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Consumerchoice.ai Trustpilot Excellent 4.5 / 5 · 50,000+ men
Review Men's Performance · QUAD™ by MEDVi

4 Meds.1 Dose.

QUAD is a 4-in-1 sublingual stack — apomorphine, vardenafil, tadalafil and sildenafil. We dug into what's actually in it, how fast it works, and whether it's worth $114. Here's the honest breakdown.

CC
By the Consumerchoice.ai editorial team
Medically reviewed by [add reviewer — name, credential] · 7 min read · Updated 2026
See if you qualify → 3-min private evaluation · risk-free if you don't qualify
4.5/5
Our verdict
Fastest, most complete ED stack we've reviewed — for men who medically qualify.
$114/mo$17936% OFF
  • Doctor consultation included
  • Free rush shipping
  • 24/7 medical support · cancel anytime
  • Risk-free: don't qualify, don't pay
10 min
Activation time
4
Active ingredients
36 hr
Response window
The score, broken down

How QUAD earns its 4.5

We weighed it on the five things that matter for an ED treatment.

Onset speed 4.8
Duration 4.7
Strength 4.6
Value 4.4
Support 4.3
The 4-in-1 breakdown

What's actually in QUAD

Most ED treatments are a single PDE5 inhibitor. QUAD stacks three blood-flow agents with a desire trigger — here's what each one does and why it's there.

Apomorphine
Ignites desire

Primes the brain's dopamine receptors to amplify sexual signaling.

The piece most ED pills miss — it bridges mental arousal and physical response, not just blood flow.

Vardenafil
Rapid onset

A fast-acting PDE5 inhibitor (the active in Levitra®).

Hits in roughly 10–15 minutes, which is what gives QUAD its speed and spontaneity.

Sildenafil
Peak strength

The classic blood-flow booster (the active in Viagra®).

Layered in for maximum rigidity when you need it most.

Tadalafil
Lasts 36 hours

The longest-lasting PDE5 inhibitor (the active in Cialis®).

Stays active up to 36 hours, so you don't have to "time" intimacy around a pill.

Why a liquid, not a pill

Engineered for your body

QUAD is a rapid-absorb liquid that dissolves under the tongue, bypassing the stomach and liver. In practice that means three real advantages over swallowed pills.

Melts in minutes

Works in as little as 15 minutes — no waiting an hour for a pill to kick in.

Dinner-proof

Sublingual absorption isn't blocked by a heavy meal — no "empty stomach" rules.

Ready when you are

With tadalafil onboard, one dose keeps you responsive for up to 36 hours.

QUAD by MEDVi product
What arrives

One discreet bottle. The whole stack.

QUAD™ ships as a single rapid-absorb sublingual treatment in a plain, unmarked package — no pharmacy line, no waiting room, no awkward counter conversation.

  • Free rush shipping, plain packaging
  • One formula — four active ingredients
  • Goes under the tongue; works in ~10–15 minutes
  • Doctor consultation and 24/7 support included
Old way vs. the QUAD way

Why settle for one ingredient?

Single-molecule pills each do one job. Based on each ingredient's established properties, here's how QUAD's stack compares.

 
Viagra®
Cialis®
Levitra®
QUAD™
Fast onset (~10–15m)
—
—
✓
✓
Peak strength
✓
—
—
✓
Lasts up to 36 hrs
—
✓
—
✓
Boosts desire
—
—
—
✓
Works with food
—
—
—
✓

Comparison reflects publicly listed properties of each active ingredient. Viagra® (Pfizer), Cialis® (Lilly), and Levitra® (Bayer) are trademarks of their respective owners and do not endorse this site.

