PEAK Fusion is a compounded 3-in-1 sublingual liquid combining sildenafil, tadalafil, and apomorphine — targeting both the blood-flow and brain-arousal pathways in a single dose. Through TRUEPEAK RX, a licensed healthcare provider can prescribe PEAK Fusion online if appropriate. No in-person office visit needed. Fast, discreet, and free shipping.
Place the prescribed dose under your tongue about 15 minutes before intimacy and let it dissolve. Sublingual absorption bypasses first-pass metabolism, so PEAK Fusion works faster than a swallowed pill. Do not exceed one dose in 24 hours. Follow the specific dosing instructions from your prescribing clinician.
The most common side effects are headache, facial flushing, indigestion, stuffy nose, back pain, muscle pain, nausea, dizziness, and mild vision changes. Most side effects are mild and temporary. Contact your provider immediately for severe reactions or an erection lasting more than 4 hours.
Meet PEAK Fusion
3 Active Compounds in One Liquid
Works in 15 Minutes
Lasts 36 Hours
Why PEAK Fusion?
Body and Brain. In One Liquid.
PEAK Fusion is designed to address both pathways of erectile function — the blood-flow side every ED pill targets, plus the brain-arousal signal most pills ignore.
Sildenafil + Tadalafil target the blood-flow pathway
of users reported that PEAK Fusion improved their erections*
52%
of men 40–70 years old have some level of erectile dysfunction*
50K+
TRUEPEAK RX members are getting results with our help
How It Helps
How PEAK Fusion Works to Treat ED.
Body Pathway
Sildenafil and tadalafil are PDE5 inhibitors that improve blood flow to the penis when you're aroused.
Brain Pathway
Apomorphine activates dopaminergic receptors in the brain that are involved in the arousal signal.
Liquid Delivery
Sublingual absorption bypasses first-pass metabolism for a faster onset than a swallowed pill.
Real Members. Verified Reviews.
Michael G.
Austin, TX
★★★★★
"I've tried other sites and they made it exceptionally difficult and drawn out. This process was quick and efficient."
Ben T.
Denver, CO
★★★★★
"Can't think of anything else that could be better. The system is perfect."
Dan D.
Chicago, IL
★★★★★
"Actually I was skeptical at first. After a painless questionnaire everything worked out great."
Scott S.
Miami, FL
★★★★★
"Everything was perfect. Prescription showed up on time. The provider was easy to talk to. Couldn't be happier."
Alan S.
Seattle, WA
★★★★★
"Keep making it this simple. Customer service is on point and the medication delivered exactly what was promised."
Jake R.
Nashville, TN
★★★★★
"Fast shipping, discreet packaging, and it just works. Wife's happy. I'm happy. Enough said."
Tom H.
Boston, MA
★★★★★
"Honestly wish I'd done this two years ago. The consultation was easy and the medication showed up quicker than expected."
Michael G.
Austin, TX
★★★★★
"I've tried other sites and they made it exceptionally difficult and drawn out. This process was quick and efficient."
Ben T.
Denver, CO
★★★★★
"Can't think of anything else that could be better. The system is perfect."
Dan D.
Chicago, IL
★★★★★
"Actually I was skeptical at first. After a painless questionnaire everything worked out great."
Scott S.
Miami, FL
★★★★★
"Everything was perfect. Prescription showed up on time. The provider was easy to talk to. Couldn't be happier."
Alan S.
Seattle, WA
★★★★★
"Keep making it this simple. Customer service is on point and the medication delivered exactly what was promised."
Jake R.
Nashville, TN
★★★★★
"Fast shipping, discreet packaging, and it just works. Wife's happy. I'm happy. Enough said."
Tom H.
Boston, MA
★★★★★
"Honestly wish I'd done this two years ago. The consultation was easy and the medication showed up quicker than expected."
Why Choose Us
Why Choose TRUEPEAK RX?
TRUEPEAK RX helps eligible patients get prescription treatments like PEAK Fusion quickly, discreetly, and affordably — right from home. No in-person office visit needed.
Place the prescribed dose under your tongue about 15 minutes before intimacy and let it dissolve. Sublingual absorption bypasses first-pass metabolism, so PEAK Fusion works faster than a swallowed pill. Do not exceed one dose in 24 hours. Follow the specific dosing instructions from your prescribing clinician.
The featured products include compounded drugs. The FDA does not approve or evaluate compounded drugs for safety, effectiveness, or quality. Only available if prescribed after an online consultation with a healthcare provider. Results may vary.
Got a Question?
PEAK Fusion is a compounded 3-in-1 sublingual liquid combining sildenafil, tadalafil, and apomorphine. Sildenafil and tadalafil are PDE5 inhibitors that address the blood-flow side of erectile function; apomorphine is a dopamine agonist that targets the brain-arousal signal. Together, the formula covers both pathways in a single dose.
PEAK Fusion is only available through TRUEPEAK RX. Start your online evaluation — a US-licensed medical provider will review your case and, if appropriate, write a prescription that ships discreetly from a US-licensed pharmacy directly to your door.
Because PEAK Fusion is a sublingual liquid, absorption bypasses first-pass metabolism and onset is typically around 15 minutes — faster than a swallowed pill. Effects typically last several hours after onset.
The most common side effects are headache, facial flushing, indigestion, stuffy nose, back pain, muscle pain, nausea, dizziness, and mild vision changes. Most are mild and temporary.
The right medication depends on your health history, lifestyle, and preferences. Sildenafil (Generic Viagra®) works fast and lasts 4–6 hours. Tadalafil (Generic Cialis®) lasts up to 36 hours. PEAK Fusion combines three compounds — sildenafil, tadalafil, and apomorphine — for coverage of both pathways. PEAK+ adds a fourth compound (vardenafil). Your provider will help match you to the right option.
No — TRUEPEAK RX operates on a cash-pay basis, so you don't need insurance. Our pricing is transparent, and everything is billed directly to you at checkout. No middlemen, no surprise bills.
Yes. We use SSL encryption to protect all data submitted during your consultation and treatment. Your personal and health information is handled in accordance with our Privacy Notice and all applicable state and federal laws.