Sildenafil
Generic Viagra®
Traditional as-needed tablets with the same active ingredient found in Viagra®.
- 50 mg option
- 100 mg option
Sexual health care, rethought
Optimize sexual health.One private place to start.
Explore options for men and women—traditional tablets, brand-name medication, clinician-guided combinations, and fast-dissolving formats—all from home.
No medication is prescribed without a licensed provider’s review.
Provider reviewed
Every treatment plan
Private by design
Discreet care & delivery
- Licensed provider reviewTreatment only if appropriate
- 100% onlineNo waiting-room visit
- Discreet deliveryPlain, private packaging
- Ongoing supportCare doesn’t stop at checkout
Treatment options
One goal. More ways to get there.
There is no universal “best” treatment. Your health history, preferences, and provider’s clinical judgment help determine what may be appropriate.
Tadalafil
Generic Cialis®
A longer-acting tablet available in daily and as-needed treatment plans.
- 5 mg daily
- 20 mg as needed
Viagra® & Cialis®
Originator brand options
For patients who prefer the familiar brand-name medication when clinically appropriate.
- Viagra®
- Cialis®
Rush
4-in-1 combination troche
A clinician-selected compounded troche that combines four ingredients in one rapid-dissolving format.
- Four ingredients
- Dissolving troche
Fast-dissolving strips
Slim oral-film format
A discreet compounded film designed to dissolve in the mouth—no traditional tablet required.
- Portable format
- Clinician selected
Bolt
3-in-1 combination troche
A clinician-selected compounded troche that combines three ingredients in one rapid-dissolving format.
- Three ingredients
- Dissolving troche
Trimix
Three-ingredient injectable
A compounded injectable option. Your provider decides whether it's appropriate and explains how to use it.
- Injectable
- Provider-guided
For women
Women’s sexual wellness.
The same private process: a licensed provider reviews your health history and decides what, if anything, is appropriate.
Bliss
3-in-1 combination troche
A clinician-selected compounded troche that combines three ingredients in one rapid-dissolving format.
- Three ingredients
- Dissolving troche
Scream Cream
Topical cream
A compounded topical cream, used as directed by your provider if it's appropriate for you.
- Topical
- Clinician selected
* Compounded medications are not FDA-approved. The FDA does not verify the safety, effectiveness, or quality of compounded drugs. Availability and formulations vary by state and clinical appropriateness.
How KARE works
Real care, without the waiting room.
Designed to make starting a private conversation about sexual health feel straightforward.
- 01
Tell us about your health
Complete a secure online assessment covering your goals, medical history, and current medications.
- 02
A provider reviews your case
A licensed clinician determines whether treatment is appropriate and discusses suitable options.
- 03
Receive discreet care
If prescribed, treatment is fulfilled through a pharmacy and delivered in plain packaging.
Why KARE
More choice. Less guesswork.
KARE brings familiar tablets and newer compounded formats into one clinician-guided experience—so your plan starts with your health, not a one-size-fits-all checkout.
- Options beyond one pillGeneric, brand-name, daily, combination, and dissolving formats.
- Clinical judgment comes firstYour provider determines what may be appropriate based on your health history.
- Private from start to finishSecure assessment, direct communication, and discreet fulfillment.
Common questions
Clear answers before you begin.
Still deciding? The online assessment is designed to help your provider understand your needs and determine next steps.
Read important safety information →You can share your preferences, but a licensed provider reviews your health information and determines whether a prescription—and which option—is appropriate.
FDA-approved generics contain the same active ingredient as their brand-name counterparts. Inactive ingredients, appearance, manufacturer, and price may differ.
Compounded medications are prepared for an individual prescription by a compounding pharmacy. They are not FDA-approved, and the FDA does not verify their safety, effectiveness, or quality.
No. Treatment availability depends on your state, provider judgment, pharmacy availability, and your medical eligibility.
Ready when you are
Your options start with one private conversation.
Prescription required. Treatment is available only if a licensed provider determines it is medically appropriate. This page does not replace professional medical advice, diagnosis, or treatment.
Do not take sildenafil, tadalafil, vardenafil, or another PDE5 inhibitor if you take nitrates such as nitroglycerin, use recreational “poppers,” or take riociguat. Combining these medicines can cause a dangerous drop in blood pressure. Tell your provider about every medication you take and any heart, blood-pressure, kidney, liver, bleeding, vision, or hearing condition.
Seek emergency care for chest pain, an erection lasting more than four hours, or sudden vision or hearing loss. Common side effects can include headache, flushing, upset stomach, nasal congestion, dizziness, back pain, or muscle aches. This is not a complete list of risks or interactions.
Compounded products: Compounded medications are not FDA-approved. The FDA does not verify the safety, effectiveness, or quality of compounded drugs. A provider may prescribe one only when clinically appropriate for an identified patient.