Internet Explorer is not supported. Please use a modern browser like Chrome, Firefox, or Edge to access this app.
Hair Loss
Take our hair loss quiz
Get a recommendation tailored for your needs
Explore
Treatments
Sexual Health
Fast + Long-Lasting
Combo
Rx Sildenafil + Tadalafil
Fast onset and long-lasting coverage in one dose. Rx Sildenafil kicks in quickly while Rx Tadalafil keeps you covered through the night. Two compounds working together, clinician-matched to your specific needs.*†
how it works
About this treatment
Combo combines Rx Sildenafil and Rx Tadalafil in one dose — fast onset with extended coverage. The best of both compounds without the compromise. Available as a gummy or tablet. Same compounds, same effect — choose the format that works best for you. This is a prescription medication, reviewed and approved by a licensed clinician before shipping.
Not sure if this treatment is right for you?



Take one gummy or tablet 30–60 minutes before sexual activity, with or without food.
Avoid high-fat meals and alcohol close to the time of use for best results.
Do not take more than one dose in 24 hours. Follow your clinician's instructions.

Why Keeps?
ED affects more men than you think, but it doesn't have to affect you. We've got everything you need to get hard, stay hard, and feel confident again.* Our treatments are clinically proven and prescribed by licensed providers who actually know what they're doing.
Less than you’d pay at your local pharmacy
Clinically-proven treatments and science-backed formulas
No-cost consultation to ensure your treatment plan is right for you
Ongoing support and guidance from a licensed medical provider
Shipped and delivered directly to your door
How Keeps works
1. Pick your plan
Pick the clinically-proven treatment that's right for you. A licensed medical provider will confirm it's everything you need.
2. Get it delivered
Your Keeps treatment arrives at your door every one, or three months—at a fraction of the cost of your local pharmacy.
3. Take back control
Perform with confidence whenever the moment hits. Adjust, pause, or cancel your plan at any time.
What makes Combo different from Quicky or Weekend?
Quicky gives you fast onset. Weekend gives you long coverage. Combo gives you both — Sildenafil kicks in within 30–60 minutes while Tadalafil extends coverage for up to 24 hours. Best for men who want flexibility without compromise.
How do Sildenafil and Tadalafil work together?
Sildenafil acts quickly, blocking PDE5 rapidly for fast results. Tadalafil sustains that inhibition for up to 24 hours. Together they work as a relay — Sildenafil starts fast, Tadalafil carries it through.
How long does it take to work?
Combo typically takes 30–60 minutes to begin working. Sildenafil provides the fast onset, while Tadalafil extends coverage for the following 36 hours.
What are the common side effects?
The most common side effects include headache, flushing, indigestion, nasal congestion, back pain, dizziness, and rash. Contact your clinician if you experience anything concerning.
Gummy or tablet — what's the difference?
Both contain the same Rx Sildenafil and Tadalafil compounds at the same dose. The gummy is chewable and doesn't require water. The tablet is swallowed whole. Choose based on personal preference — effectiveness is identical.
Can I cancel or change my plan?
Yes. You can adjust, pause, or cancel your subscription anytime through your online portal. No cancellation fees. If you want to switch products, your provider can help determine the right fit.
What if I don't see results?
We stand behind every treatment with a 60-night money-back guarantee. If you're not seeing results, your clinician will adjust your dose or switch your formula — most men find the right fit with a small change. If after 60 nights you're still not satisfied, we'll refund you in full. No returns required, no questions asked.
Do you ship to my state?
Keeps is available in most US states. Services are not offered in every state. Select your state during checkout to confirm availability.
* Product images are for illustrative purposes only. Actual packaging may vary.
* Individual results may vary. Sildenafil (28mg) + Tadalafil (11mg), Rx only, treats erectile dysfunction. May cause side effects, including headache, flushing, indigestion, back pain, and muscle pain. You are encouraged to report negative side effects of prescription drugs to the FDA. Visit MedWatch: https://www.fda.gov/safety/medwatch or call 1-800-FDA-1088.
† Services not offered in every state. Medication prescribed only if clinically appropriate, based on completion of the required consultation.
◇ The pricing above represents cost of first order with initial discount.
‡ The information provided here is not a substitute for professional medical advice, diagnosis, or treatment. You should not rely upon the content provided here for specific medical advice. If you have any questions or concerns, please talk to your doctor.
FEATURED IN:
Keep in the loop
Thanks! You've signed up successfully.