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Keeps Powerhouse: What to Check Before You Refill

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By TotalCareMedical.com Health Team | August 2026

Product Summary

Best next step: save the product page and compare it with your full medication list with the clinician or pharmacist who knows that list.

What the current Keeps page lists

Item What the page says What to do with it
Product Keeps calls it Powerhouse Rx 3-in-1. Save the exact product name and page date.
Named actives Tadalafil 5 mg, vardenafil 10 mg, and apomorphine 2 mg. Keep this list beside your current medicines.
Prescription status Keeps says it is Rx only. Use the prescriber and pharmacy listed for your prescription.
Compounding Keeps says it is a compounded medicine. Ask for the current pharmacy label and instructions for your prescription.

See the current Keeps Powerhouse page before relying on this record. Product pages can change.

Why the ingredient labels still matter

The page above describes the final compounded product. The warnings below come from separate ingredient labels. They can help you ask questions. They do not prove that the final product is safe or right for you.

  • The tadalafil label says nitrates are contraindicated within 48 hours after the last dose.
  • The vardenafil label says nitrates and nitric-oxide donors are contraindicated.
  • The apomorphine label says 5HT3 antagonist drugs are contraindicated.

FDA says compounded drugs are not FDA-approved. FDA does not review their safety, effectiveness, or quality before they are sold.

A five-minute visit checklist

  1. Bring the current product page or pharmacy label. Bring your full medicine list too.
  2. Point out all three ingredients. Do not assume one label answers every question.
  3. Ask if any medicine you take conflicts with a warning above.
  4. Ask which label and directions apply to you. Save the pharmacy phone number.

Write down the answer. Add the date. Bring the note next time.

Primary sources used for this guide

Medical Disclaimer: This content is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare provider before starting any supplement, medication, or treatment program. Individual results may vary.