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2,000,000+ MEMBERS

trustpilot

better sex
starts here

  • Arousal-boosting 3-in-1 formula.

  • Works in 15 mins. Lasts up to 36 hours.

  • 100% online & shipped to you.

Get started →

60 seconds · 100% private

GLOBALLY RECOGNIZED

Brain. Blood Flow. Both.

One tablet,
3x the power.

Get in the mood faster with the first-ever ED treatment that combines ingredients to boost mental arousal & blood flow.

Powerhouse

3 ingredients, 1 powerful result.

Powerhouse

Faster-acting formula

Powerhouse dissolves under the tongue to reach your bloodstream faster, for fast results so you can be spontaneous.

Faster-acting formula

LASTS all weekend

Studies have shown that Tadalafil, the active ingredient in Cialis®, can help men last 7-10 times longer during sex.

LASTS all weekend

DESIRE. THEN HARDNESS.

Apomorphine stimulates areas of the brain that drive arousal, focus, and control—enhancing physical performance.

DESIRE. THEN HARDNESS.
Try Powerhouse →

Risk free: if you don’t qualify, you don’t pay.

Member outcomes

2,000,000+ men.
Same result.

"Packaging was plain. Billing was discreet.

Even my wife didn't know until I told her. Exactly how it should be."

Verified Customer

BACK IN CONTROL.

93% of men report improved confidence after 30 days.

"SAME MEDICATION, FRACTION OF THE PRICE.

I was paying $70/pill at the pharmacy. This is a no brainer"

Verified Customer

WANTED IT AGAIN.

76% report improved desire within the first month.

"POWERHOUSE IS A GAME CHANGER!

For the first time I actually wanted it and could perform. That's never happened with any other pill."

Verified Customer

ZERO ANXIETY.

85% of men report performance anxiety disappears.

"I feel like a real man again. The anxiety is gone.

I'm not worried about whether it's going to work anymore."

Verified Customer

SHE NOTICED FIRST.

Most men say their partner saw the difference before they did.

"CHANGED MY LIFE. SAVED THE RELATIONSHIP.

My wife noticed before I even told her what I was taking."

Verified Customer

FIND YOUR FIT

One of these IS
made for you.

4 treatments. Pick the one that fits tonight. All Rx. All clinician-matched. From $1/day.

PROVIDER

PER DOSE

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$45-70

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$8-15

From $1/dose

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60 seconds · 100% private

OUR DIFERENCE

WHY KEEPS?

100% online. No waiting rooms. No pharmacy runs. No awkward conversations. Total discretion.

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60 seconds · 100% private

Clinicians who specialize in men’s health

Board-certified clinicians

Personalized treatment based on your needs

Clinicians who specialize in men’s health
Board-Certified

Auto-refills. Cancel anytime.

100% online. No waiting rooms.

Free rush shipping, discreet packaging

Auto-refills. Cancel anytime.

Multiple compounds. One dose.

Combinations no single pill offers

Hardness, duration, and desire — one dose

Multiple compounds. One dose.

24/7 care whenever you need it

Strength & formula updates

Clinician adjusts until it works

24/7 care whenever you need it

What happens now

Personalized care in 3 easy steps.

today

Tell us about your health

Answer a few health questions.

Takes 60 seconds. 100% online.

Fully private and secure.

Within 24 hrs

Review your treatment plan

Based on your unique needs and medical history, your clinician will create a tailored treatment plan designed for optimal results

Adjusts your dose until it works.

Full refund if ineligible for treatment.

Within 48 hrs

Medication ships fast and discreet

Your treatment arrives in plain, unmarked packaging.

Licensed by U.S. pharmacies.

Ongoing clinician access included.

See results
or get your money back.

money back

60 nights to decide if it's working

No returns required

Clinician adjusts until it works

Start my plan →

No pills. No water. No pharmacy.

Before you start

Every objection.
Answered.

4 treatments. Pick the one that fits tonight.
All Rx. All clinician-matched. From $1/day.

Effectiveness

"Tried pills before. It didn't work."


  • Single pills only work for 60–65% of men.
  • Keeps has 4 compounds including Apomorphine — not just blood flow.

Privacy

"It's embarrassing to talk about."


  • 100% online. No pharmacy visits.
  • Over 30 million men in the U.S. use ED medication.

Age

"I think I'm too young for ED meds."


  • ED affects men in their 20s, 30s, and 40s.
  • Stress, sleep, lifestyle — all play a role.

Guarantee

"What if it doesn't work for me?"


  • Clinician adjusts or switches until it works.
  • 60-night money-back. No returns required.

Quality

"Is this medication even real?"


  • Same FDA-approved active ingredients as Viagra® and Cialis®.
  • Multi-compound formulas not available at retail pharmacies.
Get started →

60 seconds · 100% private

The real questions

Will it work? How fast? How much? All answered.

What most men ask before starting.

Many men who didn't get results from single-ingredient treatments have had success with Powerhouse. It combines Tadalafil, Vardenafil, and Apomorphine — short-acting, long-acting, and a brain-signal trigger — in one sublingual tablet. Because it dissolves under the tongue, it absorbs directly into the bloodstream for faster onset. Our clinicians can also customize your dose to your specific needs. Your clinician will keep adjusting until you get the best result.

Money-back guarantee. 60 nights.

Free rush shipping.

Unmarked packaging & billing.

Clinician access. Anytime.

No hidden fees. No surprises.

2M+ prescriptions written.

Get started →

60 seconds · 100% private

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Keep Your Sex Life

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The 60-Night Money-Back Guarantee applies only to eligible ED medications and is available to new patients only. To be eligible, patients must take the prescribed medication as directed by their Clinician during the applicable billing cycle. Refund requests must be submitted within 30 days of the most recent billing date, and refunds apply only to the cost of the eligible medication(s) from that billing cycle. The Guarantee applies only to the most recent billing cycle. Failure to meet any eligibility requirements or comply with the prescribed treatment plan will void eligibility.