01
Vardenafil
Prescribed strength
A fast-acting PDE5 inhibitor, included so timing stays flexible.
RAPID ONSET
Selected for its onset profile, so there is less waiting involved.
Epiq Quad
Rediscover Your Confidence.
A 4-in-1 liquid designed to support desire, arousal, and physical response.
Four ED compounds in one quick-absorb liquid, prescribed only if appropriate.
Quick to Act
Onset in as little as 15 minutes
Provider Reviewed
Prescribed only after clinical review
Built for the Weekend
Stays in your system for up to 36 hours
Mental + Physical
Supports desire pathways + blood flow
Four Compounds
Four ED compounds in one liquid
Held under the tongue
One dose, up to 36 hours
Supports 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.
A quick-absorb liquid instead of another pill, formulated with four ED compounds and prescribed only after an online provider review.
— Prescribed by a licensed U.S. provider
Have Injections and Pills Stopped Working for You?See If a Four-Ingredient Formula Fits You.
If a single-ingredient pill took an hour to kick in... if what you were prescribed has stopped working the way it used to... if you've been injecting just to get results... or if you're simply looking at your options — a licensed provider can talk it through with you.
Take the assessment, have a licensed provider review it, and find out if a 4-ingredient formula is right for you.
Take the assessment, have a licensed provider review it, and see whether a 4-ingredient formula is right for you.
CLINICAL
GUIDED
SIMPLE
CLINICAL
SIMPLE
4 INGREDIENTS. 1 DOSE.
02
Sildenafil
Prescribed strength
A PDE5 inhibitor, included to support blood flow during sexual stimulation.
BLOOD FLOW
A widely studied compound in ED care, prescribed here to support blood flow.
03
Tadalafil
Prescribed strength
A longer-lasting compound that can stay in your system for up to 36 hours, for unhurried timing.
LONGER WINDOW
One dose covers a longer window, 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.
DIRECT ABSORPTION
Designed around your body.
Designed around your body.
Desire doesn't keep a clock — and your treatment shouldn't either.
Works in Minutes, Not Hours
Dissolves Before You Know It.
Epiq Quad is a quick-absorb liquid held under the tongue. Because it moves directly into the bloodstream, it sidesteps the stomach — so support arrives on your timeline, not the digestive clock's.
Epiq Quad is a quick-absorb liquid held under the tongue. It moves directly into the bloodstream and sidesteps the stomach, so support arrives on your timeline.
No waiting 60+ minutes before intimacy
Held under the tongue, not swallowed
Onset in as little as 15 minutes
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. Epiq 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 liquid.
Epiq 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 liquid dose, prescribed for you
Mind and body working together
Epiq Quad vs others
A calmer, more considered approach
Ankario
By prescription
Reviewed by a licensed provider
Four compounds in one liquid
Blood flow and desire pathways
Treatments delivered to you
Discreet packaging
Prescription only · Provider reviewed · Licensed U.S. pharmacies
What makes it different
Four
compounds in one prescribed liquid formulation, not a pill
One
online assessment and provider review decide whether it is right for you
Ongoing
follow-ups and messaging support, 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
PRESCRIBED, NOT GUESSED
Speed Meets EnduranceOne Liquid Dose. Four Compounds.
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
Online assessment
Answer a few questions about your health and history.
Step 2
Provider review
A licensed provider reviews your assessment.
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 provider reviewing your assessment and making a clinical determination. No shortcuts.
Every Epiq Quad prescription is reviewed and written by a licensed provider based on your individual health assessment and history.
Epiq Quad combines four active compounds in a single provider-prescribed liquid — issued only when a licensed provider decides it is appropriate for you.
READY WHEN YOU ARE
Prescribed by Licensed U.S. Providers — Here's What That Means.Prescribed by Licensed U.S. Providers Here's What That Means.
Filled and shipped by licensed U.S. pharmacies
Onset in as little as 15 minutes, up to 36 hours in your system
Discreet packaging & delivery to your door (zero judgment)
Discreet packaging & delivery to your door (zero judgment)
4 active ingredients in 1 dose (one prescription, not four)
Provider-prescribed every time (licensed providers, real oversight)
Take the First Step.
Start with the assessment. 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 pills contain one compound that acts on blood flow. Epiq Quad combines four prescription compounds — Sildenafil, Tadalafil, Vardenafil, and Apomorphine — in a quick-absorb liquid held under the tongue. 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.
Epiq Quad is a liquid held under the tongue rather than swallowed, so it sidesteps the stomach. Onset can be in as little as 15 minutes, and individual response varies. Your provider sets the directions with your prescription, and you can message them if you have questions once treatment starts.
Yes. Every Epiq Quad prescription is reviewed and written by an independent licensed provider, and filled by a licensed U.S. pharmacy. Epiq Quad is a compounded medication. Compounded drugs are not FDA-approved and are not reviewed by the FDA for safety or effectiveness.
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 Epiq Quad is appropriate for you, and will discuss possible side effects with you. If it is not appropriate, no prescription is issued.
Yes. After you complete the online assessment, an independent licensed provider reviews your information and issues a prescription only if treatment is appropriate. A prescription is never guaranteed, and depending on your state a live visit may be required first.
If you are prescribed treatment, it ships to your door in discreet packaging with clear instructions. Ankario's Privacy Policy and HIPAA Notice explain how your information is handled.