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Tadalafil Online
Medically reviewed by Dr. Emmanuel Noel Cruz Tancinco, MDLast reviewed October 13, 2026Tadalafil is a medication used to treat erectile dysfunction (ED). Known for its long duration — up to 36 hours — it can be taken as needed or as a low daily dose. Our compounded tadalafil is a tablet prescribed after online provider review. Explore clinician-guided tadalafil with transparent pricing and licensed pharmacy fulfillment.
- Tadalafil improves blood flow to help you get and keep an erection.
- Long-lasting — up to 36 hours — as an as-needed or daily tablet.
- Free shipping in discreet packaging.
As low as
$69/mo
Provider review included in your plan · Prescribed only when appropriate
- Free shipping
- Licensed clinicians
- Cancel anytime
Compounded medications are not FDA-approved. The FDA does not review compounded medications for safety, effectiveness, or quality before they are marketed. A licensed provider determines whether a compounded medication is appropriate based on an individual patient’s medical needs.
What is Tadalafil?
Tadalafil is a medication used to treat erectile dysfunction. It is long-acting — up to 36 hours — and can be taken as needed or as a low daily dose.
What are the potential benefits of tadalafil?
Tadalafil is a well-established ED medication with a long duration of action — up to 36 hours when taken as needed — which may allow more flexibility in timing. A low daily dose is also available. Results vary, and a licensed provider can help set realistic expectations.
Does Tadalafil work on its own?
No. Tadalafil requires sexual stimulation to work — it does not cause an automatic erection. Taken as needed, it can be effective for up to 36 hours.
Tadalafil at a glance
- Treatment
- Sexual Health
- Form
- Oral
- Prescription
- Required, after clinician review
- Price
- From $69/mo
- Shipping
- Free and discreet
- Availability
- Online in 35 states
ED Treatment, With Clinician Guidance
Tadalafil is a widely used treatment for erectile dysfunction, offered here as a compounded tablet with clinician guidance. A licensed provider reviews your history and medications to determine whether it is appropriate for you.
The basics
What Is Tadalafil?
Tadalafil is one of the most widely used treatments for erectile dysfunction (ED). It is known for its long duration — up to 36 hours. Our compounded version is a tablet taken either as needed or as a low daily dose. This compounded tablet formulation is not an FDA-approved product.
What are the potential benefits of Tadalafil?
Firmer erections
Helps you get and keep an erection firm enough for sex when you’re aroused.
Lasts up to 36 hours
A long-lasting ED treatment — effective for up to 36 hours.
More spontaneity
Because it lasts so long, you don’t need to time intimacy closely around a dose.
Steady daily effect
A low daily dose keeps a steady level, so no timing is needed at all.
Improves blood flow
Relaxes blood vessels so more blood can flow in during arousal.
Urinary symptoms
Tadalafil is also used to ease urinary symptoms of an enlarged prostate, such as getting up at night to urinate.
Proven treatment
A well-established, effective option for erectile dysfunction.
Benefit These statements describe general treatment research and are not claims of specific outcomes. Evidence for tadalafil in erectile dysfunction is well established, though individual results vary.
As needed
Step by step
How to take tadalafil
General tips. Always follow the directions from your provider and the pharmacy label.
Step by step
How to take tadalafil
General tips. Always follow the directions from your provider and the pharmacy label.
As needed
Take one tablet at least 30 minutes before sexual activity. It can keep working for up to 36 hours.
Or once daily
On the daily plan, take one low-dose tablet at the same time every day.
With or without food
Food doesn’t affect it much, so take it whichever way suits you.
Go easy on alcohol
Heavy drinking can make erections harder and add to side effects like dizziness.
Never with nitrates
Don’t take it with nitrate medications, “poppers,” or riociguat. The combination can cause a dangerous drop in blood pressure.
Long-lasting erection?
Seek emergency care for an erection that lasts more than 4 hours.
Common side effects
Headache, indigestion, or back and muscle aches are common and usually pass. Tell your care team if they don’t.
Begin your journey with DripVitals
Every wellness journey is different, and so are our customized tadalafil plans.
- STEP #1
Select your treatment
Choose a plan that fits your needs and complete a medical intake form for review by providers.
