Vital Man · Men's health by Vital Step

Get your spark back.

Doctor-prescribed ED treatment, built stronger than the little blue pill. Multi-active formulas, prescribed online by licensed US providers and delivered in a plain box. The visit takes two minutes.

Find my formula How it works

US-licensed providers Pharmacy-filled Rx Plain-box shipping

Home of 4th Gear™ the four-active sublingual · up to 36 hours

Why we built this

She remembers. So do you.

The charge when your hand found the small of her back. Weekends that never needed a plan. Nights that didn't need an excuse to start. None of that went anywhere. It's been idling in the garage, waiting for you to turn the key.

Get it back

The problem

When it stalls, nobody blames the driver.

You didn't fail the little blue pill. It failed you. One ingredient, one pathway, slowed by dinner and fading by midnight. The old pill was underbuilt for the job it was hired to do, and more than four in ten men say it underdelivers in the real world.

So we rebuilt the engine.

See the rebuild

The solution

Three gears. One standard.

Every man drives different. One closes the big nights. One covers the on-demand nights. One keeps the engine warm every single day. All prescription, all reviewed by licensed US providers, all shipped in a plain box.

The Closer · Flagship

4th Gear

Four actives, one sublingual vial. The big-night specialist with a window of up to 36 hours.

Meet 4th Gear ↓

The Workhorse

Ignite

Three actives in the tablet you already know, rebuilt to actually deliver.

Meet Ignite ↓

The Daily Driver

Boost

One low-dose tablet a day. Always primed, nothing to plan, nothing to explain.

Meet Boost ↓

Find my formula

01 · The Closer

4th Gear. Built to overtake.

A four-active sublingual that dissolves under your tongue and skips the gut. Onset in about 10 minutes, a window of up to 36 hours. This isn't the blue pill. It's the whole engine.

4 actives Sublingual · 2 mL ~10 min onset Up to 36-hr window

$82/mo · about $16 a dose · 5, 10 or 20 vials

Get prescribed

The flagship

What's in the vial

Four actives. Zero fillers.

Speed, strength, staying power and desire. All covered in a single dose, each one strength-set by your doctor for your health history.

The Spark

Apomorphine

Works upstream where desire starts, supporting the brain's own arousal signaling instead of leaving desire to chance.

The Launch

Vardenafil

The fast mover. A rapid-onset blood-flow agent that gets you responding in minutes, not hours.

The Muscle

Sildenafil

The proven heavyweight, delivering peak firmness when it counts. The molecule that started it all.

The Window

Tadalafil

The long haul. The longest-acting agent available keeps the window open for up to 36 hours on one dose.

One dose. The whole weekend.

Take it Friday at nine. The old pill clocks out around 2 AM. 4th Gear can still be on shift Sunday morning.

4th Gear The old pill

Dose · Fri 9:00 PM

4th GearUp to 36 hours

The old pill4–6 hours

Clocks out ~2 AM

Fri 9 PMSat 9 AMSat 9 PMSun 9 AM

The weekend runs on your schedule. Not the pill's.

She'll want another ride.

4th Gear absorbs under the tongue instead of waiting on your stomach, so a steak dinner won't slow it down. Take it when the evening starts looking promising. Say yes to dessert. Say yes to the detour. The window can stay open into Sunday.

No planning. No countdown. No neutral. Start with 4th Gear

02 · The Workhorse

Ignite. Never a cold start.

The format you already know, rebuilt to actually deliver. Where the old pill sent one ingredient to do the whole job, Ignite sends three.

Inside: tadalafil and sildenafil for performance, apomorphine for the drive behind it. Exact strengths set by your provider.

You want on-demand power, not a daily habit
You like a familiar tablet, engineered properly
You want to stay ready for up to 36 hours

3 actives Tablet On-demand 6, 12 or 18 ct

$110/mo on a 12-month plan

Start with Ignite

03 · The Daily Driver

Boost. Always in gear.

More than an ED pill. One low-dose tablet with your morning coffee keeps you ready around the clock. No timing, no planning, no tells on the nightstand.

Inside: daily low-dose tadalafil for the steady baseline, while caffeine and L-citrulline add energy, pump and blood flow. A complete daily performance stack. Exact strengths set by your provider.

You never want to think about timing again
Spontaneity matters more to you than maximum strength
You want to stay ready without a big-night pill

Daily low dose 30 tablets Around the clock One each morning

$135/mo on a 12-month plan

Start with Boost

Head to head

4th Gear vs. the old way.

Six rounds. One winner.

	4th Gear	The old pill
The window	Up to 36 hours	4–6 hours, then gone
Onset	About 10 minutes	30–60 minutes
Actives working	Four, together	One
A steak dinner	Doesn't care	Slows it down
Getting it	2-minute visit, plain box	Appointment, pharmacy line
The evening	Runs on your schedule	Runs on the pill's

Never in doubt.