The honest take

Where it wins — and the catches

+ Strengths

  • One dose covers everything — speed, strength, duration, and desire
  • Fast ~10–15 minute sublingual onset; works even after a meal
  • Up to 36-hour window kills "pill-timing" anxiety
  • $114/mo (36% off) with doctor consult + free rush shipping included
  • Risk-free — if you don't qualify, you don't pay; cancel anytime
  • Discreet, unmarked delivery; 24/7 medical support

– Worth knowing

  • Compounded — this combination isn't FDA-approved (made by licensed pharmacies)
  • Prescription only; not safe with nitrates or certain heart conditions
  • PDE5 side effects possible — headache, flushing, nasal congestion
  • Monthly subscription; the intro price can change as plans do
  • Only appropriate for men who medically qualify at the doctor review
Most popular
$114/mo
$179 · 36% off retail · starting price
  • 4-in-1 QUAD™ formula
  • Doctor consultation included
  • Free rush shipping
  • 24/7 medical support
  • Cancel anytime
  • Bundle & save more
Get started →
Risk-free: if you don't qualify, you don't pay.
How it works

3 steps to delivery

01

Online visit

Answer a few questions on the secure intake — about 3 minutes, fully private.

02

Doctor approval

A US-licensed doctor reviews your case within 24 hours. If approved, your script is issued.

03

Discreet delivery

Arrives in a plain, unmarked package with free rush shipping included.

What patients say

Verified results from 50,000+ men

★★★★★
Feeling like my younger self

"I didn't think anything would help, but it proved me wrong — and my wife noticed too."

D Doug R. · MEDVi verified customer
★★★★★
More energy, more drive

"I was nervous to try something new, but the difference has been huge — better in every way."

F Frank N. · MEDVi verified customer
★★★★★
Nothing else compares

"The combination of medicines works perfectly together. The difference is incredible."

B Bryan G. · MEDVi verified customer

Quotes published by MEDVi as verified-customer reviews; shown attributed to MEDVi, not as independent Consumerchoice.ai reviews.

Is it legit?

The trust check

  • ✓US-licensed doctors review every intake — it's prescription-only, not an over-the-counter supplement.
  • ✓US-certified partner pharmacies prepare the compounded formula, with ongoing testing reports.
  • ✓LegitScript-certified operator (MEDVi) — a third-party standard for legitimate telehealth.
  • ✓Trustpilot 4.5/5 and 50,000+ men served, with a risk-free "don't qualify, don't pay" policy.

Legitimate doesn't mean right for everyone — compounded medications aren't FDA-approved, and the doctor review exists to screen who should and shouldn't take it.

✓ LegitScript Certified — verify MEDVi
Quick answers

QUAD FAQ

Is QUAD legit and safe? +
It's a prescription treatment reviewed by US-licensed doctors and prepared by certified pharmacies, operated by LegitScript-certified MEDVi. "Safe" depends on you — PDE5 inhibitors aren't suitable for everyone (especially men on nitrates or with certain heart conditions), which is exactly what the medical intake screens for.
How is it different from Viagra or Cialis? +
Those are single ingredients. QUAD combines the actives in Viagra®, Cialis® and Levitra® — plus apomorphine for desire — in one fast-absorbing sublingual dose, aiming for speed, strength, duration and drive together.
How fast does it work and how long does it last? +
The sublingual liquid is designed to activate in as little as 10–15 minutes, and the tadalafil component can keep you responsive for up to 36 hours from a single dose.
What does it cost? +
Starting at $114/month (36% off the $179 retail), with the doctor consultation and free rush shipping included. You can bundle to save more, and cancel anytime.
What if I don't qualify? +
It's risk-free — if the doctor determines QUAD isn't appropriate for you, you don't pay.

Your best performance,
one dose away

If you want speed, strength, a 36-hour window and a desire boost in a single sublingual dose — and you medically qualify — QUAD is the most complete ED stack we've reviewed. Start with the free 3-minute evaluation; a US-licensed doctor reviews your case.

See if you qualify →
3-minute private evaluation · risk-free if you don't qualify · free rush shipping
QUAD™ · $114/mo36% off · risk-free if you don't qualify
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