Be ready in 5 minutes, not an hour.
Intranasal ED treatment, designed to work in the moment with fast, on-demand delivery in as little as 5 minutes.* No pill to swallow. No planning around digestion. Just spray and get back to the moment.
Takes about 2 minutes
No in-person appointment. No awkward conversation. A licensed U.S. provider reviews your intake and decides if treatment is appropriate.
Nothing kills the mood like waiting for your ED medication to kick in. When sex has to be planned around a pill, spontaneity goes out the window. Roxus gets you ready in as little as 5 minutes*, so you can be ready when they are.
ED is incredibly common. And when it shows up in a relationship, it can affect both of you.
Roxus® was designed to help get ED out of the way, so you can get back to being you two again.
¹ National Institute of Diabetes and Digestive and Kidney Diseases. Definition & Facts for Erectile Dysfunction.² Feldman HA, et al. Massachusetts Male Aging Study. Journal of Urology. 1994.³ Nimbi, F.M., et al. (2021). “Is Female Wellness Affected When Men Blame Them for Erectile Dysfunction?” Sexual Medicine / PMC8240332.

*Based on pharmacokinetic studies of intranasal vardenafil. Median Tmax ~10 minutes (range 5–60 minutes). Tmax measures time to peak plasma concentration, not time to erection or clinical efficacy. Individual results may vary.
Comparison is based on pharmacokinetic time-to-peak plasma concentration data for intranasal vardenafil and published pharmacokinetic data for oral vardenafil tablets. Roxus® median Tmax was approximately 10 minutes (range 5–60 minutes); published oral tablet Tmax is approximately 45–58 minutes. Tmax measures time to peak medication concentration in the bloodstream, not time to erection or clinical efficacy. Individual results may vary.

Roxus® is designed to help take the planning, waiting, and second-guessing out of the bedroom, so there's more room for everything you actually want there.
Getting Roxus® doesn't require an awkward trip to the doctor's office.

Answer a few private health questions online. It only takes a few minutes.

A U.S.-licensed healthcare provider reviews your information and determines whether Roxus® is appropriate for you.

If approved, your provider prescribes Roxus®. No unnecessary in-person appointment.

Your treatment ships directly to you so you can get started from home.
Be the first to know when Roxus® is available in your state, plus launch pricing and updates — no spam, no commitment.
We'll text and email you the moment Roxus® launches in your state. As a thank-you for signing up early, you'll get a discount on your first order.
















You don't need to sit across from someone and talk about your sex life to get real medical care.
The Roxus® process is private, online, and judgment-free. Complete your medical intake from home. A licensed U.S. healthcare provider reviews your information and determines whether treatment is appropriate.
*Based on pharmacokinetic studies of Spontan, marketed in the U.S. as Roxus. Median Tmax ~10 minutes (range 5–60 minutes). Tmax is not a measure of time to erection. Individual results may vary. Onset claims are based on self-reported user experience, with some users reporting onset of effect in as little as 5 minutes; individual results vary and are not guaranteed. Separately, in two Phase 1 clinical studies, intranasally delivered vardenafil reached peak plasma concentration at a mean of approximately 10 minutes, compared with approximately 45 to 58 minutes for a 10mg oral vardenafil tablet. Time to peak plasma concentration measures drug absorption and may not directly correspond to time to onset of effect. Sources: Chung et al. 2025; Chow/Wang et al. 2023.
Roxus® is a compounded medication dispensed through licensed 503A compounding pharmacies and is not FDA-approved. Individual results vary. Mavrox treatments are prescription-only. Do not take if you use nitrates, have low blood pressure, or have been advised against sexual activity. Consult your provider before starting any treatment.
Do not take Roxus if you use nitrates (including recreational "poppers"), riociguat, or 5HT3 antagonists — these combinations can cause a dangerous drop in blood pressure or severe hypotension. Seek immediate medical attention for an erection lasting longer than 4 hours. Tell your provider about any heart conditions, recent heart attack or stroke, low blood pressure, dizziness or fainting history, dialysis, or use of alpha-blockers. Possible side effects may include nasal congestion, headache, flushing, dizziness, or indigestion.