- LegitScript Certified
- US-licensed pharmacy
- Ships in 3 to 5 days
Common questions
Tadalafil Daily
Your everyday option, at the strength that fits you.
Taken once a day, low-dose tadalafil keeps a steady level of medication in your system so timing around activity isn't necessary. Available in 2.5mg and 5mg, it's confirmed clinically appropriate for you by a board-certified physician before it ships.
- One tablet daily
- Always ready
- Low dose
- Oral tablet
Strength
Purchase type
Save 10% today and on every refill. Auto-renews at your selected cadence, pause or cancel anytime.
Cadence
Strength set by your provider. They confirm the right strength and dose after reviewing your required post-purchase intake.
Payment does not guarantee a prescription. Complete the required pharmacist intake after purchase.
What's included
- ✓Medication and supplies
- ✓Provider visit and unlimited follow-ups
- ✓Free expedited shipping
Pause, change, or cancel anytime from your account.
After checkout you complete a short medical review in your member portal, and a US-licensed provider reviews it before any tadalafil ships.
Always ready, no planning
A low daily dose keeps a steady level of tadalafil in your system, so you do not have to time anything around intimacy.
The lowest effective strengths
Daily dosing uses 2.5 mg or 5 mg, lower than the as-needed tablet, taken once every day.
The active ingredient in Cialis
Tadalafil is the same active ingredient found in branded Cialis for daily use, compounded by a US-licensed pharmacy.
A provider reviews you first
A US-licensed provider checks your health history and heart risks before prescribing. Real pricing, shown up front.
About Tadalafil Daily
Daily tadalafil uses the same PDE5 mechanism as the as-needed doses, just at a much lower strength taken every day instead of before a single event. Because you take it continuously, tadalafil builds up to a steady level in your body over about five days, rather than rising and falling with a single dose, at either 2.5mg or 5mg. Like every PDE5 inhibitor, it requires sexual arousal to work; it doesn't create desire and won't produce an erection without stimulation, it simply keeps the response available at any time. 5mg delivers more active drug at that steady state than 2.5mg, for people who are sexually active more often or need a stronger response.
- FDA-approved for daily use since 2008, with efficacy data extending out to three years
- No timing required around activity, since the medication stays at a steady level
- 5mg available in your file for a stronger response than 2.5mg, at the same steady-state timeline
- A milder side-effect profile than as-needed dosing for most people
- Best suited to those who are sexually active two or more times a week
A low dose every day builds up
Taken daily, tadalafil reaches a steady level in your blood over about five days.
It keeps PDE5 inhibited
With PDE5 held in check, cGMP stays higher whenever arousal raises it in the smooth muscle of the penis.
Smooth muscle can relax on demand
Blood flows into the erectile tissue during arousal, without planning around a dose.
A steady baseline, so you are ready during arousal at any time, and stimulation is still required.
How to get it
Today
Answer a few health questions
Complete a short online visit about your health, heart history, and the medications you take.
Next
A provider reviews
A US-licensed provider reviews your history and prescribes daily tadalafil if it is appropriate for you.
3 to 5 days
The pharmacy ships free
A US-licensed pharmacy compounds your dose and ships it free in discreet packaging.
Ongoing
Adjust with follow-ups
Message your care team anytime, and your provider can move you between 2.5 mg and 5 mg based on how you respond.
What the research shows
Once-daily tadalafil has been evaluated in randomized, double-blind, placebo-controlled trials. Here is what that research found.
9.7 versus 0.9 points
daily tadalafil 5 mg improved erectile function domain scores where placebo barely moved, in a randomized placebo-controlled trial.
Porst et al., Eur Urol 2006
Confirmed in a US trial
once-daily tadalafil improved all three primary measures of erectile function versus placebo.
Rajfer et al., Int J Impot Res 2007
One low-dose tablet daily
A steady level with no timing around intimacy, and no injections or in-office visits required.
References
- Porst H, et al. Evaluation of the efficacy and safety of once-a-day dosing of tadalafil 5 mg and 10 mg in the treatment of erectile dysfunction: results of a multicenter, randomized, double-blind, placebo-controlled trial. Eur Urol. 2006;50(2):351-359.
- Rajfer J, et al. Tadalafil dosed once a day in men with erectile dysfunction: a randomized, double-blind, placebo-controlled study in the US. Int J Impot Res. 2007;19(1):95-103.
Tadalafil daily or Tadalafil as needed
Daily versus as needed
| Tadalafil daily | Tadalafil as needed | |
|---|---|---|
| How you take it | One low dose every day | A dose before intimacy |
| Spontaneity | Always ready, no timing | Plan within a 36 hour window |
| Planning around sex | None needed | Take ahead of time |
| Strength | 2.5 mg or 5 mg daily | 10 mg or 20 mg as needed |
| Best for | Frequent or spontaneous intimacy | Occasional, planned intimacy |
| Active ingredient | Same as branded Cialis for daily use | Same as branded Cialis |
What to expect
Daily tadalafil isn't meant to act quickly the way as-needed dosing does. Most people reach a steady state, and the full effect, within about five days of consistent use, whether they're taking 2.5mg or 5mg, though some notice a difference sooner and others take longer. Because the dose is lower and it's not building toward one peak, side effects tend to run milder than with as-needed tadalafil: headache, flushing, indigestion, and back pain, most of which ease within the first couple of weeks. Side effects can run slightly more noticeable at 5mg than at 2.5mg.
- Day 1
Start your daily dose
Begin one low-dose tablet each day once your provider confirms your prescription.
- Days 1 to 5
It builds up
Tadalafil accumulates to a steady level in your system over about five days of consistent use.
- Around day 5
Steady state
You reach a steady baseline, so you are ready during arousal without timing a dose.
- Ongoing
Provider tunes your dose
Your provider adjusts between 2.5 mg and 5 mg based on how you respond, with unlimited follow-ups.
Safety and side effects
The same contraindications apply as with as-needed tadalafil: nitrates and alpha-blockers are both absolute, since either can drop your blood pressure to dangerous levels. Your provider also looks closely at kidney and liver function before starting daily dosing at either strength, since severe impairment in either organ changes how the medication is cleared and may call for a lower dose or a different option.
Common
- Headache
- Flushing
- Indigestion
- Back pain or muscle aches
Less common
- Nasal congestion
- Changes in vision
- Dizziness
Seek care
- An erection lasting more than four hours, called priapism, which needs emergency care
- Sudden loss of vision or hearing, or chest pain, seek care right away
This is not a complete list of side effects. Never take tadalafil with nitrate medications such as nitroglycerin, or with recreational poppers, because the combination can cause a dangerous drop in blood pressure. Tell your provider about alpha-blockers, heart conditions, kidney or liver problems, and every medication you take. Tadalafil is not for use by women or by anyone under 18.
Frequently asked questions
Other sexual health options
Approval is never automatic.
An independent US-licensed clinician reviews every request. If they decide the treatment is not right for you, you get a full refund for the medication.
Prescriptions are filled by a US-licensed pharmacy and shipped free, in discreet packaging, on every plan.
LegitScript-certified · Cert 50087439
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.