01Sildenafil
40 mg per dose
Blood flow, fast. The quick starter.
Prescription facts
Dose: 1 vial (2 mL) · 5, 10 or 20 a month
Sildenafil40 mg
Tadalafil4 mg
Vardenafil7.5 mg
Apomorphine2 mg
- 1Twist off the cap
- 2Empty it under your tongue
- 3May start in ~10 min
Rx only. Compounded by a licensed U.S. partner pharmacy, after a licensed provider reviews your information and, if appropriate, issues a prescription. Compounded medications are not FDA approved.
Prescribed by licensed US providers
Prescription only · Licensed U.S. providers · Licensed U.S. pharmacies
Count on itagain?
Most ED pills pull one lever. The Root-to-Rise dose pulls four, in one 2 mL shot under your tongue, prescribed by a licensed US provider.
A licensed provider must review your information; if appropriate, a prescription will be issued. Care through ZiraMedical. Filled by licensed U.S. partner pharmacies.
- 4 actives, one dose
- May start in ~10 min
- Tastes like water
- Provider adjusts your dose
$119/mo$149Save $30Black Friday price for your first month, then $149/mo. You and your provider pick 5, 10 or 20 doses a month in the consult.
Oak Hard is a compounded medication. Compounded medications are not FDA approved, and Oak Hard is not a generic or an FDA-approved equivalent of any brand-name drug.
Included
- Provider consultFree, and every dose change after it
- 2-day shippingFree, in plain packaging
- 1-year BeducatedFree, a $199 value
- Mystery giftFree, in your first box
Provider review in ~24 hoursShips from a US pharmacy · HSA/FSA
Money back on your first month. Not right? Your provider changes the dose first. Still not right, you get your money back.
What's in it
Per 2 mL dose: sildenafil 40 mg, tadalafil 4 mg, vardenafil 7.5 mg and apomorphine 2 mg, compounded into one liquid dose. Each is at a lower dose than a full single pill.
How to take it
Twist off the cap, empty the vial under your tongue and hold it there. Don't swallow it straight away. It may start working in about 10 minutes, though results vary, and your provider tells you how far ahead to take it.
Who it's not for
Anyone who takes nitrates or poppers, had a heart attack or stroke in the last six months, or gets chest pain during sex. The intake checks for these, and a provider reviews the rest.
Refills and cancelling
Refills ship every 30 days. Pause or cancel online anytime, no fees: Account, then Subscriptions, then Manage.
Men whoquit settling.
“The generics quit on me. This didn't.”
I'd worked through the blue pill, then the weekend pill, and both stopped doing anything. My provider built a dose around all four and it's like flipping a switch again.
“Dialed in on the second month.”
First dose was good, then my provider nudged it. That's the part nobody else offered: an actual adjustment instead of 'take another pill.'
“Real doctor, real pharmacy, no waiting room.”
I put off dealing with this for two years. Did the intake on my phone, a licensed provider actually reviewed it, and it showed up in a plain box.
Reviews are from patients prescribed the same four-active formula. Individual results vary, and these experiences are not typical of every patient.
Hit and miss? It isn't you.
Most ED pills pull one lever: blood flow. When your head isn't in it, or last time is still on your mind, one lever isn't always enough. You didn't fail the pill. It only had one job.
Oak Hard pulls four. That's the Root-to-Rise dose.
Your old pill
- Fast flow
- Long window
- Backup flow
- Go signal
Root-to-Rise
- Fast flow
- Long window
- Backup flow
- Go signal
The Root-to-Rise dose.
Three things happen, in this order. The film on the right shows them.
1 · It soaks in at the root
A 2 mL liquid dose under your tongue. No waiting for dinner to settle, no water, no taste. It may start working in about 10 minutes, though results vary.
2 · The flow rises
Sildenafil, tadalafil and vardenafil open up blood flow, three different ways, so no single one has to carry the load.
3 · The go signal fires
Apomorphine works on the brain's side of arousal, the part a blood-flow pill leaves out. Individual results vary.
How fast it starts and how long it lasts differ from man to man. The film is an illustration.
Root-to-Rise, up close
0:00
Soaks in at the root
~5 min
The flow rises
~10 min
The go signal fires
It used to just happen.
Let it just happen again.
Why you'll feel it.
What's inside the Root-to-Rise dose: four ED actives in every 2 mL vial. Each one is at a lower dose than a full single pill, because four smaller levers don't have to pull as hard as one big one.
01
02Tadalafil
4 mg per dose
The long window. Less clock-watching.
03Vardenafil
7.5 mg per dose
The backup. Keeps working for many men after sildenafil loses its edge.
04Apomorphine
2 mg per dose
The go signal. Works on the brain's side of arousal.
A provider who writes back.
Not a chatbot. A licensed provider reads your answers, decides whether a prescription is appropriate, and changes your dose when you ask.
- ZiraMedicalAn independent telehealth medical group. Its providers are licensed in the states where we offer care.
