September Offer·Up to 54% off your first month + free discreet shipping

08Hrs:00Mins:00Secs

The 4-in-1 rapid dissolve tablet

PERSTETTETRA

Slip it under your tongue about 15 minutes before. And you're done.

Ready when you are

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A typical pill carries one active ingredient.

TETRA carries four.

One tablet. On demand.

Inside the tablet

Four actives, running a relay

01 · Rapid onset

Vardenafil

On from ~10 min · peak ~40 min

The sprinter. First to switch on, covering you while the slower actives ramp.

02 · Peak blood flow

Sildenafil

On from ~20 min · peak ~75 min

The workhorse. Carries peak blood flow through the middle hours.

03 · Drive

Apomorphine

On from ~10 min · peak ~35 min

Works in the brain, not the bloodstream. Primes the arousal signal so your body answers faster.

04 · Duration

Tadalafil

On from ~45 min · holds up to 36 hours

The marathon. Takes the handoff and keeps the window open.

Sublingual speed

Ready in minutes

TETRA is a rapid dissolve tablet you place under your tongue, where the thin tissue allows the active ingredients to bypass your digestive system and enter your bloodstream directly.

  • Typically takes between 1 to 3 minutes to dissolve
  • Can be working in as little as 15 minutes
  • No more waiting an hour or longer
  • Quiet, total control of the moment

No food rules

Dinner and performance

A heavy meal can blunt or even block a standard swallowed pill. Because TETRA skips the digestive system entirely, dinner and dessert stay on the menu. You never have to choose between a great meal and a great night.

  • Food will not block absorption
  • No empty stomach rules to follow
  • Real spontaneity back on the table

The 36 hour window

Ready when you are

With tadalafil in the blend, one dose of TETRA does more than cover the moment. It can keep you responsive for up to 36 hours, so the window stays open instead of slamming shut.

  • No more clock watching before the moment
  • Coverage that can last all weekend
  • Ready for a second round, or a third

How it works

3 Steps to Total Confidence

Step 1

Online Visit

Answer a short set of health questions on our secure intake form. Most men finish in about 3 minutes.

Step 2

Doctor Approval

A US licensed physician reviews your answers within 24 hours. If TETRA fits your history, your prescription is issued on the spot.

Step 3

Fast Discreet Delivery

Your treatment arrives in a plain, unmarked package with free rush shipping. Nothing on the box hints at what awaits inside.

Your new patient offer

Up to 54% off your first month

Begin the intake and a licensed clinician reviews whether TETRA fits your history. If it does, you'll get your first month at up to 54% off with free discreet shipping.

$215$99/moSave 54%

Or bundle and save even more.

  • Physician Consult Included
  • Free Discreet Shipping
  • Medical Support
  • Cancel Anytime

Risk-Free: If you don't qualify, you don't pay

FAQ

Frequently Asked Questions

Straight answers about Perstet TETRA, how it works, and what to expect.

Does the price cover the medication AND the doctor?

Yes. It covers everything. You get the consultation, priority rush shipping, and the full 4-in-1 tablet pack. Because Perstet TETRA combines Vardenafil, Tadalafil, Sildenafil, and Apomorphine, you are effectively getting 4 treatments for the price of 1 (saving approx. 54% vs. retail buying them separately).

Why choose Perstet over Hims or Roman?

Potency and Speed. Competitors typically sell single ingredients in slow-acting pills. TETRA is a sublingual 4-in-1 rapid dissolve tablet (RDT). We combine the peak strength of Sildenafil, the rapid flow of Vardenafil, the 36-hour duration of Tadalafil, and the mental drive of Apomorphine into one fast-melting matrix. It absorbs directly through the tissues under your tongue, bypassing your digestive tract to hit your system faster. You get the combined power of all 4 active medications at once, lasting for up to 36 hours.

How do you compare to other 4-in-1 compound tablets?

Unmatched physical reinforcement. Other custom platforms often dilute their formulas by swapping out heavy performance ingredients for gentle bonding hormones like Oxytocin. TETRA is the only platform that stacks all three major, clinically proven blood-flow inhibitors (Sildenafil + Tadalafil + Vardenafil) alongside Apomorphine. We don't skip the heavy hitters.

How do I take Tetra?

Because TETRA is formulated as a Rapid Dissolve Tablet (RDT), it should never be swallowed like a standard pill. Instead, place one tablet completely under your tongue (sublingually) or tucked flat between your upper gum and cheek (buccally). Let it dissolve entirely in your saliva. Avoid chewing, crushing, or swallowing the tablet, and try not to drink liquids for a few minutes while it dissolves. Do not take another TETRA tablet for 36 hours.

How fast does it work?

Bypassing the stomach allows the active ingredients to absorb directly through the sensitive blood vessels in your mouth. While standard pills take 30 to 60 minutes to process through your liver, TETRA begins absorbing immediately, with most users noticing the initial onset of effects in as little as 15 to 30 minutes.

Will I be "up" for 36 hours straight?

No. You have full control. The medication simply "primes" your system. You stay ready for a 36-hour window, but the reaction only triggers when you are aroused. No awkward situations or loss of control. Just performance exactly when you need it.

What if I'm not approved?

Then you pay $0. We operate on a "Results or Refund" basis. If our US-licensed clinicians determine this specific compound isn't safe for you, the transaction is voided instantly. No hidden fees. No risk.

Can you clarify the role of apomorphine?

Apomorphine is a dopamine receptor agonist used off-label to trigger the brain signals that initiate an erection. It activates dopamine receptors in the hypothalamus, including the paraventricular nucleus, helping send the initial erectile signal through the spinal pathways. Unlike PDE5 inhibitors, which primarily support blood flow, apomorphine acts on the neural arousal pathway. It is typically administered sublingually and has been studied at 2 mg to 3 mg doses taken before sexual activity, with onset reported in roughly 15 to 30 minutes. References:

Your next step

Ready to begin?

Click here to start the intake and lock in your discounted price.

$215$99/moSave 54%

Start with a short questionnaire.

  • Physician Consult Included
  • Free Discreet Shipping
  • Medical Support
  • Cancel Anytime

Risk-Free: If you don't qualify, you don't pay

Email: support@perstet.com

Phone: (888) 886-2315

M-F 8:30am-5:30pm CT

Sat 11am-4pm CT

© 2026 Perstet. All rights reserved. This page is an advertisement.

Verify Approval for www.perstet.com

Perstet Tetra is a compounded medication prepared to order by a licensed US pharmacy and is available only after evaluation by a licensed clinician. Compounded medications are not FDA-approved. Individual results, doses, and formulations vary. Timing figures shown on this page are typical ranges, not guarantees.

Prescription products require an online consultation with a licensed clinician who will determine if a prescription is appropriate. Do not combine with nitrates. If you experience chest pain, vision changes, or an erection lasting more than 4 hours, seek medical attention immediately.

Pricing shown reflects the introductory new patient offer on the starting monthly plan. The crossed-out amount is the standard non-promotional monthly rate. Savings vary by plan and bundle selection. If the clinician determines Tetra is not appropriate for you, you are not charged for the medication.