The Vital Man standard

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Free visit · No insurance needed · Plain-box shipping

How it works

From quiz to go in days, not weeks.

Take the 2-minute quiz

A short online health questionnaire from your phone. No blood draws, no waiting rooms, private from the first click.

A licensed doctor reviews

A US-licensed provider reviews your intake, often the same day, and prescribes the right gear if treatment fits you.

Ships fast, plain box

Filled and dispensed by a licensed US pharmacy. No logos, no paperwork on the label, nothing to explain.

Start my 2-minute visit

The care team

Real doctors. Every order.

Vital Man runs on a licensed medical network. Every intake is reviewed by a US-licensed provider, and no prescription is written unless treatment is right for you.

US-licensed physicians review every intake
Medications filled by state-licensed US pharmacies
Your provider can adjust strength and formula to find what works for you
Real humans on support, not bots

LegitScript certified healthcare merchant

LegitScript-certified telehealth. Tap the seal to verify our certification.

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From the road

Men who shifted up.

"I'd quietly given up on the pill working when it mattered. First weekend with 4th Gear, I stopped checking my watch. So did she."

"The quiz took less time than ordering contacts. Doctor reviewed it the same day, and the box that showed up could've been printer paper. Nobody knows but my wife."

"Boost with my coffee every morning. There's no event to plan around anymore. Turns out spontaneous is a feature you can subscribe to."

Start my 2-minute visit

Ready when you are

Pick your gear.

Every plan starts with the same free 2-minute visit. Your provider confirms the fit, and larger supplies drop the monthly rate. The 6-month plan is the sweet spot on price, and your launch offer is applied automatically at checkout.

Flagship

The Closer

4th Gear

Four actives, sublingual, up to 36 hours. The big-night specialist.

From $82/mo · 5, 10 or 20 vials

Month to month $99 · 6-month $84/mo · 12-month $82/mo

Start with 4th Gear

The Workhorse

Ignite

Three actives in one dependable on-demand tablet.

From $110/mo · 6, 12 or 18 tablets

Month to month $155 · 6-month $119/mo · 12-month $110/mo

Start with Ignite

The Daily Driver

Boost

One low-dose tablet a day. Always primed, never planned.

From $135/mo · 30 tablets

Month to month $159 · 6-month $140/mo · 12-month $135/mo

Start with Boost

From-rates reflect 12-month plans. Month-to-month plans carry no commitment. Larger supplies bill up front on your chosen schedule.

FAQ

Answers, straight up.

Is this real medicine?

Yes. Every Vital Man treatment is prescription medication, prescribed by a licensed US healthcare provider after an online health visit and filled by a state-licensed pharmacy. No prescription is issued unless treatment is appropriate for you.

What exactly is in 4th Gear?

4th Gear combines four proven, widely prescribed actives: tadalafil for a window of up to 36 hours, sildenafil for peak strength, vardenafil for rapid onset, and apomorphine to support desire signaling. Your provider reviews the exact strengths and dosing with you as part of your visit.

How fast does it work?

Because it's a sublingual, 4th Gear absorbs directly under the tongue instead of through your stomach. Many men feel it working in about 10 minutes, and it isn't slowed down by food the way swallowed tablets are. One dose keeps the window open for up to 36 hours. Individual results vary.

Is my order discreet?

Your visit happens privately online, your medication ships in plain packaging with no logos, and your information stays between you, your provider and the pharmacy. Discretion isn't a feature we advertise loudly. It's just how the whole thing is built.

What if it's not right for me?

Then it isn't prescribed. A licensed provider reviews every intake, and if 4th Gear isn't appropriate for your health history, they'll tell you, and may recommend a different formula or none at all. If a formula isn't delivering once you're on it, your provider adjusts your plan until it does.

Is it safe to combine four actives?

That's exactly why a licensed provider reviews your health history and current medications before anything is prescribed. Each active in 4th Gear is individually dosed for you, and if a combination formula isn't appropriate for your health profile, it isn't prescribed. Never use ED medication with nitrates.

Can I switch products later?

Yes. Plenty of men start with Ignite and move up to 4th Gear, or add Boost as a daily base. Your provider stays on your plan and can change your formula, strength or supply at any point. Just message through your patient portal.

Do I need insurance?

No. Vital Man is cash-pay with straightforward pricing, so there are no claims, no coverage questions and nothing on an insurance statement.

Questions? We're here.

Send a message and our support team gets back to you, usually the same day. For anything about an existing order or prescription, please include your order details.

Prefer email? support@vitalstep.com

Message sent.

Thanks for reaching out. Our support team will get back to you shortly at the email you provided.

Be the guy she remembers.

Two minutes to take the quiz. Days to your door, not weeks. Stop checking your watch.

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Free online visit · Licensed US providers · Plain-box shipping

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