Four Actives, One Dose
A single tablet rather than several separate prescriptions, combining actives from more than one pharmacological class.

Ignite4 is a physician-compounded oral tablet for erectile dysfunction that carries four active ingredients in a single dose — a triple-action combination including tadalafil, sildenafil and apomorphine. Prescribed by a licensed provider, dispensed by a licensed U.S. pharmacy in the OLIV Well network, and handled entirely online.
Products are prescribed by licensed telehealth providers and fulfilled through FDA-registered, 503A-compliant compounding pharmacies. These statements have not been evaluated by the FDA. Products are not intended to diagnose, treat, cure, or prevent any disease. Results may vary.
Ignite4 combines several active compounds in a single tablet rather than prescribing them separately. Two of its named actives — tadalafil and sildenafil — are PDE5 inhibitors. PDE5 inhibitors work by blocking the phosphodiesterase type 5 enzyme, which promotes smooth muscle relaxation in the penile vasculature and increases blood flow in response to sexual stimulation. Apomorphine is a separate prescription active with a different pharmacological class. Combination tablets let a licensed provider prescribe a formulation that is not available as a single commercially manufactured product. Your protocol — the dose, the schedule, and the role each compound plays for you — is determined entirely by your licensed telehealth provider based on your health intake.
The PDE5 inhibitor class behind two of Ignite4's actives is among the most heavily studied in men's health. Sildenafil received FDA approval for erectile dysfunction in 1998 and tadalafil in 2003, and both have been examined in thousands of clinical trials across a broad range of patient populations. Multi-agent formulations allow licensed providers to prescribe combinations that are not sold as a single manufactured product. Ignite4, as prescribed through OLIV Well, is not the same as any commercially branded product.
Ignite4 contains PDE5 inhibitors. Potential side effects common to that compound class include headache, flushing, nasal congestion, dyspepsia (indigestion), visual disturbances, and dizziness or lightheadedness. Serious but less common effects can include sudden vision or hearing loss and priapism — a prolonged, painful erection requiring immediate medical attention. PDE5 inhibitors are contraindicated in patients taking nitrates or alpha-blockers and in patients with certain cardiovascular conditions. This is not a complete list, and the full profile depends on every active in the formulation. Your OLIV Well provider will review your health history before prescribing and will identify any contraindications specific to your situation.
Function: The PDE5 inhibitor components promote vasodilation and support the physiological conditions required for erectile function in response to stimulation. Putting several actives into one tablet means one dose instead of several, and gives your provider room to calibrate the treatment to your individual response profile. Benefit: Sexual health is one of the most common — and least discussed — areas of men's health. Telehealth removes the conversation nobody wants to have in person and gives you access to a clinically prescribed treatment tailored to your situation by a real provider. The whole process stays private.
The foundational clinical trial establishing the efficacy and safety profile of sildenafil for erectile dysfunction.
Read StudyPooled analysis of tadalafil clinical trials across a broad range of patient populations.
Read StudyThese statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease. OLIV Well is not a pharmacy. Prescriptions are written by licensed telehealth providers and fulfilled by FDA-registered, 503A-compliant compounding pharmacies. Results may vary. Consult a licensed healthcare provider before starting any treatment.
A single tablet rather than several separate prescriptions, combining actives from more than one pharmacological class.
Every prescription is reviewed and written by a licensed telehealth provider based on your individual health intake and history.
Your intake, your prescription, and your shipment stay between you and your provider. Discreet packaging, discreet process.
Dispensed by a licensed U.S. pharmacy in the OLIV Well network — not a supplement company, not an online supplement store.
Ignite4 is a physician-prescribed oral ED tablet carrying four active ingredients in one dose, including tadalafil, sildenafil and apomorphine. The combination and dosing are determined by your licensed OLIV Well provider based on your health intake.
No. Ignite4 is a multi-compound formulation, not a commercially manufactured single-agent drug. It contains actives from the same PDE5 inhibitor class as Viagra and Cialis alongside a compound from a different class, and the combination is individualized by your provider.
Ignite4 is available in 6, 12 and 18-dose packs. Your provider will recommend the pack size that fits the protocol they prescribe.
Yes. PDE5 inhibitors are contraindicated with nitrates, certain alpha-blockers, and in patients with specific cardiovascular conditions. Your OLIV Well provider reviews your complete health history before prescribing. Do not start this treatment without a provider evaluation.
If your intake doesn't result in an approved prescription, no charge is applied.
Answer a short health questionnaire online. No appointment, no waiting room — just honest answers from the comfort of wherever you are.
A licensed telehealth provider reviews your intake and, if appropriate, writes your prescription. The same standard of care as an in-person visit, without the trip.
Your treatment ships from an FDA-registered, 503A-compliant compounding pharmacy — discreetly packaged and delivered fast.
Everything you need for physician-guided care, in one place — real providers, a trusted pharmacy, and privacy at every step.

Take the first step online, in under ten minutes. A licensed provider reviews your intake — and if it's a fit, your treatment ships fast.