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

The 4-in-1 on-demand dose

PERSTETTETRA

A drop under the tongue, about 15 minutes before. Only when you want it.

Never a daily pill

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A typical pill carries one active ingredient.

Tetra carries four.

One drop. On demand.

Inside the drop

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.

The engineering

One dose, assembled

Formula

04actives, one dose

Vardenafil, sildenafil, tadalafil, apomorphine. Compounded to order.

Onset

~15minutes to ready

Take it about 10 to 15 minutes before. Sublingual, so it skips digestion.

Window

36hours of coverage

One dose can stay effective up to 36 hours. Still working the next morning.

Care

Rxtelehealth prescribed

A licensed clinician reviews your history and signs off before anything ships.

Delivery

00logos on the box

Plain packaging. Nothing on the outside says what is inside.

Sublingual speed

Ready in minutes

Tetra is a fast absorbing liquid you place under your tongue. It reaches your bloodstream through the tissue there, skipping the stomach and liver entirely, so it goes to work far sooner than a pill you swallow.

  • No more waiting an hour or longer
  • Can be working in as little as 15 minutes
  • 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 absorbs under the tongue, 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 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 is 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, your first month ships 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
  • 24/7 Medical Support
  • Optional Health & Wellness Coaching Available
  • Cancel Anytime

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

Email: [email protected]

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.

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.