Async reviewMen

Tadalafil

Longer-acting than sildenafil, with a daily low-dose option for spontaneity. Prescribed after a cardiovascular and metabolic check; reviewed asynchronously.

TherapyGeneric tadalafil, daily or as-needed oral tablet or troche, dosed per your provider

ScheduleDaily low dose, or as needed

Form · your provider confirms after labs

$45/ month

Medication + provider care + monitoring

Selected form:

Billed $45 monthly. Cancel any time.

Prescription required. Subject to provider evaluation.

Start treatment · check eligibility

Auto-renews each cycle. Cancel any time before your next shipment. If your provider doesn't prescribe, the plan portion is refunded automatically; you pay only for labs.

What's included

Provider review of history, medications and labs
Generic tadalafil in your chosen form
Free monthly shipping, discreet packaging
Unlimited care-team messaging
Dose adjustments on request
Follow-up labs at 12 weeks, then every 6 months
Initial lab panel billed separately ($89 est.)

1 statesProviders licensed in each

100%Prescriptions preceded by labs

Named MDYou see who prescribes before you pay

$0Plan cost if you're not prescribed

Is this medication for you?

Your provider makes the final call after labs. This is where most patients start.

Check eligibility · 3 min

Often a fit

Men who want a daily option or a longer window
No nitrate medications and stable cardiovascular health
Men with mild urinary symptoms (tadalafil can help both)

Not prescribed if

Nitrate medications
Recent heart attack, stroke or unstable angina
Under 18

Your first 90 days

Day 0Eligibility, intake, payment

Day 2–7Lab panel: metabolic, lipids, testosterone

Day 7–9Async provider review; questions by message

Day 9–14First shipment arrives

Week 12Repeat labs, dose adjusted

What to expect

01As-needed dosing lasts up to 36 hours; daily dosing reaches steady effect in about 5 days.

02Fewer timing constraints around meals than sildenafil.

03Back or muscle aches are the most common reason to adjust dose.

Who prescribes

A licensed provider reviews your labs and history and decides whether this treatment is right for you. Every prescription is written by a named provider, never a questionnaire.

Built on your labs

Illustrative panelbaseline · 12 wk

Blood pressure

Total T

Fasting glucose

Lipids

Metabolic panel, lipids and testosterone at baseline and 12 weeks, then every 6 months. Blood pressure at every check-in.

Safety information

Never combine with nitrates. Common effects: headache, back pain, muscle aches, flushing and indigestion. Seek emergency care for an erection lasting more than 4 hours or sudden vision or hearing loss.