Maximus
Blood Flow PDE5 protocols from $35.99/mo, about $2 a day.
Overview
Maximus treats ED medication as a monthly protocol rather than a pack of pills, and that framing is the whole pitch. Blood Flow plans start at $35.99/month, roughly $2 a day, and cover vardenafil, tadalafil, and sildenafil across daily, as-needed, and microdosed schedules. If you have been buying compounded ED doses at $7 to $15 apiece, the arithmetic here is worth running.
Blood Flow is the Maximus PDE5 inhibitor line: vardenafil, tadalafil, and sildenafil, prescribed by board-certified physicians and compounded by licensed US pharmacies. Four protocols are published with prices: sildenafil at $49.99/month, tadalafil at $53.99/month, vardenafil at $59.99/month, and a vardenafil-plus-tadalafil combination at $59.99/month, with entry plans from $35.99/month. PDE5 inhibitors block the enzyme that breaks down cyclic GMP, which sustains nitric-oxide-driven vasodilation, the mechanism behind erectile response and the circulatory effects Maximus also markets around exercise and focus.
Pros
- Monthly subscription pricing instead of expensive per-dose packs
- Three PDE5 inhibitors offered, so onset and duration can be matched to you
- Daily and microdose protocols available, not just as-needed dosing
- Ongoing physician oversight with dose adjustment as results come in
- 100% online with no clinic or lab visit required
Cons
- Compounded medication is not FDA-evaluated for safety, efficacy, or quality
- Auto-renewing subscription, so cancellation has to be handled actively
- PDE5 inhibitors are contraindicated with nitrates and used cautiously with alpha-blockers
- Vardenafil can prolong the QT interval and is unsuitable for some cardiac patients
Features
- Plans from $35.99/mo (10 mg, 4 ct, 1-month plan), about $2/day
- Vardenafil + Tadalafil $59.99/mo · Tadalafil $53.99/mo · Vardenafil $59.99/mo · Sildenafil $49.99/mo
- Daily, as-needed, or microdosed dosing depending on the protocol
- Compounded by licensed US pharmacies under a board-certified physician's prescription
- Free priority shipping; Klarna instalments available
- Subscription billed every 30 days, cancel anytime in your member account
How Maximus works
You complete a roughly five-minute online evaluation, a board-certified physician reviews it, and if a protocol is appropriate it ships discreetly with free priority shipping. Your doctor and care team then monitor results and adjust the protocol, which is where the subscription model earns its keep: dose and dosing pattern can change without you re-buying a fixed pack. Billing runs every 30 days and auto-renews until cancelled in your member account.
Who Maximus is for
Maximus Blood Flow suits men who use ED medication often enough that per-dose pricing stops making sense, and men who want a daily or microdosed protocol rather than planning around a single dose. It is also the better structure if you want your dose actively titrated over time. It is the wrong fit if you want an FDA-approved finished product rather than a compounded one, if you use nitrates or alpha-blockers, or if you would rather buy a small pack occasionally than hold an auto-renewing subscription.
Maximus pricing
Plans start at $35.99/month for a 10 mg, 4-count 1-month plan, with named protocols at $49.99 to $59.99/month. Pricing varies by dosage and plan length and may vary slightly by state. Free priority shipping is included, Klarna instalments are available, and the subscription bills every 30 days on auto-renew until cancelled.
Our verdict
Maximus takes the two things men actually complain about in compounded ED, per-dose pricing and having to plan around a pill, and answers both with a monthly protocol that can run daily or microdosed. Three PDE5 molecules with published prices and physician-led titration is a stronger structure than most of this category offers at $2 a day. The caveats are the usual ones for compounded telehealth, plus one specific to auto-renewal: the medication is not FDA-evaluated as a finished product, the subscription renews until you stop it, and the nitrate contraindication is absolute. Within those limits, it is one of the better-value ways to run ED medication continuously.
Maximus FAQ
How much does Maximus Blood Flow cost?
Plans start at $35.99/month for the 10 mg, 4-count 1-month plan, which Maximus frames as roughly $2 a day. Named protocols are priced at $49.99/month for sildenafil, $53.99/month for tadalafil, $59.99/month for vardenafil, and $59.99/month for the vardenafil plus tadalafil combination. Billing runs every 30 days and auto-renews until you cancel.
What is the difference between the daily, as-needed, and microdose options?
As-needed dosing is the familiar approach: take it before activity. Daily dosing keeps a steady low level of the medication in your system so you are not timing anything. Microdosing uses a smaller daily amount for the circulatory effects. Tadalafil and the vardenafil-plus-tadalafil protocol support all three; vardenafil alone and sildenafil alone are offered as-needed.
Which Maximus PDE5 medication should I choose?
Sildenafil is the most studied and gives a reliable four-to-six-hour window at the lowest price. Vardenafil starts faster with a mid-length duration. Tadalafil lasts longest and suits daily or microdosed use. The combination protocol pairs vardenafil's onset with tadalafil's duration. Your prescribing physician makes the call based on your health history.
Is Maximus Blood Flow safe?
PDE5 inhibitors must never be combined with nitrates in any form, because the combination can cause a severe and potentially fatal drop in blood pressure, and they require caution with alpha-blockers. They are contraindicated where sexual activity is inadvisable on cardiovascular grounds. Vardenafil specifically can prolong the QT interval, so it is not suitable alongside Class IA or Class III antiarrhythmics or with known QT prolongation. Common side effects include headache, flushing, nasal congestion, indigestion, dizziness, and back pain. Discuss your full history with the prescribing physician.
Do I need an in-person visit for Maximus Blood Flow?
No. The evaluation takes about five minutes online, a board-certified physician reviews it, and medication ships discreetly to your door from a licensed US compounding pharmacy. No clinic or lab visits are required.
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