Ready when the moment is. One 5 mg tablet a day, with nothing to time or plan around.
$3.78/dayBilled $679 every 180 days
Medication is charged only if your clinician prescribes it.
Start with a $20 clinician review
57%
of attempts kept an erection long enough for intercourse on 5 mg daily, vs 31% on placebo (24 weeks)
Source: Cialis prescribing information, section 14 (once-daily study H)31,195 men
across 118 trials: tadalafil and vardenafil came out as the most effective oral ED tablets in a network meta-analysis
Source: Yuan J, et al. Eur Urol 2013;63(5):902-12 (systematic review and network meta-analysis)67%
the same measure in a second 12-week trial of 5 mg daily, vs 37% on placebo (163 men)
Source: Cialis prescribing information, section 14 (once-daily study I)17.5 hours
average half-life, so a daily tablet stays active between doses; levels settle within 5 days
Source: Cialis prescribing information, section 12.3Trial results are for brand tadalafil (Cialis) and for approved ED tablets as a group. Our tadalafil is a compounded 5 mg tablet from a licensed US pharmacy and was not studied in these trials. Individual results vary.
Stay ready without planning around a tablet, with a clinician-reviewed daily prescription delivered privately.
Licensed clinician review
A US-licensed clinician checks your health history, blood pressure, urinary symptoms and medicines before prescribing.
Prescription tadalafil 5 mg tablets
Compounded and dispensed by a licensed US pharmacy, one tablet a day, in a 90 or 180 day supply.
Free, plain-packaged shipping
Ships 2 to 5 business days after approval.
Care-team messaging
Tell us how it is going and your clinician can adjust your plan.
Free lab panel at month 3
Testosterone Check, as a progress check.
“I do not want to plan sex around a pill.”
No timing, no planning
One tablet a day, with or without food, so the moment does not have a clock on it.
“I do not want to talk about this face to face.”
No appointment, no waiting room
Questions online, review within 24 hours, tablets at your door.
“Is it safe with my other medicines?”
Medicine and blood pressure screening included
Nitrates, alpha blockers and heart history are checked before anything ships.
Testosterone Check
Arousal releases nitric oxide, which relaxes the muscle in the penis and lets blood flow in. An enzyme called PDE5 breaks that signal down. Tadalafil blocks PDE5, and because it clears slowly, with a half-life of about 17.5 hours, a low daily dose keeps it active between doses. It supports the response when you are aroused and does not create desire.
Erections depend on healthy blood vessels, which is why ED often travels with high blood pressure, diabetes and high cholesterol. Your clinician looks at those first, then prescribes only if tadalafil is safe and right for you.
One small tablet a day, ready when you are. A low daily dose means you never have to time a pill. Your clinician can switch you to as-needed dosing instead.
Your health, your blood pressure, any urinary symptoms and every medicine you take. No video call, no waiting room.
A few minutes
A US-licensed clinician screens for nitrates, heart health and blood pressure, and prescribes only if tadalafil fits.
Within 24 hours
From a licensed US pharmacy, with free shipping.
2 to 5 business days
Same time each day, with or without food. Support settles within about 5 days, and your care team adjusts with you.
Ongoing support
Take one tablet at the same time every day. Levels settle within about 5 days, so judge it after a week, not after one night.
Headache, indigestion, back or muscle aches and a stuffy nose are the most common. Tell your care team if they do not settle.
Message us about what you notice. Your clinician can adjust the plan, and urinary symptoms are worth mentioning too.
Ask about a blood panel. Blood pressure, blood sugar and low testosterone can all stand behind it, and fixing them helps the tablet work.
Three things you can do alongside your treatment.
ED shares its risk factors with heart disease: blood pressure, blood sugar and cholesterol. Ask about a panel covering fasting glucose, A1C, lipids and free testosterone, and recheck it as you go.
Muscle works as a metabolic organ that helps your body handle blood sugar. Strength training and a walk after meals support the same vessels the tablet relies on.
Chronic stress keeps cortisol up and can shut down arousal. Daily movement, outdoor time and steady sleep lower that load, and a daily tablet means one less thing to perform around.
| Feature | Tadalafil daily | Sildenafil | PT-141 |
|---|---|---|---|
| When you take it | One tablet every day, whether or not sex is planned | About 1 hour before sex, as needed | At least 45 minutes before sex, as needed |
| How long it lasts | Stays active between daily doses (half-life 17.5 hours) | Up to about 4 hours, strongest in the first 2 | Set by the dose; one in 24 hours at most |
| Food | No effect | A high-fat meal can delay it by about an hour | Can slow how fast oral medicines absorb |
| Also on the brand label | Urinary symptoms of an enlarged prostate at 5 mg daily | Erectile dysfunction only | Low desire in premenopausal women only |
| Best for | Not wanting to plan around a tablet | Planned moments | Low desire more than erection trouble |
| Regulatory status | Compounded, not FDA approved | Compounded, not FDA approved | Compounded, not FDA approved; off-label in men |
Our tadalafil is a 5 mg daily tablet. Your clinician recommends the right option from your health history.
Take 1 tablet (5 mg) by mouth once a day, at about the same time each day, with or without food. Do not take more than one tablet in 24 hours.
Tell your care team straight away if an erection lasts longer than 4 hours, you lose vision suddenly, your hearing drops suddenly, or you get chest pain or severe dizziness or you faint after a dose.
Common side effects
Rare but serious
Do not take this if you take any nitrate, you take riociguat, or you have reacted badly to tadalafil before.
This is not a complete list of side effects. Message your care team about any symptom that worries you.
The brand label reports steady levels within 5 days of daily dosing. Take it at the same time each day and give it about a week before judging.
Ours is a 5 mg tablet taken once a day, and it stays active between doses. If you only want something for planned moments, sildenafil is the as-needed option we offer.
Keep it moderate. The brand label warns that five or more units of alcohol, especially with blood pressure medicines or alpha blockers, can drop your blood pressure.
The brand 5 mg daily dose is also approved for urinary symptoms of an enlarged prostate. Tell your clinician if you have them. Ours is compounded and was not part of those trials.
Headache, indigestion, back or muscle aches, flushing and a stuffy nose. Back ache is more typical of tadalafil than sildenafil.
It has the same active ingredient, but ours is compounded by a licensed US pharmacy and is not FDA approved. The numbers above come from trials of the brand, which did not test our version.
Support fades as the medicine clears over a few days, because the half-life is 17.5 hours. Nothing about it is permanent, and you can restart with your clinician.
180-day supply · $3.78/day · Billed $679 every 180 days