- STEP #2
Provider evaluation
A licensed provider reviews your ED to determine if tadalafil is right for you — all online.
- STEP #3
Your medication, delivered
If approved, your tadalafil ships in 3–5 days with discreet packaging, so you can start your journey.
Tadalafil Safety, Side Effects, and Eligibility
Like any medication, tadalafil carries potential risks, and they are not appropriate for everyone. Reviewing the following with a licensed provider is an essential part of treatment.
Potential side effects
Common side effects include headache, facial flushing, nasal congestion, indigestion, and back or muscle pain (which is more commonly reported with tadalafil and usually resolves on its own). Seek immediate medical attention for an erection lasting more than 4 hours (priapism), sudden vision or hearing loss, chest pain, or signs of an allergic reaction. Tadalafil can lower blood pressure, which may cause dizziness.
Who Should Not Use Tadalafil?
Do not use tadalafil if you take nitrate medications (such as nitroglycerin), use recreational nitrites known as “poppers,” or take riociguat or another guanylate cyclase stimulator. These combinations can cause a dangerous drop in blood pressure. Tell your provider if you have heart disease, low or uncontrolled blood pressure, a history of stroke or heart attack, severe liver or kidney problems, a bleeding disorder, or an eye condition such as retinitis pigmentosa. Also mention alpha-blockers or other blood-pressure medications. A provider will review your history to decide whether tadalafil is appropriate. Tell your provider if you have chest pain, heart disease, heart rhythm problems, low or uncontrolled blood pressure, a recent heart attack or stroke, severe liver or kidney disease, or if a clinician has advised you to avoid sexual activity. Your provider reviews your history and will decline treatment when it is not safe or appropriate. Not everyone who applies will qualify.
Drug-interaction review
Share a complete list of your prescriptions, over-the-counter products, vitamins, and supplements during your consultation so your provider can check for potential interactions. Never start, stop, or change a medication without talking to a licensed provider.
When to contact a medical provider, and why results vary
Contact your provider if you experience side effects, have questions about dosing, or notice anything unexpected. Individual results vary based on your health, the plan prescribed, and many factors outside any single treatment, and no specific outcome is guaranteed.
Compounded medications are not FDA-approved. The FDA does not review compounded medications for safety, effectiveness, or quality before they are marketed. A licensed provider determines whether a compounded medication is appropriate based on an individual patient’s medical needs.
Comparison
Tadalafil vs. Sildenafil
Both are PDE5 inhibitors for erectile dysfunction. Tadalafil is longer-acting — effective for up to 36 hours and available as a low daily dose, which removes the need to time a dose around intimacy. Sildenafil works for about 4–6 hours and is taken as needed. Sildenafil can be more affected by food, while tadalafil is less so. The best choice depends on your preferences and health history, which a licensed provider can review with you.
Why Choose Clinician-Guided Tadalafil?
- Structured dosing and check-ins with your care team
- Includes support for nutrition, sleep, and movement goals
- 24/7 access to messaging with your care team
- Monthly check-ins and as-needed dosage adjustments when clinically appropriate
- Plans designed to stay affordable
Program
Tadalafil Cost & What’s Included
A DripVitals tadalafil program is a clinician-guided subscription that bundles your care and medication. Depending on what your provider prescribes, it typically includes:
- Online medical consultation and licensed-provider review
- Your prescribed medication from a licensed pharmacy
- Medication with clear usage instructions
Free, discreet shipping- Ongoing messaging access to your care team
Follow-up check-ins with dose adjustments when clinically appropriate
A subscription you can cancel at any time- Ready when you areStart your evaluation
Simple, transparent pricing
One plan. It includes your provider consultation, medication if prescribed, usage instructions, and free discreet shipping. Cancel anytime.
$69/month billed monthly. A licensed provider determines whether treatment is appropriate based on your individual medical needs. Individual results vary.
Medically Reviewed
Dr. Emmanuel Noel Cruz Tancinco, MD
Attending Physician · ABAARM · FAAMM · DABOM
Board-certified in obesity medicine and internal medicine, with practice focused on hormone optimization, metabolic medicine, and longevity-focused care — licensed in all 35 states we serve.
