Generic Sildenafil
From $60/ month
50 mg / 100 mg
- As-needed dosing
- Discreet packaging
- Same active ingredient as Viagra
- Physician approval required
Generic Tadalafil
From $60/ month
10 mg / 20 mg
- Up to 36-hour window
- Discreet packaging
- Same active ingredient as Cialis
- Physician approval required
Daily Tadalafil
From $90/ month
2.5 mg / 5 mg daily
- Steady, daily dosing
- Discreet packaging
- Same active ingredient as daily Cialis
- Physician approval required
Confidential online consultation
Board-certified physicians, trusted medications
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About the therapy
What is erectile dysfunction?
ED is defined as trouble getting or keeping an erection firm enough for sex. It affects roughly 30 million men in the U.S. and becomes more common with age, but it’s rarely just an age problem — vascular health, hormones, sleep, stress, and certain medications all factor in.
A licensed physician evaluates the underlying cause during intake. PDE5 inhibitors (sildenafil, tadalafil) are first-line for most patients; the right plan depends on your history and how often you want to be ready.
How it works
Start ED treatment in three steps
Complete a short health assessment, 100% online
A board certified licensed medical doctor reviews your answers
Receive your order discreetly packaged with free shipping when given a prescription
FAQ
Frequently asked questions
What are sildenafil and tadalafil?
Sildenafil and tadalafil are PDE5 inhibitors. They relax the smooth muscle of blood vessels in the penis, allowing more blood flow during sexual stimulation. Sildenafil is the generic of Viagra; tadalafil is the generic of Cialis.
How do these medications work?
They block the enzyme that breaks down cGMP, the molecule that lets blood vessels relax during arousal. They do not initiate an erection on their own — sexual stimulation is still required.
What can I expect with treatment?
Most patients see meaningful improvement on the first or second dose. As-needed dosing (sildenafil, standard tadalafil) is for occasion-based use; daily tadalafil keeps you ready throughout the week without timing the dose.
How do I take these medications?
Sildenafil: 30-60 minutes before sex; works best on an empty stomach. Tadalafil (as-needed): 30 minutes before; food does not interfere; effects last up to 36 hours. Daily tadalafil: same time each day.
What are possible side effects?
Headache, flushing, mild upset stomach, and nasal congestion are the most common. Rare but serious effects include vision changes, hearing changes, or a prolonged erection (over 4 hours) — seek emergency care if either occurs. Do not combine with nitrates or recreational poppers.
What if I miss a dose?
For as-needed dosing there is no missed dose — you take it before sex. For daily tadalafil, take it as soon as you remember on the same day; if it’s already the next day, skip the missed dose and resume the schedule.
How should I store these medications?
Room temperature, away from light and moisture. Detailed storage instructions ship with every order.
Get started
See if treatment is right for you
A board certified licensed medical doctor reviews your intake before any prescription is issued. No in-person visit required for most states.