Drive is a new kind of ED treatment.

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LAUNCHING AUGUST 2026
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We'll email you when Drive goes live.

Drive Erectile Dysfunction Treatment Sildenafil + Tadalafil + Apomorphine Sublingual

  • 3-in-1 Sildenafil + Tadalafil for fast & sustained response
  • Plus Apomorphine for mental arousal
  • Formulated by Board-Certified Urologists
  • Fast-acting works in 15 min on average
  • Long-lasting lasts up to 36 hours
  • 100% online no in-person visit

Why Drive

The compound

Three Active Ingredients

Sildenafil 3D structure
01

Sildenafil

generic Viagra®
Fast-acting.
Tadalafil 3D structure
02

Tadalafil

generic Cialis®
Lasts up to 36 hours.
Apomorphine 3D structure
03

Apomorphine

dopamine agonist
For mental arousal.
The science

Two Performance Pathways

01

Physical

PDE5 inhibition.

Sildenafil + tadalafil drive blood flow where it matters.

02

Mental

Dopamine receptor activation.

Apomorphine triggers arousal in the brain.

The delivery

One Sublingual Tablet

01

No water. No waiting. No meal-timing.

Bypasses hepatic first-pass metabolism and absorbs directly into the bloodstream.

Drive vs. the rest

The comparison
Drive
Drive Max
BlueChewGold
HimsHard Mints
RoSparks
RugietReady Max
Sildenafil (generic Viagra®)
65mg
80mg
70mg
56mg
55mg
110mg²
Tadalafil (generic Cialis®)
20mg
20mg
18mg
8.5mg
22mg²
22mg²
Apomorphine
2mg
3mg
2mg
3mg
Sublingual
Absorption
Supports
Mental Arousal
¹
Onset Time
15min
15min
15min
30min
15min
15min
No Artificial
Colors / Dyes
Only Proven
Ingredients
¹
²
²

Data pulled from brand websites, May–August 2026.

¹Oxytocin has no clinical evidence for ED.

²No clinical evidence that tadalafil above 20 mg or sildenafil above 100 mg provides additional benefit, with some adverse reactions reported more frequently.

What men taking Drive report

In Our Drive Customer Survey
94%
Feel more confident in their performance vs. no treatment 1
92%
Prefer HELMD Drive to other single-compound treatments 2
81%
More interest in sex, and feel more vibrant and energized during sex 1
¹ Survey of HELMD early customers taking Drive or Drive Max 6+ times per month, Q2 2026.
² Head-to-head customer preference survey, Q2 2026.

Get hard & stay hard

Standard strength

Drive

HELMD Drive container with sublingual tablet
  • Sildenafil65mg
  • Tadalafil20mg
  • Apomorphine2mg
  • Dual PDE5 inhibitors
  • Apomorphine to support mental arousal
  • Sublingual tablet. Fast-acting. Lasts up to 36 hours.
Extra strength

Drive Max

HELMD Drive Max container with sublingual tablet
  • Sildenafil+23%80mg
  • Tadalafil20mg
  • Apomorphine+50%3mg
  • Our strongest formulation
  • Everything in Drive, with more actives
  • Sublingual tablet. Fast-acting. Lasts up to 36 hours.
See if you
Qualify
  • 3-minute questionnaire
  • Reviewed by a licensed provider
  • Receive in 4-7 days

Tadalafil for sex & longevity

Daily Tadalafil (Generic for Cialis®)

Blood vessels stiffen as you age. Tadalafil helps open them.

FDA-approved for erectile dysfunction and can support vascular health and healthy aging.

