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Tadalafil
Concentration
10mg / 20mg
Purity
Provider reviewed
Unit
10 doses/month
Category
Sexual Health

Sexual Health

Tadalafil

Up to 36 hours in your system, at either strength.

Tadalafil's 17.5-hour half-life gives this dose a window of activity that can run up to 36 hours, in 10mg or 20mg. A board-certified physician confirms the strength that's clinically appropriate for you before it ships.

Strength

Doses per month

Your provider confirms or adjusts your strength during your free online visit.

Purchase type

Save 10% today and on every refill. Auto-renews at your selected cadence, pause or cancel anytime.

Cadence

Tadalafil 10mg - 10 doses/mo$71 billed monthly

Only available if prescribed after an online consultation with a licensed provider.

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What's included

  • Medication and supplies
  • Provider visit and unlimited follow-ups
  • Free expedited shipping

Pause, change, or cancel anytime from your account.

How it works

Tadalafil works through the same PDE5 mechanism as sildenafil, but its pharmacokinetics differ in one important way: a half-life of roughly 17.5 hours, compared with a few hours for sildenafil, which is what stretches its window of activity out to as long as 36 hours at either strength. Like every PDE5 inhibitor, tadalafil requires sexual arousal to work, so the extended window changes how long the option stays available in your system, not whether stimulation is still necessary. 20mg delivers more active drug than 10mg for people who need a stronger response, and clinical evidence shows no benefit from exceeding 20mg on an as-needed basis.

What to expect

Onset typically falls between thirty and sixty minutes, with concentration peaking around the two-hour mark, later than sildenafil's roughly one-hour peak, the same timeline at 10mg or 20mg. Unlike sildenafil, absorption isn't meaningfully affected by food, so timing doesn't depend on when you last ate. From there, the effect can persist for up to 36 hours, which is why some clinicians describe it as extended-coverage dosing rather than single-event dosing. 20mg is generally reserved for people whose response to 10mg wasn't strong enough, and the documented side-effect profile can run somewhat more pronounced at that dose: nasal congestion, muscle or back aches, indigestion, flushing, and headache.

  • Roughly 36 hours of coverage from one dose, well beyond sildenafil's four-to-six-hour range
  • Absorption unaffected by meal timing, unlike sildenafil
  • 20mg available in your file if 10mg doesn't produce enough of a response, with no benefit past it
  • Approved by the FDA in 2003, extending the PDE5 inhibitor class beyond sildenafil alone
  • Scheduling flexibility for people who'd rather not plan around one fixed hour

Safety information

Nitrates and alpha-blockers are both absolute contraindications with tadalafil at either strength; combining either can send your blood pressure to unsafe lows. Your provider also checks for cardiovascular disease, uncontrolled blood pressure, and liver or kidney impairment before prescribing, since reduced organ function changes how tadalafil clears from your body. Side effects can run somewhat more pronounced at 20mg than at 10mg. If your provider decides tadalafil isn't clinically appropriate for you, you won't be charged for the medication.

Frequently asked questions

10mg is the standard starting point for as-needed use. Your provider moves you to 20mg, the maximum approved as-needed dose, only if 10mg doesn't produce an adequate response. Both strengths share the same 36-hour window and arousal requirement; 20mg simply delivers more active drug for people who need it.

Compounded medications are prepared by a US-licensed pharmacy and are not reviewed by the FDA for safety or effectiveness. Products are dispensed only after a licensed provider determines they are appropriate. Information here is educational and is not a substitute for medical advice.