Frequently Asked Questions

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.

Place one tablet under your tongue and let it dissolve. Do not chew it or swallow it whole - dissolving under the tongue is what lets it absorb directly into the bloodstream rather than passing through the digestive system. Take it at least 30 minutes before anticipated activity. Follow the directions on your prescription label and do not take more than your provider prescribed.

Apomorphine is a dopamine agonist. Sildenafil and tadalafil work on blood flow, and apomorphine acts on the brain's arousal pathways - the part a single-ingredient tablet does not address. An erection depends on both, which is why the Board-Certified Urologists on the HELMD Medical Advisory Board selected all three compounds rather than one.

Both are the same three-compound sublingual tablet. Drive is sildenafil 65mg, tadalafil 20mg and apomorphine 2mg. Max raises the sildenafil to 80mg and the apomorphine to 3mg, with the tadalafil unchanged. Your answers in the online visit set which one is recommended, and you can switch between them before checkout. The provider reviewing your visit decides what is appropriate to prescribe for you.

Yes. We also offer daily tadalafil, taken once a day rather than before activity. It is FDA-approved for erectile dysfunction, and for the urinary symptoms of an enlarged prostate. See daily tadalafil for how it works and who it suits.

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.

Tell the provider group serving your state. They can look at how you have been taking it and whether a different strength or a different treatment is appropriate. Do not increase your dose on your own. See provider information for who serves your state.

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.

No. The online visit is the consultation. A licensed provider in your state reviews your answers and decides whether treatment is appropriate, then writes the prescription if it is. You do not need an existing prescription. If another doctor manages your care, it is worth telling them what you are taking.

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.

Plans may renew automatically, and you will see the plan and the price before you pay. You can change, pause, or cancel at any time before your next order is processed. See our Terms for the full billing terms.

Yes, but not on your own. Dose and product changes are prescribing decisions, so they go to the provider group serving your state. Email support@helmd.com and we will route it, or see provider information for who serves your state.

In your account at my.helmd.com, any time. Cancellation takes effect at the end of your current billing period, so you keep what you have already paid for and are not billed again. If you would rather we handled it, email support@helmd.com.

Subscription fees are billed in advance and are not refundable, except where our Terms say otherwise or the law requires it. Compounded medication that has already been dispensed cannot be returned, for safety and regulatory reasons. If something is wrong with your order, email support@helmd.com.

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.

Most orders arrive in 4 to 7 days once a provider issues your prescription. You will 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.