In a study of more than 29,000 men, compared with similar men not taking it, tadalafil users had:

  • a lower risk of death overall
  • a lower risk of death from cardiovascular causes
  • fewer major cardiac events
Get Started How daily tadalafil works →
A HELMD daily tadalafil container with one tablet beside it

Men who took daily tadalafil experienced:

0%Lower Risk
All cause mortality
10056
0%Lower Risk
Cardiovascular death
10045
0%Lower Risk
Major cardiac events
10081
No Tadalafil Tadalafil

Source: Kloner et al., “The Association of Tadalafil Exposure With Lower Rates of Major Adverse Cardiovascular Events and Mortality,” Clinical Cardiology (2024). Groups matched for blood-pressure, diabetes and cholesterol medications. Risk shown against men not taking tadalafil, indexed to 100. Observational data show association, not cause and effect. Tadalafil is FDA-approved for ED and BPH; it is not approved to prevent cardiovascular disease.

Designed by Board-Certified Urologists.

The HELMD Standard

  • Evidence-based formulation

    The Board-Certified Urologists on the HELMD Medical Advisory Board select each compound for its role in treating ED.

  • Physician-reviewed

    Every prescription reviewed by a U.S. licensed physician for your state.

  • Licensed U.S. compounding pharmacy

    NABP-accredited, LegitScript-certified U.S. pharmacy, compliant with USP 795, 797, and 800.

  • Lab-tested quality

    Batches lab-tested for potency and purity.

More on what we treat
Dr. Bilal Chughtai

HELMD Medical Advisory Board

Dr. Bilal Chughtai, MD

Board-Certified Urologist

A nationally recognized leader in men's sexual health, Dr. Chughtai has authored 160+ peer-reviewed studies and runs the clinical trials that shape how ED is treated. He serves as Chief of Urology at Northwell's Plainview Hospital.

More from Dr. Chughtai
Dr. William O. Brant

HELMD Medical Advisory Board

Dr. William O. Brant, MD

Board-Certified Urologist

A nationally recognized expert in sexual medicine, Dr. Brant has spent two decades restoring performance for men when standard treatments fall short. He serves as Chief of Urology at the Salt Lake City VA, with 100+ published works.

More from Dr. Brant
A couple lying together, laughing

How to get Drive

  1. Today

    Tell us about your health

    Complete a ~5 minute online visit about your history, symptoms, and goals.

  2. Within hours

    A provider reviews

    A licensed provider reviews your answers to decide what treatment is right for you.

  3. In 4–7 days

    Receive your treatment

    If prescribed, your treatment ships free and arrives in plain packaging.

Start your visit

How to take Drive

Placing the tablet under the tongue
01
Place under your tongue
A man relaxed with a soft smile
02
Let it dissolve fully (~5 minutes)
A man embracing a woman
03
Works in 15 minutes on average

Patient reviews

Excellent
See all reviews on 
Fast acting
By far the best ED med I've tried. Tried other generics for Viagra and Cialis but never noticed a difference, Helmd was different. First dose, immediately more confidence.
Hunter B.Jul 2026
Quicker onset than other meds
Wayyy quicker onset than other meds I've tried. Much more spontaneity. Also felt more mentally into it.
Reynal B.Jul 2026
Approved same day
Approved same day, intake was super easy. Got meds in 2 days. Honestly surprised at how well they worked.
Liam D.Jul 2026
Didn't think I'd ever be dealing with this
Didn't think I'd ever be dealing with this, especially at my age. So glad I found Drive, performance is back and my wife is satisfied again.
Brian K.Jul 2026

