Extend

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 commonly used to delay ejaculation, and it also includes a low dose of tadalafil for firmness. If you've tried ED medications without the results you were hoping for, your provider can review your medical history, symptoms, and treatment goals to determine whether Extend may be an appropriate option for you. Individual results may vary.

Dissolve your prescribed dose 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.

If prescribed: your Extend medication shipped quarterly, free discreet shipping, and unlimited provider follow-ups, including dose adjustments. No hidden fees, no insurance needed.

Extend contains paroxetine, an SSRI. Some medications, including certain antidepressants, MAOIs, triptans, and tramadol, can interact with paroxetine and increase the risk of serotonin syndrome, a rare but serious condition. We also ask about bipolar disorder, seizure history, depression, and suicidal thoughts because SSRIs require careful prescribing and monitoring. Paroxetine carries an FDA boxed warning for increased risk of suicidal thoughts in patients under 25.

Please answer these questions honestly and let your provider know about any mental health conditions or medications you take. This information helps your provider determine whether Extend is a safe and appropriate treatment option for you.

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.

Do not take Extend if you use nitrates or riociguat (including prescription nitroglycerin or recreational 'poppers') or certain blood pressure medications — combining them can cause a sudden, dangerous drop in blood pressure.

Seek immediate medical attention if you have an erection lasting longer than 4 hours (priapism). Although rare, this is a medical emergency that can cause permanent damage if not treated promptly.

No. Your assessment is private, your medication ships in plain pharmacy packaging, your billing descriptor is discreet, and your health information is protected under HIPAA.

Extend may be eligible for HSA or FSA reimbursement. Coverage varies by plan, so check with your plan administrator to confirm eligibility.

Anytime. Adjust your plan with your provider, pause, or cancel from your Shed Member Portal. No fees, no long-term contracts.