Tadalafil
Tadalafil
Generic tadalafil is an FDA-approved medication for erectile dysfunction and certain urinary symptoms of benign prostatic hyperplasia. It is prescribed after a clinician reviews your health and your other medications.
How it is offered
Added at Clinician Discretion
Pricing
Offered alongside care. Any charge is shown to you before you authorize it.
Tadalafil is a prescription medication. A licensed clinician decides whether it is appropriate after reviewing your history and your medication list. Evidence standards.
Start Your Assessment →What Is Tadalafil?
Tadalafil is an FDA-approved medication for erectile dysfunction and for urinary symptoms of benign prostatic hyperplasia, available as a generic.
It is prescribed only after your clinician screens your cardiovascular health and your medication list. Nitrates are a firm reason not to take it.
Good to Know
- Prescribed only after a clinician reviews your history.
- Dose and course are set by your clinician, not by you.
- Results vary, and we do not promise outcomes.
Who It Is For
Eligibility
Often a Good Fit If
- ✓Adult men with erectile dysfunction
- ✓Men with urinary symptoms from an enlarged prostate, where appropriate
- ✓A clear medication list, including anything taken for blood pressure or heart conditions
- ✓Prefers a discreet, ongoing way to manage the condition
Not Prescribed If
- —Taking nitrate medications in any form, or riociguat
- —Recent heart attack, stroke or unstable heart disease, unless cleared by a cardiologist
- —Prior sudden vision loss in one eye, or a serious reaction to a PDE5 inhibitor
- —Severe liver or kidney disease without clinician guidance
Read Before You Decide
Key Risks, Stated Plainly
Common effects are headache, flushing, nasal congestion, indigestion, back pain and muscle aches. Combining tadalafil with nitrates or certain other medicines can cause a dangerous drop in blood pressure, which is why your full medication list matters.
Contact care the same day for
An erection lasting longer than four hours, sudden loss of vision in one or both eyes, sudden decrease or loss of hearing, chest pain during sexual activity, or fainting.
What Is Measured
Blood Pressure and Heart History
Safety screening before any PDE5 inhibitor is prescribed.
Medication List
Interactions, especially with nitrates and blood-pressure medicines.
Metabolic Markers
Glucose, lipids and, where indicated, testosterone.
Response and Tolerance
Reviewed at follow-up to adjust the regimen.
A Clearer Path Forward
How Clinicians Review Your Response
You and Your Clinician Look at the Same Data
Symptoms you report, laboratory results and, if you connect one, wearable trends are reviewed together before any change.
A Physician-Led Review Every 90 Days
Included in your monthly price. Your clinician decides whether to continue, adjust the dose, change course or stop.
Clinical Judgment Decides
Measurements inform the decision. They do not make it, and no dashboard changes your dose on its own.
Your Care Sequence
01
Questionnaire
Share your history and goals in about ten minutes. No card required.
02
Video Visit
Meet your clinician to review your health, your medications and the dosing approach.
03
Delivery
If prescribed, medication ships from a licensed pharmacy, cold-chain when required, with supplies.
04
Ongoing Care
Messaging between visits and a physician-led review every 90 days, included with your care.
Common Questions About Tadalafil
Is Generic Tadalafil the Same as Cialis?+
Generic tadalafil contains the same active ingredient as the brand. It is FDA-approved and dispensed by a licensed pharmacy.
Daily or As Needed?+
Both approaches exist. Your clinician chooses based on your needs, your other conditions and your preferences.
Is It Safe With My Heart or Blood-Pressure Medication?+
Sometimes, and sometimes not. Nitrates are an absolute reason not to take it. Your clinician reviews your full medication list before prescribing.
Will It Arrive in Plain Packaging?+
Yes. Shipments use plain, unmarked packaging.
Still unsure? Message the care team before you join. No account needed.
The Mechanism
How Tadalafil Works
PDE5 Inhibition
Blocks an enzyme that breaks down a signaling molecule needed for blood flow.
Local Blood Flow
Supports the relaxation of smooth muscle and increased blood flow to erectile tissue.
For Readers Who Want More
Deeper Evidence
What We Can and Cannot Tell YouEvidence and regulatory status+
What the Evidence Supports
Tadalafil is FDA-approved for erectile dysfunction and for urinary symptoms of benign prostatic hyperplasia, with a well-characterized safety profile.
What It Does Not (Yet)
It does not treat the underlying cause of erectile dysfunction, and it does not increase desire. It works only with sexual stimulation.
Badge definitions and FDA category sourcing are on the Science page.
Selected Studies
There are no large, published randomized trials in people for this use, so we cite none as proof. What exists is mostly laboratory and animal research, and we describe it as that.
See Whether Tadalafil Is Appropriate for You
Ten minutes, no card, reviewed by a clinician.