01
Vardenafil
Prescribed strength
A PDE5 inhibitor with its own activity profile.
PDE5 INHIBITOR
Included alongside sildenafil and tadalafil, so the formula does not rely on one compound alone.
Licensed providers. Real prescriptions.
Discreet billing & shipping.
Licensed U.S. pharmacy
Prescription only
Epic Quad
Rediscover Your Confidence.
A single tablet that brings four established ED compounds together.
Four established ED compounds, combined by prescription into a single tablet.
One Tablet
Four compounds in a single tablet
Provider Reviewed
Prescribed only after clinical review
Less Planning
Includes a longer-acting compound
Mental + Physical
Addresses desire pathways + blood flow
Established Compounds
Four widely used ED compounds
One tablet, four compounds
Includes a longer-acting compound
Addresses desire pathways
Provider reviewed
Your best nights aren't behind you.
Individual results may vary. A prescription is not guaranteed.
Prescription products require an online consultation with a healthcare provider. The featured products include compounded products which have not been approved by the FDA. The FDA does not verify the safety or effectiveness of compounded drugs.
One tablet instead of several, formulated with four ED compounds and prescribed only after an online provider review.
— Prescribed by a licensed U.S. provider
Has a Single-Ingredient Pill Stopped Working for You?See If a Four-Ingredient Tablet Fits You.
If a single-ingredient ED pill has not given you the response you hoped for... if what you were prescribed has stopped working the way it used to... if you would rather not move on to injections... or if you're simply looking at your options — a licensed provider can review it with you.
Complete the intake, have a licensed provider review it, and find out if a 4-ingredient tablet is right for you.
Complete the intake, have a licensed provider review it, and see whether a 4-ingredient tablet is right for you.
CLINICAL
GUIDED
SIMPLE
CLINICAL
SIMPLE
4 INGREDIENTS. 1 TABLET.
02
Sildenafil
Prescribed strength
A PDE5 inhibitor that supports blood flow during sexual stimulation.
BLOOD FLOW
A long-established compound in ED care, prescribed here to support blood flow.
03
Tadalafil
Prescribed strength
A longer-acting PDE5 inhibitor, included for a wider window and unhurried timing.
LONGER WINDOW
A longer-acting compound, so there is less need to plan the timing closely.
04
Apomorphine
Prescribed strength
Dopamine agonist that acts on desire and arousal pathways in the brain, not just blood flow.
MENTAL DRIVE
Arousal begins in the brain as well as the body, so this compound addresses a pathway blood flow alone does not.
ONE TABLET
Engineered for your body.
Engineered for your body.
Sex happens naturally, your treatment should behave the same way.
Four Compounds, One Tablet
One Tablet Instead of Several.
Most ED tablets contain a single compound that works on blood flow alone. Epic Quad brings three PDE5 inhibitors together with apomorphine in one prescribed tablet — so a single prescription covers what would otherwise take several.
Most ED tablets contain a single compound that works on blood flow alone. Epic Quad combines three PDE5 inhibitors with apomorphine in one prescribed tablet, in place of several separate ones.
No juggling separate prescriptions
Four compounds in every tablet
Prescribed by a licensed provider
Blood Flow and Desire, Together
ED Starts in the Brain and the Body.
An erection depends on blood flow, and on the signals that start in the brain. Epic Quad pairs three PDE5 inhibitors, which act on blood flow, with apomorphine, which acts on the dopamine pathways involved in desire — both sides of the response in one prescribed tablet.
Epic Quad contains Apomorphine, an ED compound that acts on desire at the neurological level. A pathway that blood flow alone does not reach.
