The 4-in-1 Performance Formula

Speed. Strength. Stamina.

SURGE MAX is the first 4-in-1 rapid-absorb sublingual liquid that activates your desire and your body , on cue, on demand, for up to 36 hours.

See If You Qualify → How It Works
From $12 / dose · 10-pack $119
LegitScript Certified Verified safe telehealth
HIPAA Compliant Encrypted & private
Engineered for your body

Ready Faster.
Lasts All Weekend.

SURGE MAX is a rapid-absorb liquid. A few drops, in your bloodstream in 10 minutes. Eat, drink, live like a man, not a patient.

A man's hand holding a single SURGE MAX 4-in-1 ampoule in a warm modern bedroom
10min
From dose to ready Reported average onset time
Quadruple Powered

4 Powerful Ingredients.
One Liquid Dose.

Most ED treatments give you one molecule and call it a day. SURGE MAX layers four. Each targeting a different mechanism. To deliver a complete performance response from brain to bloodstream.

The SURGE MAX Formula
Sildenafil 40mg + Tadalafil 11mg + Vardenafil 7.5mg + Apomorphine 2mg
Peak Strength

Sildenafil

The original gold standard. The molecule that defined the category and has been studied in millions of patients. Delivers maximum rigidity and reliability where it matters.

Onset15 to 30 min Duration4 to 6 hrs MechanismPDE5 inhibitor
Active duration
0h12h24h36h
The Science

Sex doesn't happen on a schedule.
Your treatment shouldn't either.

See If SURGE MAX Is Right For You →

60-second check · No charge if you don't qualify

The SURGE MAX Advantage

Your Best Performance. Delivered.

A single SURGE MAX ampoule with a clear purple-lit liquid drop hanging from the open tip

Drops, Not Pills

A few drops of SURGE MAX liquid absorb in under 90 seconds. No water. No swallowing a horse pill. No waiting around for it to work.

A couple at a candlelit restaurant laughing together over glasses of red wine

Dinner & Performance

Bypassing the gut means food and a glass of wine won't dull the dose. Enjoy the night the way it was supposed to go.

A confident fit man in his early fifties leaning against a warm stone wall at golden hour

Ready When You Are

A 36-hour window means you don't have to plan, predict, or perform on a stopwatch. One dose covers the weekend.

The Old Way vs. The SURGE MAX Way

Why Settle for an Incomplete Formula?

Generic Pills (Viagra / Cialis / Levitra)

  • ✕ One ingredient. One mechanism. One narrow window.
  • ✕ Swallowed pill. Slow onset of 45 to 60+ minutes.
  • ✕ Blocked by a heavy meal or a glass of red wine.
  • ✕ Does nothing for desire. Only blood flow.
  • ✕ Pharmacy markups, insurance pre-auths, awkward pickups.
  • ✕ No clinician follow-up. No dose optimization.

SURGE MAX 4-in-1 Liquid

  • ✓ Four ingredients. Four mechanisms. Full-system response.
  • ✓ Absorbs under the tongue. Onset in ~10 minutes.
  • ✓ Works through dinner, drinks, and the whole night.
  • ✓ Activates desire and the physical response.
  • ✓ Direct-from-pharmacy, no insurance, unmarked packaging.
See Pricing →

$12 / dose · 10-pack just $119 · Free rush shipping

60-Second Check

Is SURGE MAX right for you?

Three quick questions. Then a US-licensed clinician reviews your free evaluation and decides if SURGE MAX is a fit.

How long do traditional ED pills usually take to kick in for you?

How long do you want the effect to last?

Are you currently taking nitrates or being treated for a serious heart condition?

✓

Great news. Let's get you matched.

A US-licensed DirectCare AI clinician will review your full evaluation and determine if SURGE MAX is right for you. No charge if you don't qualify.

Continue to Free Evaluation →
1 of 3

This pre-screen is not a medical diagnosis. Final eligibility is determined by a US-licensed clinician after a full intake review. HIPAA-protected.

How It Works

3 Steps to Total Confidence.

01

Take the 3-Minute Evaluation

Answer a few private questions on our secure intake. No appointment. No waiting room. No awkward conversation at the front desk.

02

US Clinician Reviews

A licensed DirectCare AI clinician reviews your case within 24 hours and writes the right protocol for you. Message them anytime.

03

Fast, Discreet Delivery

Your SURGE MAX liquid ships from a US compounding pharmacy in plain, unmarked packaging. Free rush shipping on every order.

Start My 3-Minute Evaluation →
The Real Math

From $80 a pill to $12 a dose.

Brand-name Viagra retails for around $80 a pill at major pharmacies. For one ingredient, one mechanism, one short window. Here's what changes when you skip the markup and the middleman.

$80
per Viagra pill
Retail at a major pharmacy. One ingredient. 45 to 60 min onset. ~4 hour window.
SURGE MAX · 10-PACK
$189 Save $70
$12 / dose

Billed once as $119 for the 10-pack.

  • 10 doses of 4-in-1 SURGE MAX liquid
  • Doctor Consultation Included
  • Free Rush Shipping
See If You Qualify →

If you don't qualify, you don't pay. Guaranteed.

85% LESS per dose · Stronger · Faster · Longer · No insurance, no pharmacy lines.

Is DirectCare AI a real medical platform?
Yes. DirectCare AI is a HIPAA-compliant telehealth platform. Every prescription is reviewed and authorized by a US-licensed, board-certified clinician. We don't generate prescriptions with AI. We use technology to streamline intake, clinician workflow, and refills, but a human clinician makes every clinical decision.
Do I need insurance?
No. Our weight loss, HRT, TRT, sexual health, hair, and supplement programs are direct-pay. Typically less than what insurance copays cost on the same medications. Our Chronic Condition Care program (RPM) is covered by Medicare and most major insurance.
What happens if I don't qualify?
You're not charged. The free evaluation is genuinely free. If a clinician decides a protocol isn't safe or appropriate for you, we'll tell you why. And we'll often recommend a better alternative (different protocol, lab workup first, or referral to in-person care).
Are the medications FDA-approved?
Active ingredients in every protocol are individually FDA-approved (e.g. Finasteride, Minoxidil, semaglutide, tirzepatide, estradiol, testosterone cypionate). Compounded formulations are made by US-licensed pharmacies at clinician-specified strengths. A regulated practice but not "FDA-approved as a finished product."
How fast does it ship?
After a clinician approves your protocol, your order ships in plain, unmarked packaging within a few business days. Refills auto-renew on your schedule. You can pause, adjust, or cancel anytime from your patient portal.
Can I message my clinician?
Yes. Direct, async messaging with your assigned clinician is included in every program. Replies typically arrive the next business day. For TRT and HRT, we re-titrate based on labs at regular intervals once you're started.