Arousal + Erection
Ignite
Three compounds, three mechanisms — triggers arousal in your brain, floods your body with blood flow, and keeps you ready for up to 36 hours.
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Overview
Apomorphine + Vardenafil + Tadalafil
Ignite combines central and peripheral mechanisms of erectile initiation and maintenance. Apomorphine activates hypothalamic dopamine receptors to initiate the central arousal cascade, while vardenafil provides rapid peripheral vasodilation, and tadalafil extends the response window. Sublingual delivery accelerates the onset for all three actives.
Mechanism of Action
Apomorphine is a dopamine D1/D2 receptor agonist that activates the paraventricular nucleus of the hypothalamus to initiate the central component of erection independent of sexual stimulus. Vardenafil selectively inhibits PDE5 to prevent cGMP degradation, sustaining nitric oxide-mediated smooth muscle relaxation and corporal vasodilation with a faster onset than tadalafil. Tadalafil provides sustained PDE5 inhibition with a longer half-life, extending the response window beyond vardenafil alone.
Oral
Sublingual · Dissolves under the tongue.
Information presented here is for educational purposes only and not intended to replace or substitute guidance from a healthcare provider. Compounded medications are not FDA-approved nor evaluated by the FDA for safety, efficacy, or quality.
Benefits
Zero to Ready in Minutes
Sublingual delivery gets all three actives into your bloodstream fast — no waiting, no planning an hour ahead. The moment starts, and you're already there.
Your Brain Says Go
Most ED drugs work below the waist. Apomorphine works in your brain — activating the dopamine pathway that flips the switch on arousal before anything else has to happen. The want and the ability, at the same time.
Stay Ready All Weekend
Tadalafil's 36-hour half-life means one dose keeps you in the window from Friday night to Sunday morning. No re-dosing, no timing pressure, no performance window.
Fast Start. Long Finish.
Vardenafil fires first for immediate blood flow. Tadalafil takes over and holds the window open. Two PDE5 inhibitors working in sequence — nothing gets left to chance.
Individual results may vary. Benefits described are based on clinical and pharmacological evidence and do not constitute a guarantee of treatment outcomes. All treatment requires evaluation and approval by a licensed provider.
Simple. Medical.
Personalized.
Medical intake
Answer a few online questions about your health history, lifestyle, & goals. No clinic visits required.
Provider evaluation
A licensed medical provider reviews your intake to determine the safest, personalized treatment.
Personalized plan
Custom treatment plan built around your unique health needs, goals, medical history, & biology.
Ongoing support
Stay connected with your care team for follow-ups, adjustments, & expert answers 100% online.
All eligibility is reviewed by a licensed medical professional
FAQs
What is Ignite?
Ignite is a prescription therapy used for energy and vitality support.
Who should use Ignite?
Patients seeking support for energy and vitality support may qualify after evaluation by a licensed provider.
Does Ignite require a prescription?
Yes. All three active ingredients require a valid prescription from a licensed provider.
What are the possible side effects?
Apomorphine may cause nausea, dizziness, or yawning. Vardenafil and tadalafil may cause headache, flushing, nasal congestion, dyspepsia, and back pain. Vision or hearing changes are rare but require immediate medical attention.
Who should not use Ignite?
Absolutely contraindicated in patients taking nitrates in any form. Not for patients with severe cardiovascular disease, recent stroke or MI within 90 days, uncontrolled hypotension, or known hypersensitivity to any component.
Are there any drug interactions?
Significant interactions with nitrates, alpha-blockers, antihypertensives, and CYP3A4 inhibitors such as ketoconazole or ritonavir. A full medication review is required. Class IA and III antiarrhythmics are contraindicated due to the vardenafil component.
Is Ignite safe if I have a pre-existing medical condition?
Patients with cardiovascular disease require fitness-for-activity evaluation before use. Patients with hepatic or renal impairment require dose adjustment. Not recommended in patients with hereditary degenerative retinal conditions.
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The information and clinical services described on this website are for educational and informational purposes only and are not intended to diagnose, treat, cure, or prevent any disease. All treatments require evaluation and approval by a licensed healthcare provider through a telemedicine consultation. Treatment approval is not guaranteed. Individual results may vary, and treatments may carry risks and side effects. Certain compounded medications, wellness treatments, or off-label uses may not be evaluated by the U.S. Food and Drug Administration (FDA) for safety, effectiveness, or quality unless explicitly stated. Testosterone Shots provides telehealth consultations, clinical review, care coordination, lab-related services, membership services, and ongoing treatment management. Testosterone Shots is not a pharmacy and does not manufacture, compound, dispense, sell, handle, warehouse, ship, or collect payment for prescription medication. Testosterone Shots collects payment only for consultations, clinical review, care coordination, lab-related services, membership services, and other non-pharmacy services. If treatment is approved, your prescription may be sent to a licensed pharmacy partner. The pharmacy contacts you directly to complete medication payment and shipping. Services are provided by licensed physicians, nurse practitioners, and/or other licensed healthcare providers in states where they are authorized to practice. This service is not intended for medical emergencies. If you are experiencing an emergency, call 911 or seek immediate medical care. We take reasonable measures to protect personal health information in accordance with applicable privacy laws, including HIPAA. By using this website or its services, you agree to our Terms of Service, Privacy Policy, Notice of Privacy Practices, Telehealth Consent, and Important Safety Information. You must be 18 years of age or older to use this service.