Three PDE5 inhibitors for blood flow
Formulated for the mental side
Apomorphine for desire pathways
Acts on desire at the source
One tablet, prescribed for you
Mind and body working together
Epic Quad vs others
A calmer, more considered approach
Ankario
By prescription
Reviewed by a licensed provider
Four compounds in one tablet
Blood flow and desire pathways
Treatments delivered to you
Discreet packaging
Prescription only · Provider reviewed · Licensed U.S. pharmacy
What makes it different
Four
compounds in one prescribed tablet, not four separate pills
One
online intake and provider review decide whether it is right for you
Direct
messaging with your care team, so treatment can be reviewed
CLINICAL
GUIDED
SIMPLE
CLINICAL
SIMPLE
CARE PRESCRIBED BY A LICENSED PROVIDERCare
Prescribed By A Licensed Provider
Provider-guided care
GET STARTED
Four Compounds, One FormulaOne Tablet in Place of Several.
Prescription products require an online consultation with a healthcare provider.
The featured products include compounded products which have not been approved by the FDA.
The FDA does not verify the safety or effectiveness of compounded drugs.
3 Easy Steps
Step 1
Quick Quiz
Answer a few questions about your health and history.
Step 2
Provider review
A licensed provider reviews your intake.
Step 3
Shipped to your door
If prescribed, your treatment ships from a licensed U.S. pharmacy right to your door.
The Thinking Behind Ankario
Patients want access to care that doesn't require sitting in a waiting room to say something they'd rather say privately. Providers want to reach patients efficiently. And the pharmacy compliance piece, done right, protects everyone.
Every treatment starts with a licensed telehealth provider reviewing your intake and making a clinical determination. No shortcuts.
Every Epic Quad prescription is reviewed and written by a licensed telehealth provider based on your individual health intake and history.
Epic Quad combines four active compounds in a single provider-prescribed tablet — issued only when a licensed provider decides it is appropriate for you.
READY TO PERFORM?
Prescribed by Licensed U.S. Clinicians — Here's What That Means.Prescribed by Licensed U.S. Clinicians Here's What That Means.
Filled and shipped by a licensed U.S. pharmacy (Rush Pharmacy)
Blood flow and desire pathways in one tablet (not blood flow alone)
Unmarked packaging & a discreet billing descriptor (zero judgment)
Unmarked packaging & a discreet billing descriptor (zero judgment)
4 active ingredients in 1 tablet (one prescription, not four)
Provider-prescribed every time (licensed clinicians, real oversight)
Take the First Step.
Start with the intake. End with a clear answer on whether treatment is appropriate for you. Care on your own schedule.
Reviewed and prescribed by a licensed U.S. provider. Discreet
shipping, ongoing provider messaging, and no waiting rooms.
Reviewed and prescribed
by a licensed U.S. provider.
Discreet shipping, ongoing provider messaging, and no waiting rooms.
Frequently Asked
Questions
Most ED tablets contain one compound that acts on blood flow. Epic Quad combines four prescription compounds — Sildenafil, Tadalafil, Vardenafil, and Apomorphine — in a single tablet. Three are PDE5 inhibitors that act on blood flow, and apomorphine acts on the dopamine pathways involved in desire. A licensed provider decides whether it is right for you.
Your provider sets the directions with your prescription, and the dispensing pharmacy includes them with your order. This page does not state a dose or a timing window, and individual response varies. Message your care team if you have questions once treatment starts.
Yes. Every Epic Quad prescription is reviewed and written by an independent licensed provider, and filled by a licensed U.S. pharmacy. Epic Quad is a compounded medication. Compounded drugs are not FDA approved and have not undergone FDA premarket review for safety, effectiveness, or quality.
That is a clinical question, and it is what the provider review is for. Your provider looks at your health history, your current medications, and any heart or blood-pressure conditions before deciding whether a combination tablet is appropriate for you. If it is not, no prescription is issued.
Yes. After you complete the online intake, an independent licensed provider reviews your information and issues a prescription only if treatment is appropriate. Depending on your state and the provider's judgment, additional information or a live visit may be required first.
Your order ships in unmarked packaging, and your statement shows a neutral billing descriptor rather than a treatment category. Ankario's Privacy Policy and HIPAA Notice explain how your information is handled.
CLINICAL
GUIDED
SIMPLE
CLINICAL
SIMPLE