4-in-14-in-1 ED Formula
SuperStrut
A 4-in-1 compounded dissolvable ED tablet that may work in as little as 15 minutes.*
Important safety informationSEXUAL HEALTH
ParoxetineRx
Prescription PE & ED
Formulas
Last Longer. Stay Harder.
Physician-prescribed compounded capsules combining Paroxetine, an SSRI, along with trusted ED ingredients. Choose from simple 2-ingredient formulas up to our full-strength 4-in-1 Max. Taken as needed, with no daily commitment.
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Starting at
$49/mo
ParoxetineRx capsules (multiple tiers available)
Combines PE + ED treatment in one capsule
Take as-needed, no daily commitment
Up to 4-in-1 Max formula available
Partner-transfer free
Free shipping in discreet packaging
Message your provider anytime
Free physician visits
Free follow-ups
Cancel anytime
What Is ParoxetineRx?
Physician-prescribed compounded capsules combining Paroxetine with trusted ED ingredients, taken as-needed for both PE and ED in one capsule.
Active Ingredients: Paroxetine, Tadalafil, Sildenafil (Max), Apomorphine (Max)
Paroxetine (SSRI)
May affect serotonin reuptake in the brain, which may help delay ejaculation. Used off-label for PE.*
Tadalafil
PDE5 inhibitor included in all ParoxetineRx formulas that may support erectile function.*
Sildenafil
Additional PDE5 inhibitor included in Max formulas for added erectile support.*
Apomorphine
Dopamine agonist that may support arousal centrally.*
ParoxetineRx: Designed for staying power.
Tackle PE and ED in a single compounded capsule. Our formulas range from simple 2-ingredient combinations up to our 4-in-1 Max, prescribed by physicians for as-needed use.
May Help You Last Longer*
May help extend time to ejaculation.*
Built for the Moment
No rushing, no pulling back. Just staying in it.
Keeps going when it counts
Full erectile support, so more time doesn't mean less performance.
One capsule, two goals
Two conditions, one pill, taken only when you need it.
Compounded ParoxetineRx vs SSRI vs Delay Spray for PE
ParoxetineRxMost popular
Combines PE + ED treatmentMay support PE + ED together*
Preserves sensationSensation preserved*
Up to 4-in-1 formulaCustomizable to needs
Partner transferPartner-transfer free
Discreet, as-needed dosingYes
SSRI libido impactLower risk (as-needed dosing)
Standalone SSRI
Combines PE + ED treatmentNo (SSRI only)
Preserves sensationYes
Up to 4-in-1 formulaNo
Partner transferPartner-transfer free
Discreet, as-needed dosingNo (daily required)
SSRI libido impactHigher risk (daily dosing common)
Delay Spray
Combines PE + ED treatmentMay reduce erection quality
Preserves sensationNo, reduces sensation
Up to 4-in-1 formulaNo
Partner transferYes, can decrease sensation for partner
Discreet, as-needed dosingNon-discreet (applied at use)
SSRI libido impactNo (not an SSRI)
Potential Benefits
ParoxetineRx is designed to help you last longer while staying harder, combining PE and ED treatment in a single physician-prescribed capsule.*
Results may vary.*
May help delay
ejaculation*
May support ED
up to 36 hrs*
As-needed, no daily
commitment
Full sensation
preserved*
Choose Your Formula
PAROXETINERX MAX 2.0
$99
30-day supply
Paroxetine 20mg + Sildenafil 60mg + Tadalafil 7.5mg + Apomorphine 2mg
Get StartedPAROXETINERX MAX 2.0 DOUBLE
$139
30-day supply
Paroxetine 40mg + Sildenafil 120mg + Tadalafil 15mg + Apomorphine 4mg
Get StartedPrice includes physician consultations and free shipping. Final pricing confirmed after consultation.
How It Works
01
Fill Out Medical Questionnaire
Brief health assessment to customize your treatment plan.
02
Get Custom Treatment Plan
Our physicians develop a personalized solution just for you.
03
Shipped Directly to Your Door
Discreet packaging with regular monthly delivery.