- Rx onlyA licensed provider must review your information; if appropriate, a prescription will be issued.
- 3 pharmaciesEPIQ Scripts, Foothills Pharmacy and Emerald Compounding Pharmacy. Licensed, NABP-accredited and LegitScript-approved.
| Who reviews you | A licensed provider with ZiraMedical |
|---|---|
| Who fills it | A licensed U.S. partner pharmacy |
| Where we offer care | All 50 states and DC |
| Insurance | Not needed. HSA/FSA cards work |
| What the box says | Nothing |
Fits in your pocket.
No timing it around dinner and no ritual: one small vial goes wherever the night goes.
- 2 mLOne dose per vial
- ~10 minMay start
- 0Logos on the box
Three steps. That's it.
No water, no food rules, no waiting room. Your provider tells you how far ahead to take it.
01Twist off the cap
One vial is one dose. 2 mL, measured for you.
02Under your tongue
Empty it under your tongue and hold it there. It tastes like water, so there's nothing to chase it with.
03Get on with the night
It may start working in about 10 minutes, though results vary. You don't have to plan around it.
5, 10 or 20 a month.
Same dose in every vial. You and your provider pick the pack in your consult, and you can change it whenever you like.
From $119/mo $149
That's from $11.45 a dose on the 20-pack. Pharmacy-made, four actives, a provider on call. About what the second round of drinks costs, for the night after it.
- Free provider consult and every dose change
- Free 2-day shipping, plain box
- Pause or cancel online, no fees
Money back on your first month. Black Friday price for month one, then $149/mo.
No traps.
Surprise charges and "subscriptions" you can't get out of are why men stop trusting online ED companies. Here are our terms, before you pay.
Cancel online, anytime.
No fees, no phone call. Account, then Subscriptions, then Manage. That's the whole path.
Your next refill, always in view.
The date of your next shipment sits in your account under Subscriptions, so a charge never comes out of nowhere.
Nothing added you didn't ask for.
One prescription, the one you agreed to. No extras slipped into your box or your bill.
Not working? We fix it or refund it.
Your provider can change the dose first. If it's still not right, you get your money back on your first month.
Tonight to month two.
No clinic and no counter conversation. Here's exactly what happens, and when.
Tonight
Five minutes of questions
On your phone, in private. The provider consult costs $0.
~24 hours
A provider reviews you
A US-licensed provider reads your answers, decides if it's right for you, and writes the prescription.
A few days
A plain box arrives
Most orders ship within 48 hours, with 2-day shipping. Plain, neutral packaging with nothing on it.
Your first time
Empty it under your tongue
No timing it around dinner. Your provider tells you how far ahead to take it.
Month two
Dialled in
Too little, or side effects you don't like? Message your provider and they change the dose.
Straight answers.
Anything not here, your provider answers in the free consult.
Start my free consultMy pill stopped working. Will this?
It might, and here's the honest version. The Root-to-Rise dose works on blood flow three ways and on the brain's go signal one way, where your old pill only did blood flow. If the first month isn't right, your provider changes the dose. If it still isn't, you get your money back.
Is it FDA approved?
No. Oak Hard is a compounded medication. Compounded medications are not FDA approved, and Oak Hard is not a generic or an FDA-approved equivalent of any brand-name drug. A licensed U.S. partner pharmacy prepares it after a licensed provider reviews your information and, if appropriate, issues a prescription.
Where is Oak Hard available?
In all 50 states and the District of Columbia. In most states your provider reviews an online questionnaire. In DC, Kansas, Louisiana, Mississippi, New Mexico, Rhode Island and West Virginia, a live consultation with a provider is required before treatment. The full list is at the bottom of this page.
Will it give me headaches?
It can. Headache, flushing and a stuffy nose are common with this family of drugs, and apomorphine can cause nausea. Each active is at a lower dose than a full single pill. If something bothers you, tell your provider and they'll adjust it.
Is it safe with my heart, or my other meds?
Never with nitrates or poppers. That's a hard no. Blood pressure pills, prostate pills and the rest: the intake asks, and your provider checks before prescribing anything.
Do I have to be turned on for it to work?
Yes. It helps your body respond when you're aroused. It doesn't give you an erection out of nowhere.
How fast does it work?
You take it under your tongue, so it skips your stomach. It may start working in about 10 minutes, though results vary, and everyone's a little different.
What does it taste like?
Like water. No bitter aftertaste and nothing to chase it with, so you can take it anywhere without a face.
Will anyone know?
Not from us. It ships in plain, neutral packaging with no logo. Everything else happens on your phone.
What does it cost? Can I cancel?
From $119 for your first month on the Black Friday price, for 5, 10 or 20 doses a month. The consult is free, no insurance is needed, and HSA/FSA cards work. Pause or cancel online anytime, no fees.
Feel like yourself again.
Five minutes of questions tonight. A plain box in a few days.
From $119/mo $149 · Free consult
Money back on your first month. Cancel online anytime.