This combination medication contains four ingredients geared towards enhancing your erectile firmness, sex drive, arousal, and intimacy: sildenafil, tadalafil, and apomorphine.
Sildenafil and tadalafil belong to a class of drugs known as phosphodiesterase 5 inhibitors (PDE5Is), which work by blocking an important enzyme in the body - phosphodiesterase 5. When this enzyme is blocked, it leads to the buildup of a molecule called cyclic guanosine monophosphate (cGMP), which is crucial for releasing nitric oxide (NO). When NO is released, it causes blood vessels to relax, ultimately increasing blood flow to the penis for harder erections.
Apomorphine acts on the central nervous system, specifically stimulating dopamine receptors that regulate sexual motivation and arousal. Research into sublingual apomorphine has shown that doses in the 2–4 mg range may significantly increase erectile firmness enough for successful intercourse, particularly in men with psychogenic or mixed erectile dysfunction.
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Surge Max
A 3-in-1 ED treatment designed to prime the brain for arousal and boost blood flow. Surge Max is a fast-acting formula that combines three medications: sildenafil, tadalafil, and apomorphine.
Arousal-boosting 3-in-1 formula
Enhanced blood flow & erections
Works in 15 minutes or less
Active for up to 36 hours
$119.00
From $28 per week
Surge Max is a compounded sublingual medication that contains the active ingredients sildenafil, tadalafil, and apomorphine, aimed at enhancing your erectile firmness, sex drive, arousal, and intimacy. It is comprised of: sildenafil 40mg, tadalafil 15mg, apomorphine 3mg.
Surge Max is for patients at least 18 years of age looking for a faster onset of harder, longer-lasting erections, improved sexual arousal, and heightened intimacy. Whether your erectile issues are physical, psychological, or a mix of both, Surge Max offers an all-in-one solution.
Surge Max can be taken as-needed when you are looking for an extra edge in the bedroom. Place 1 tablet under the tongue and allow to dissolve 15 minutes before sexual activity. It's effects last between 24 to 36 hours. This medication can be taken with or without food. If it is taken after a meal rich in fats, it may take longer for the medication to work. Do not break or split the tablets; they should always be taken whole for the best erection-enhancing results.
Scientifically Proven Ingredients
US-made, clinically tested, and precisely formulated—our ingredients are backed by peer-reviewed research to ensure optimal performance.

Sildenafil
On-demand PDE5 inhibition
Dose: 40mg
Sildenafil increases blood flow by inhibiting PDE5, supporting stronger, longer-lasting erections during sexual stimulation, improving reliability, firmness, and confidence when it matters most for men.
PRIMARY FUNCTION
Reliable erections on demand

Tadalafil
Extended-duration PDE5 inhibition
Dose: 15mg
Tadalafil delivers extended PDE5 inhibition, enabling improved erections and spontaneous intimacy for up to 36 hours, supporting flexibility, confidence, and performance across longer windows naturally.
PRIMARY FUNCTION
Long-lasting erectile readiness

Apomorphine
Neural arousal signaling
Dose: 3mg
Apomorphine activates dopamine pathways in the brain, enhancing desire, arousal, and responsiveness, helping initiate erections quickly, naturally, and independently of blood flow mechanisms efficiently reliably.
PRIMARY FUNCTION
Boosts sexual arousal
The Smarter Way to Perform
BraveRX delivers a holistic approach to performance enhancement that works when you need it.
Clinically Proven Erections
Tadalafil and sildenafil are clinically evaluated ED medications designed to help you achieve and maintain erections when sexually stimulated.
Sources:
Brock et al. J Urol 2002 | Burls et al. 2001
Long-Lasting Performance
Tadalafil is a long-acting ED medication clinically studied to support erectile function up to 36 hours after dosing.
Sources:
Mohee et al. 2012 | Hagemann et al. 2003
Arousal Response Support
Apomorphine boosts sexual arousal by amplifying the brain’s natural response to sexual stimulation, increasing activity in areas linked to arousal.
Sources:
Porst et al. 2003 | Skoumal et al. 2004
Rapid-Onset & On-Demand
Fast-acting sildenafil and apomorphine are clinically studied to support quicker readiness for sexual activity.
Sources:
Mulhall 2002 | Burls et al. 2001
Patient Reviews
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