- Hormone Optimization
- Obesity & Metabolic Medicine
- Longevity-Focused Care
- Functional Medicine
Education & certifications
- American Board of Anti-Aging and Regenerative Medicine (ABAARM)
- Anti-Aging Metabolic Medicine, American Academy of Anti-Aging Medicine
- American Board of Obesity Medicine (DABOM)
- American Board of Internal Medicine
- The Institute for Functional Medicine
- Bioidentical Hormone Replacement Therapy certified
- Peptide Certification / Member, International Peptide Society
- Integrative Gastroenterology, Endocrinology, Cardiology & Neurology Certification, The George Washington University School of Medicine and Health Sciences
- Member, The American Academy of Anti-Aging Medicine (A4M)
- Member, American College of Physicians
This page was reviewed for medical accuracy. Treatment decisions are made by a licensed provider after reviewing each patient’s medical history. Last medically reviewed October 13, 2026.
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Tadalafil: Frequently Asked Questions
Clear, medically reviewed answers about tadalafil — what they are, safety, administration, and how the program works.
Is tadalafil FDA-approved?
Our compounded tadalafil tablet formulation is not an FDA-approved product; compounded preparations are not reviewed by FDA before marketing. A provider determines what is appropriate.
What are the potential side effects?
Common side effects can include headache, upset stomach, back or muscle aches, facial flushing, and stuffy nose. Get emergency help for chest pain, fainting, an erection lasting more than 4 hours, or sudden loss of vision or hearing. Tell your provider about any side effects that bother you.
Who should not use tadalafil?
Tadalafil is not appropriate for everyone. Do not use it if you take nitrate medications (such as nitroglycerin), use “poppers,” or take riociguat, or if you have been told sexual activity isn’t safe for your heart. Tell your provider about any heart, blood-pressure, liver, kidney, or eye conditions, including any past sudden vision loss. A licensed provider reviews this information and will decline treatment if it isn’t safe or appropriate for you. Not everyone who applies will qualify.
Can tadalafil be taken with other medications?
Not always. Most importantly, tadalafil must not be combined with nitrate medications, “poppers,” or riociguat (used for certain lung blood-pressure conditions), and it needs caution with alpha-blockers and other blood-pressure medicines. Tell your provider about everything you take.
How is tadalafil taken?
The tablet is swallowed as directed. Taken as needed, tadalafil can be used ahead of intimacy and stays active for up to 36 hours; a low daily dose keeps a steady level with no timing needed. Sexual stimulation is still required for it to work.
How long does tadalafil last?
Tadalafil is long-acting — a single as-needed dose can remain effective for up to 36 hours, though this varies from person to person.
Does tadalafil increase desire?
No. Tadalafil helps with the physical ability to get an erection when aroused; it does not increase libido or sexual desire on its own.
What is included in the DripVitals program?
A DripVitals tadalafil program typically includes your online medical consultation and provider review, your prescribed medication from a licensed pharmacy, medication and usage instructions where applicable, free discreet shipping, ongoing messaging access to your care team, and follow-up check-ins with dose adjustments when clinically appropriate. Plans are offered as a subscription you can cancel at any time. Exact inclusions and pricing depend on the plan and what your provider prescribes.
Is a consultation required?
Yes. Tadalafil requires a prescription, so a licensed provider must review your health information before any treatment is dispensed. The consultation is completed online through a secure intake form, and your provider may follow up with questions. If treatment isn’t appropriate for you, the provider will not issue a prescription.
How much does tadalafil cost?
DripVitals tadalafil pricing is simple: $69/month, billed monthly, including the consultation, medication if prescribed, and free discreet shipping. Your dashboard shows exactly what you’ll pay and when, with no hidden fees, and you can cancel your subscription at any time.
Still have questions?
Disclaimer
Only available if prescribed after an online consultation with a healthcare provider. Plans are offered as a subscription service which can be canceled at any time. Actual product packaging may appear differently than shown. Physicians may prescribe compounded medications as needed to meet patient requirements. The FDA does not review or approve any compounded medications for safety or effectiveness. The statements on this page have not been evaluated by the FDA. Results may vary. If you notice any side effects while using this treatment, contact your healthcare provider immediately.
Start your online evaluation
Tadalafil from $69/mo. A licensed clinician reviews your answers.