3-in-1 PE
Last longer. Stay in control.

Extend

A 3-in-1 sublingual tablet built to delay ejaculation, support control, and calm performance anxiety.

  • Take 1–3 hours before sex, dissolves under the tongue
  • Targets timing, firmness, and nerves in one tablet
  • 100% online, prescribed by U.S.-licensed providers
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How Extend works
Extend is a 3-in-1 sublingual tablet for premature ejaculation. Paroxetine, an SSRI used off-label to delay ejaculation, extends the time before climax; a low dose of tadalafil supports firm, reliable erections; and L-theanine helps ease performance-related anxiety. Together they address timing, firmness, and nerves in a single tablet.
How do I take Extend?
Dissolve ½ to 1 tablet under the tongue (or between cheek and gum) at least 1 hour, ideally 2–3 hours, before anticipated sexual activity. Do not take more than one tablet in 24 hours. Your provider will confirm your starting dose.
How is Extend different from ED meds?
ED medications treat difficulty getting or keeping an erection. Extend treats premature ejaculation, a different concern: finishing sooner than you'd like. Its primary active, paroxetine, is used to delay ejaculation, while the tadalafil component supports erections so the two concerns are covered together.
150k+ Shed members U.S.-licensed providers No surprises, upfront pricing Personalized support 100% entirely online FSA and HSA eligible Free and discreet shipping Customized to your needs Licensed U.S. pharmacy 150k+ Shed members U.S.-licensed providers No surprises, upfront pricing Personalized support 100% entirely online FSA and HSA eligible Free and discreet shipping Customized to your needs Licensed U.S. pharmacy

Take your time back

Provider-prescribed treatment built around three complementary actives.

Blood vessels carrying illuminated particles, visualizing the dual-pathway mechanism

Delay, by design

Paroxetine is used to extend the time before climax

Man smiling with easy confidence

Firmness included

A low tadalafil dose supports reliable erections

Unmade bed in low morning light

Extended window

L-theanine helps quiet performance anxiety

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Discreet & 100% online

Clinician-reviewed intake, plain packaging, unlimited follow-up

‹ swipe › *Reflects tadalafil's established duration profile. Compounded medications are not FDA-approved. Individual results vary.
Couple close together in bed, holding hands
Why Extend works

Lasting longer is about timing and calm

01

Premature ejaculation isn't only physical

For many men, finishing too soon is a mix of biology and pressure: a sensitive reflex made worse by anxiety about performance. Treating just one side rarely solves it.

02

Extend works on timing, firmness, and nerves

Paroxetine lengthens the time before climax, tadalafil keeps erections firm and reliable, and L-theanine takes the edge off anxiety. Addressing all three is what makes control feel natural rather than forced.

See if Extend is right for you
The formula

Three actives, one tablet

Each active targets a different part of lasting longer.

Extend 3-in-1 PE tablet bottle
Paroxetine 20mg · SSRI Used off-label to delay ejaculation by extending the time before climax.
Tadalafil 5mg · PDE5 inhibitor A low dose that supports firm, reliable erections and confidence.
L-Theanine 50mg · Amino acid An adjunct with calming properties to ease performance-related anxiety.
Simple from the start

How it works.

1

Fill out a 5-minute form online

Answer a few questions about your health history and goals, all online. No in office visit required.

2

A licensed provider reviews your answers

They look at your health history and goals, and prescribe only if it's right for you.

3

Your treatment ships straight to you

Free, discreet shipping. The box shows a pharmacy name, never Shed or any product details.

Which treatment is right for you?

Extend 3-in-1 PE tablet bottle
Extend
3-in-1 PE tablet
Rise 3-in-1 ED tablet bottle
Rise
3-in-1 ED tablet
Steady tadalafil daily tablet bottle
Steady
Daily ED tablet
Made for Men who want more control over timing and lasting longer Men who want on-demand performance, especially when single-ingredient pills underdelivered Men who prefer one daily tablet and full spontaneity, with no timing required
Benefits Designed to delay ejaculation and support control and confidence Designed to support arousal and blood flow: brain and body in one tablet Designed for consistent, background erectile support, every day
Formula Paroxetine 20mg, Tadalafil 5mg, L-Theanine 50mg Apomorphine 3mg, Tadalafil 20mg, Vardenafil 15mg Tadalafil 5mg
Usage One tablet 1–3 hours before sex, max one per 24 hours One sublingual tablet 15–60 minutes before sex, max one per 24 hours One tablet daily, around the same time each day
Get started Shop Rise Shop Steady

All treatments are prescription-only, prescribed by a licensed provider if appropriate. Compounded medications are not FDA-approved.

Questions? Answers.

Frequently asked questions

Will Extend help if ED pills didn't?
ED pills and Extend solve different problems. If your concern is finishing too soon rather than getting or keeping an erection, Extend is the one designed for you: its main active, paroxetine, is used to delay ejaculation, and it also includes a low dose of tadalafil for firmness. A provider reviews your history to determine if Extend is appropriate. Individual results vary.
When do I take Extend before sex?
Dissolve ½ to 1 tablet under the tongue at least 1 hour, ideally 2–3 hours, before anticipated sexual activity. Never take more than one tablet in 24 hours. Your provider will confirm your starting dose and timing based on your intake.
What's included in the price?
If prescribed: your Extend medication shipped quarterly, free discreet shipping, and unlimited provider follow-ups, including dose adjustments and safety re-screening at each renewal. No hidden fees, no insurance needed.
Why do you ask about antidepressants and mood history?
Extend contains paroxetine, an SSRI. Combining it with other serotonergic medications (other SSRIs/SNRIs, MAOIs, triptans, tramadol) can cause serotonin syndrome, a serious reaction, so those combinations are hard stops. We also screen for bipolar disorder, seizure history, and depression or suicidal thoughts, because SSRIs require careful use. Please answer these honestly and tell your provider about any mental-health medication.
Is Extend safe?
When prescribed appropriately after screening, Extend is designed to be well tolerated. Common side effects include nausea, drowsiness, dry mouth, headache, flushing, and indigestion. Because Extend contains an SSRI, seek urgent care for signs of serotonin syndrome (agitation, high fever, tremor, racing heart) or any worsening mood or suicidal thoughts. Our intake screens rigorously for serotonergic medications, psychiatric history, and cardiac risk, and re-screens at every renewal.
Will anyone know?
No. Your assessment is private, your medication ships in plain unmarked packaging, your billing descriptor is discreet, and your health information is protected under HIPAA.
Does Extend qualify for HSA/FSA?
Yes. Use your HSA or FSA card at checkout. Contact your plan provider to confirm eligibility and reimbursement details.
Can I adjust or cancel my plan?
Anytime. Adjust your plan with your provider, pause, or cancel from your Shed portal. No fees, no long-term contracts.
Extend by Shed

Take your time. On your terms.

Get started Prescription required · Free online visit · Cancel anytime · From $59.67/mo
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Extend from $XX/mo Free visit · Rx required · Cancel anytime
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