FROM OUR PHYSICIANS
“Premature ejaculation gets joked about far more often than it gets treated, and that silence keeps men out of real medical conversations. We prescribe paroxetine off-label for this, at a carefully considered dose, with a physician reviewing your history first. This condition deserves that level of seriousness.”
Simal Patel, MD
Founder and CEO at Strut Health
Frequently Asked Questions
What is ParoxetineRx?
ParoxetineRx is a physician-prescribed compounded capsule combining Paroxetine, an SSRI used off-label for premature ejaculation, with trusted ED ingredients in a single as-needed dose.
What's the difference between the formulas?
PAROXETINERX pairs Paroxetine 20mg with Tadalafil 20mg. PLUS steps the Paroxetine up to 40mg with the same Tadalafil 20mg. MAX 2.0 adds Sildenafil and Apomorphine alongside Paroxetine 20mg and Tadalafil 7.5mg, and MAX 2.0 DOUBLE is that same combination at double the strength, for PE and ED support in one capsule.
How is Paroxetine different from Dapoxetine?
Both are SSRIs that delay ejaculation by affecting serotonin. Paroxetine is an established, widely prescribed SSRI used off-label for PE; Dapoxetine is a shorter-acting SSRI developed specifically for on-demand PE dosing but is not FDA-approved in the U.S. Your physician can help determine which approach fits your history.
Is Paroxetine as effective as Dapoxetine for PE?
Both may meaningfully delay ejaculation, and response varies by individual. Paroxetine has decades of clinical use as an SSRI, though primarily studied for mood disorders rather than PE specifically. Your prescribing physician can help set expectations based on your history.*
How do I take ParoxetineRx?
Take ParoxetineRx as directed by your doctor, typically as-needed, before anticipated sexual activity. Follow your physician's specific dosing instructions.
How long does it take to work?
Most patients experience effects within 1 to 3 hours of taking their dose. The Tadalafil component remains active for up to 36 hours.
Do I need to take it every day?
No. ParoxetineRx is designed for as-needed dosing, with no daily commitment required. Follow your prescribing physician's instructions.
What are the side effects?
Common side effects include nausea, drowsiness, dizziness, dry mouth, sweating, headache, and gastrointestinal upset.
What should I tell my doctor before starting?
Share any history of mood disorders, bleeding disorders, heart problems, low blood pressure, vision or hearing concerns, and any antidepressants, MAOIs, or other current medications.
What should I avoid while taking ParoxetineRx?
Avoid MAOIs, other SSRIs, nitrate drugs for chest pain, and grapefruit products. Limit alcohol use, which may increase dizziness and side effects.
What if I take too much?
Taking more than your prescribed dose can increase side effects, including serotonin syndrome symptoms or a painful, prolonged erection. Contact your doctor or seek emergency care if this occurs.
How should I store it?
Store ParoxetineRx in a cool, dry place, away from direct light and out of reach of children. Follow any additional instructions provided with your prescription.
Backed by Science & Experts
We work with leading physicians and compounding pharmacists with decades of experience in sexual health and performance medicine. Strut is qualified to help you find the right treatment for your needs. We are driven to improve the digital healthcare experience and our team is available to help you throughout the process.
U.S. Licensed Physicians
U.S. Pharmacy
Discreet Free Shipping
LegitScript Accredited
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Important safety informationCheck If You Qualify
*All prescription medications require a valid and complete online consultation prior to approval and final pricing is determined. All compounded medications in the U.S. are considered off-label use. Our licensed doctors have the ability to prescribe compounds for off-label treatment, if they believe that it is an appropriate course of treatment. The drug and medical information provided on this website is not meant to cover all adverse effects, drug interactions, warnings, medical uses, directions and precautions. The information provided is a medical resource and the judgment of your physician and/or healthcare practitioner should not be substituted. Compound prescription products have not been tested or approved by the FDA for their intended use. No claims are made as to the safety, efficacy or use of this compound. These statements have not been evaluated by the Food and Drug Administration. These products are not intended to diagnose, treat, cure, or prevent any disease.