or New Jersey from an FDA-registered 503A pharmacy, and a nurse can come for the first dose.

Common Questions

Which one?+

Sildenafil for occasional use; tadalafil for daily readiness.

With PT-141?+

Often, with provider guidance.

Labs?+

Testosterone and a cardiac check when indicated.

All treatments are medical services. Every guest is screened, and every treatment is provided only under the clearance, prescription or standing protocol of a licensed medical provider. Nothing on this page is a diagnosis or a promise of results. For an emergency, call 911.