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SUBLINGUAL TABLET
Powerhouse 3-in-1
Rx Tadalafil + Vardenafil + Apomorphine
Get in the mood faster with the first-ever ED treatment that combines ingredients to boost mental arousal and blood flow. Three compounds. One sublingual tablet. Works in 15 minutes, lasts up to 36 hours.*†
how it works
- Apomorphine* stimulates dopamine receptors in the brain, triggering arousal and desire before anything else kicks in
- Vardenafil* rapidly blocks PDE5, increasing blood flow for fast, firm erections — onset in as little as 15 minutes
- Tadalafil* sustains PDE5 inhibition for up to 36 hours, keeping you ready long after the initial dose
- Sublingual delivery bypasses the digestive system entirely — absorbed directly into the bloodstream under the tongue
- No water needed. No food restrictions. No planning around a pill.
About this treatment
Powerhouse 3-in-1 (Tadalafil + Vardenafil + Apomorphine) is a compounded prescription medication for erectile dysfunction. Place under the tongue 15–30 minutes before sexual activity. Do not chew or swallow. The only ED formula targeting desire at the brain level, not just blood flow. Follow your provider's instructions for best results. Individual results may vary.
Not sure if this treatment is right for you?
- A Faster-acting formula that dissolves under the tongue to reach your bloodstream faster — no waiting, no planning.
- Tadalafil, the active ingredient in Cialis®, can help men last significantly longer during sex with up to 36 hours of coverage.
- Apomorphine stimulates areas of the brain that drive arousal, focus, and control — enhancing physical performance from the source.
- Three clinically-backed compounds working simultaneously — desire, hardness, and duration in a single dose.
How to use Powerhouse
Place one tablet under your tongue and let it dissolve completely. Do not chew or swallow.
Take 15–30 minutes before sexual activity. No water or food restrictions needed.
Do not take more than one dose in 24 hours. Follow your clinician's instructions.
Designed for results. Backed by clinicians.
Powerhouse Rx 3-in-1 is a compounded prescription — not a supplement. It combines three clinically-backed compounds in a single sublingual tablet, reviewed and approved by a licensed clinician before it ships. The only ED formula targeting desire at the brain level, with the flexibility to adjust your plan as you respond.†
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.
If Viagra or Cialis didn't work, will Powerhouse?
Many men who didn't get results from single-ingredient treatments have had success with Powerhouse. It combines Vardenafil, Tadalafil, and Apomorphine — short-acting, long-acting, and a brain-signal trigger — in one sublingual tablet. Our clinicians can also customize your dose. We can't promise it works for everyone, but your clinician will keep adjusting until you get the best result.
How fast does Powerhouse work?
Powerhouse dissolves under the tongue and absorbs directly into the bloodstream, bypassing the digestive system entirely. Typical onset is 15 minutes or less. For best results, take it 15–30 minutes before sexual activity.
How long do the effects last?
Powerhouse typically stays active for 24–36 hours. If you have liver or kidney conditions, consult your clinician before use as effects may last longer.
What are the common side effects?
Most men tolerate Powerhouse well. Possible side effects include headache, flushing, nasal congestion, mild nausea, indigestion, dizziness, or temporary vision changes. If anything feels off, your clinician will adjust your dose or formula.
Is this a real prescription?
Yes. Powerhouse is a compounded prescription medication — not a supplement. It is reviewed and approved by a licensed U.S. clinician before shipping. Nothing ships without clinician sign-off.
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. Powerhouse Rx 3-in-1 (Tadalafil 5mg + Vardenafil 10mg + Apomorphine 2mg), Rx only, treats erectile dysfunction. Powerhouse Rx 3-in-1 is a compounded medication and has not been approved by the FDA as a finished drug product. It may cause side effects, including headache, flushing, nasal congestion, nausea, indigestion, and dizziness. 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.
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