What Is HeroMD?
Erectile dysfunction affects roughly 1 in 3 men over 40, and HeroMD is a telehealth platform offering three distinct prescription ED formulas to match different lifestyles: 4-MAX (a 4-ingredient sublingual liquid), Surge (an on-demand tablet), and Prime (a daily chewing gum). It rounds out our top six at 8.7/10 (12,750 votes).
~10 min
4-MAX onset
36 hrs
Response window
From $8
Starting price
3 (liquid/tablet/gum)
Formulas
HeroMD at a Glance
| Products Available | 4-MAX (sublingual liquid), Surge (tablet), Prime (daily gum) |
|---|---|
| 4-MAX Ingredients | Vardenafil 7.5mg + Sildenafil 40mg + Tadalafil 4mg + Apomorphine 2mg |
| Surge Ingredients | Sildenafil 80mg + Pycnogenol 50mg |
| Prime Ingredients | Tadalafil 5mg + Vardenafil 5mg + Vitamin D3 + Vitamin K2 |
| 4-MAX Onset | ~10 minutes (sublingual absorption) |
| 4-MAX Duration | Up to 36 hours |
| Starting Price | From $8/dose (4-MAX) |
| Process | Online questionnaire, physician review (24-48 hrs), discreet delivery (4-7 days) |
| Trial Policy | 60-night risk-free trial on Surge and Prime |
4-MAX: The Flagship 4-in-1 Sublingual Liquid
4-MAX combines four active ingredients in a single sublingual liquid dose that absorbs under the tongue in approximately 10 minutes, bypassing the digestive system entirely.
| Ingredient | Dose | Role |
|---|---|---|
| Vardenafil | 7.5mg | Fast-acting PDE5 inhibitor, rapid onset |
| Sildenafil | 40mg | Blood flow enhancer for firm erections |
| Tadalafil | 4mg | Extends active window up to 36 hours |
| Apomorphine | 2mg | Dopamine agonist, activates mental desire |
Surge: The On-Demand Sildenafil + Pycnogenol Tablet
Surge pairs a high-dose Sildenafil (80mg) with Pycnogenol (50mg), a natural pine bark extract. According to a peer-reviewed study published in the Journal of Sex & Marital Therapy, Pycnogenol combined with an ED medication significantly improved erectile function versus the medication alone.
Surge Key Features
- ODT (oral dissolving tablet) format, effects in 30-60 minutes
- 4-6 hour response window (on-demand, not daily)
- 60-night risk-free trial
Prime: Daily ED in a Chewing Gum
Prime is a chewing gum you take every morning: Tadalafil 5mg + Vardenafil 5mg + Vitamin D3 (2000 IU) + Vitamin K2 (1mg). Daily low-dose tadalafil maintains a steady baseline, enabling spontaneous response without planning, while D3 supports testosterone and K2 supports cardiovascular health.
Who Should Choose Which Formula?
Choose 4-MAX If You...
- Want the fastest possible onset without meal-timing restrictions
- Want a formula that addresses mental desire and physical blood flow together
Choose Surge If You...
- Want a simpler on-demand option with proven ingredients
- Are newer to prescription ED medication
Choose Prime If You...
- Want all-day baseline readiness without timing a dose before sex
- Prefer a daily routine over on-demand dosing
How to Get Started
Tell us about your health
Complete the secure HeroMD online questionnaire, confidential and takes minutes.
Hear from a provider (24-48 hours)
A licensed, board-certified U.S. physician reviews your intake and customizes your treatment.
Discreet delivery (4-7 days)
Your prescription ships from a licensed, FDA-registered compounding pharmacy in plain packaging.
Pros & Cons
Pros
- Three distinct formulas for different lifestyles
- 4-MAX combines Vardenafil + Sildenafil + Tadalafil + Apomorphine in one dose
- 10-minute onset via sublingual absorption
- 36-hour response window from a single 4-MAX dose
- 60-night risk-free trial on Surge and Prime
- Affordable per-dose pricing from $8
Cons
- Prescription and physician approval required
- 4-MAX is compounded, not individually FDA-approved
- 4-7 day shipping on first order
- Not appropriate for men taking nitrates or with certain cardiovascular conditions
Safety, Side Effects & Medical Oversight
All HeroMD products are dispensed only after a licensed U.S. physician reviews your intake.
How HeroMD Compares
4-MAX shares its exact four-ingredient formula with MEDVi QUAD, the differences come down to dosing structure ($8/dose vs. MEDVi's dose-pack pricing) and HeroMD's two additional product formats. Against RODEO, which uses a troche and per-patient dosing, HeroMD's 4-MAX uses a fixed-dose liquid but adds the Surge and Prime alternatives that RODEO does not offer.
Frequently Asked Questions
4-MAX is a sublingual liquid with 4 active ingredients for fast onset (10 min) and a 36-hour window. Surge is an on-demand tablet (Sildenafil + Pycnogenol) with a 4-6 hour window. Prime is a daily chewing gum (Tadalafil + Vardenafil + vitamins) for all-day baseline readiness.
4-MAX is designed to work in approximately 10 minutes via sublingual absorption, bypassing the digestive system entirely.
HeroMD's products are compounded medications. The individual PDE5 ingredients are FDA-approved for erectile dysfunction; compounded combination formulas are not individually FDA-approved but are prepared by FDA-registered pharmacies.
HeroMD offers a 60-night risk-free trial on its Surge and Prime products. Specific terms are provided at checkout.
Choose between 4-MAX, Surge, or Prime, complete the online health questionnaire, and a licensed physician reviews your intake within 24-48 hours. If approved, your prescription ships discreetly in 4-7 days.
Our Verdict: Is HeroMD Worth It?
Editorial Verdict
HeroMD stands out for offering three distinct products for different lifestyle needs within a single, medically supervised program. 4-MAX, in particular, is one of the more clinically comprehensive compounded ED options available through telehealth.
The unlimited physician messaging, FDA-registered pharmacies, and 60-night risk-free trial on Surge and Prime signal a company serious about clinical standards. HeroMD earns a solid recommendation, particularly for lighter or occasional users drawn to its per-dose pricing.