Important safety information

What you should know before taking HELMD Drive.
Read safety information

Drive FAQ

Drive is a compounded sublingual tablet for erectile dysfunction. It combines three active ingredients - sildenafil, tadalafil, and apomorphine - in one tablet that dissolves under the tongue. Drive is available by prescription only, after an online medical review by a licensed provider, and is prepared for you individually by a licensed 503A compounding pharmacy that is NABP-accredited, LegitScript-certified, and compliant with USP 795, 797, and 800.
Drive combines three active ingredients through different mechanisms. Sildenafil and tadalafil are PDE5 inhibitors (the same class as Viagra and Cialis), while apomorphine acts on the brain's arousal pathways - a different approach. The sublingual delivery is designed to increase absorption by bypassing the digestive system. Some men who didn't respond to single-ingredient tablets find this combination works better for them, though individual results vary.
Because it dissolves under the tongue in a few minutes and absorbs directly into the bloodstream, many men notice effects within about 15 minutes. Individual results may vary; we recommend taking it at least 30 minutes before anticipated activity.
Effects last up to 36 hours. If you have liver or kidney conditions, talk to your provider, as the medication may remain active longer.
Drive is a compounded medication. Sildenafil and tadalafil are each individually FDA-approved to treat erectile dysfunction, but the specific compounded combination in Drive is not FDA-approved, and apomorphine is not FDA-approved for erectile dysfunction, though it is FDA-approved for other conditions. Compounded medications are not reviewed by the FDA for safety or effectiveness; they are prepared by a licensed pharmacy pursuant to a valid prescription when a provider determines a compounded formulation is appropriate for you.
Drive isn't right for everyone. Do not take it if you use nitrate medications (such as nitroglycerin) or certain blood-pressure medications - the combination can cause a dangerous drop in blood pressure. It may also be unsuitable if you have significant heart disease, very low or uncontrolled blood pressure, severe liver or kidney conditions, or certain eye disorders such as retinitis pigmentosa. Tell your provider about all medications and conditions you have so they can decide whether Drive is safe for you. Please review the full Important Safety Information before use.
Common side effects may include headache, flushing, nasal congestion, nausea, dizziness, and mild blurred vision. These are generally mild and temporary. Seek emergency care for an erection lasting more than four hours (priapism) or any sudden change in vision or hearing. Your provider will review your medical history to determine whether Drive is appropriate for you. Please read the full Important Safety Information before use.
After you complete a short online questionnaire about your health, a licensed healthcare provider reviews your information to determine whether Drive is appropriate for you. Most people don't need to talk directly with a provider, and if the provider needs more information, they'll reach out. Drive is dispensed only after a provider issues a valid prescription.
We believe in transparent pricing - no hidden fees, no membership charges, and no surprise markups. You'll see your exact price per dose and per month before you ever pay. Pricing varies by the plan and quantity you choose - plans range from 6 to 18 doses per month. Plans may be subscriptions that renew automatically, and you can change, pause, or cancel at any time before your next order is processed. Complete the online questionnaire to see the options and pricing available to you.
Yes. HELMD is set up to accept HSA and FSA cards. Whether your specific card works depends on your plan, not on us: HSA and FSA programs each decide which categories of merchant they authorize, some cover only vision or dental, and some exclude certain medications. There is no universal standard, so your benefit guide is the only reliable source for what your card covers. If your card is declined, you can pay with a regular card and submit the charge to your plan administrator for reimbursement. We email an itemized receipt with every order.
Yes. Every batch is prepared by a NABP-accredited, LegitScript-certified U.S. pharmacy and lab-tested for potency and purity before it ships, following USP 795, 797, and 800 standards.
Once a provider issues your prescription, your medication ships from our partner pharmacy in discreet, plain packaging. You'll receive tracking information when your order is on its way.
Drive's clinical protocols are designed by the HELMD Medical Advisory Board - Board-Certified Urologists who specialize in men's sexual health. Sildenafil and tadalafil are FDA-approved, clinically proven treatments for erectile dysfunction; apomorphine is included for its role in the brain's arousal pathways.
Drive is compounded and dispensed by a licensed, accredited U.S. compounding pharmacy. See our Provider Information page for more on how care is delivered.
Yes. HELMD is LegitScript certified, meaning our site and services were reviewed against LegitScript’s healthcare merchant standards - covering licensing, prescribing practices, and accurate marketing claims. You can verify it yourself through the LegitScript seal at the bottom of any page, which links to our listing in their public directory. Our dispensing pharmacy is separately LegitScript certified and NABP accredited.
Protecting your information is a priority. We use industry-standard SSL encryption and handle your personal and health information in accordance with applicable privacy laws, including HIPAA where it applies. See our Privacy Policy for details.
We offer telehealth consultations and prescription fulfillment in 49 U.S. states - every U.S. state except South Carolina. Complete the questionnaire to confirm availability in your state.