Nycole Cox
APRN · LocumTele
Licensed in AK, AZ, CA, CO, FL, GA, IA, IL, KS, KY, MD, ME, MI, MO, NM, NY, OH, OR, TN, TX, VA, WA
Optimal Confidence Extended
Men's sexual healthPrescription onlyFDA-approved
$80/month
Billed monthly
Lasts up to 36 hours.
- Online visit included
- Discreet shipping included
- Ongoing provider messaging
You start with a short medical intake. A licensed provider from LocumTele reviews it and decides whether treatment is appropriate for you.
No charge until a licensed provider approves treatment. Not approved = not charged, and nothing ships.
Your plan renews automatically at the price and interval shown until you cancel, and you can cancel any time before your next refill from your account.
Prescription only. Completing an order is not a prescription and does not guarantee one.
FDA-approved generic medication, dispensed by a state-licensed pharmacy. Prescription required.
Clinical entity: LocumTele. A licensed provider from LocumTele reviews your intake within 24 to 48 hours and decides whether treatment is appropriate for you.
Important safety information
Do not take this with nitrate medicines for chest pain or with certain recreational drugs called poppers. Together they can cause a dangerous drop in blood pressure.
Do not use if: You take nitrates or riociguat; Your provider has told you sex is not safe for your heart; Recent heart attack or stroke; Very low blood pressure.
Common side effects: Headache, Flushing, Stuffy nose, Upset stomach, Back or muscle aches.
Read full safety information- Oversight
- Provider monitored
- Plan
- Set by your provider
- Cycle
- Monthly
- Format
- Oral tablet
- Included
- Visit, messaging, shipping
What this is
A longer-acting prescription tablet. One dose can support you for up to a day and a half.
Who it may be appropriate for
Men who want a longer window without a daily tablet.
Key risks
- Dangerous drop in blood pressure with nitrates
- An erection lasting more than 4 hours
- Sudden vision or hearing loss (rare)
- Strain on the heart during sex if you have heart disease
Who should not use it
- You take nitrates or riociguat
- Your provider has told you sex is not safe for your heart
- Recent heart attack or stroke
- Very low blood pressure
Common side effects
- Headache
- Flushing
- Stuffy nose
- Upset stomach
- Back or muscle aches
When to seek care
- An erection lasting more than 4 hours
- Sudden loss of vision or hearing
- Chest pain, dizziness or fainting
Interactions
Alpha-blockers, some blood pressure medicines, certain antibiotics, antifungals and HIV medicines, and heavy alcohol can increase effects. Tell your provider about everything you take.
Your care, step by step.
Intake
Answer a short online health intake on your own time. Individual results vary.
Provider review
A licensed provider reviews your answers and decides whether treatment is appropriate. Individual results vary.
Check-ins and adjustments
Your provider checks in and adjusts your plan as you go. Individual results vary.
Generic vs provider-guided.
Going it alone
- No review of your health history
- No one to ask when questions come up
- Guesswork when things change
With a licensed provider
- Your intake reviewed before any prescription
- Ongoing messaging with your care team
- A plan adjusted to how you respond
Real providers. Real care.
Ianina Metcalf
FNP · LocumTele
Licensed in AL, AR, AZ, CA, CO, CT, DE, FL, IA, IL, IN, KS, KY, MA, ME, MI, MO, MS, NC, NH, NJ, NM, NV, NY, OH, OK, PA, RI, SC, TN, TX, UT, VA, VT, WA, WV, WY
Michael Gype
PA · LocumTele
Licensed in AZ, CA, CO, CT, FL, GA, IL, LA, MA, NJ, NV, NY, OH, PA, SC, TN, TX, UT, WA
Rachel Velasquez
NP · LocumTele
Licensed in IN, KY, MD, OH, PA, VA, WV
About Optimal Confidence Extended
Who prescribes it?
A licensed nurse practitioner or physician assistant from LocumTele, licensed in your state, reviews your intake and decides whether a prescription is appropriate. If prescribed, your medication is dispensed by VSDH, a state-licensed pharmacy, and shipped to you discreetly.
When will it ship?
If a licensed provider approves treatment, your prescription goes to VSDH, a state-licensed pharmacy, which prepares it and ships it discreetly with tracking.
What is it?
A longer-acting prescription tablet. One dose can support you for up to a day and a half.
Who is it for?
Men who want a longer window without a daily tablet.
Do I need a prescription?
Yes. This is a prescription product and is only available if a licensed provider determines it is appropriate for you.
How is my plan decided?
Your licensed provider sets your plan based on your intake and adjusts it at check-ins.
What's included?
8 doses a month, Provider review, Discreet packaging, Refills without a new visit while approved. Shipping is included.
How do billing and renewal work?
$80 billed monthly. Your plan renews automatically at the price and interval shown until you cancel, and you can cancel any time before your next refill from your account.
What if I'm not approved?
No charge until a licensed provider approves treatment. Not approved = not charged, and nothing ships.
Care that fits into real life.
Simple steps, plain language, and a licensed provider who decides what's right for you.
- 01
Complete your online visit
Answer a short health intake from home. No waiting room.
- 02
A licensed provider reviews it
A licensed provider from LocumTele reviews your intake within 24 to 48 hours and decides whether treatment is appropriate.
- 03
If approved, it ships to you
Your prescription is dispensed by VSDH, a state-licensed pharmacy, and shipped discreetly. No charge unless you're approved.
- 04
Ongoing care
Check-ins and messaging with your provider, with no new visit fee.
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Feel your best. Every day.
A short online visit, reviewed by a licensed provider, and a plan built around your goals.