Also in Sexual Wellness
Tadalafil: the active ingredient in Cialis®
Tadalafil is an FDA-approved oral tablet for erectile dysfunction and for the signs and symptoms of an enlarged prostate (BPH), prescribed online only if a licensed provider decides it is right for you. If prescribed, a licensed pharmacy dispenses your medication and ships it to you.
$149/month
$149 billed every month
Plan lengths
$149 billed every monthOne-month supply
Start my online visitPrescription only. A licensed provider decides.
Tadalafil is a prescription treatment for erectile dysfunction (ED). With sexual stimulation, it can help you:
Get and keep an erection firm enough for sex.
An as-needed dose can work for up to 36 hours.
A daily dose means no planning around timing.
It works when you're sexually aroused, so you stay in control of the moment.
Individual results vary. Benefits are not guaranteed and depend on your provider's evaluation and your plan.
Tadalafil tablets are FDA-approved to treat erectile dysfunction (ED), the signs and symptoms of benign prostatic hyperplasia (BPH, an enlarged prostate), and both conditions together. The label does not recommend tadalafil together with alpha-blockers for BPH. Tadalafil is not indicated for use in women. A different tadalafil product is FDA-approved for pulmonary arterial hypertension (high blood pressure in the lungs); the two must not be combined.
Tadalafil belongs to a group of medicines called PDE5 inhibitors. During sexual arousal the body releases nitric oxide, which raises a natural messenger (cGMP) that relaxes muscle tissue in the penis so blood can flow in; tadalafil slows the breakdown of that messenger, and it has no effect without sexual stimulation. Tadalafil stays in the body longer than some other PDE5 inhibitors: its label reports a half-life of about 17.5 hours in healthy adults and notes that erectile function may be improved for up to 36 hours after a dose. Response varies from person to person.
A licensed provider may consider tadalafil for adult men with erectile dysfunction, or with urinary symptoms of an enlarged prostate, after reviewing their heart health, blood pressure, kidney and liver function and current medicines. It is not for anyone who takes nitrates or riociguat, for whom sexual activity is not advisable because of heart health, or who has severe liver disease. Your provider decides.
Answer questions about your health history, medications and goals. Submitting a visit does not guarantee a prescription.
A provider licensed in your state decides whether treatment is appropriate for you, or recommends a different path.
A licensed pharmacy dispenses your medication and ships it to your door. Follow-up continues through the patient portal.
Prices in US dollars. Self-pay; insurance is not required.
| Plan length | Per month | Billed at checkout | Supply |
|---|---|---|---|
| Single order | $149 once | $149 single payment, no renewal | One-month supply |
| Monthly | $149/mo | $149 billed every month | One-month supply |
Planned prices; the final amount is always shown at checkout before you pay. See the Terms of Service and Refund Policy.
Yes. Tadalafil tablets are FDA-approved for erectile dysfunction, for the signs and symptoms of an enlarged prostate (BPH), and for both together. You complete a secure online health assessment; a licensed provider reviews it, may ask follow-up questions, and decides whether tadalafil is appropriate. Completing the assessment does not mean you will receive a prescription. If it is prescribed, a licensed pharmacy dispenses an FDA-approved tadalafil product and ships it to you, and your provider sets the dose.
Both are FDA-approved PDE5 inhibitors for erectile dysfunction, and both need sexual stimulation to work. Tadalafil is also FDA-approved for the signs and symptoms of BPH, and it stays in the body longer: its label reports a half-life of about 17.5 hours and effects measured for up to 36 hours after a dose. That longer presence also means interactions last longer. Your provider weighs your health history, other medicines and preferences and decides which option, if any, may suit you.
Not with nitrates. Taking tadalafil with any nitrate medicine, such as nitroglycerin, can lower blood pressure dangerously, and the same applies to riociguat. Because tadalafil stays in the body for a long time, if you ever need emergency care for a heart problem it is important to tell the care team when you last took it. Alpha-blockers and other blood-pressure medicines can add to the blood-pressure-lowering effect; the label does not recommend combining tadalafil with alpha-blockers to treat BPH.
Be careful. Alcohol and tadalafil both widen blood vessels a little, so drinking a lot of alcohol while taking tadalafil can increase the chance of a drop in blood pressure when you stand up, with symptoms such as dizziness or light-headedness. The label advises against drinking too much alcohol. Talk with your provider about what is sensible for you, especially if you also take blood-pressure medicines.
Get emergency medical help right away. An erection that lasts more than four hours, painful or not, is called priapism and needs urgent treatment; without prompt care it can permanently damage the penis. Before starting, tell your provider if you have a deformed penis shape or Peyronie's disease, or a condition that can make priapism more likely, such as sickle cell anemia, multiple myeloma or leukemia.
Rarely, men taking PDE5 inhibitors have reported sudden loss of vision in one or both eyes, which may be a sign of an eye problem called NAION and can be permanent, or a sudden decrease or loss of hearing. If either happens, stop taking tadalafil and get medical help right away. Tell your provider beforehand if you have ever had NAION or other serious eye problems. Blockage of a retinal vein or artery and visual field defects have also been reported after marketing.
The most common side effects are headache, indigestion, back pain, muscle aches, stuffy nose, flushing and pain in the arms or legs. In studies, back pain and muscle aches generally began 12 to 24 hours after a dose and typically eased within 48 hours. Tell your provider about any side effect that bothers you or does not go away, and call 911 in an emergency.
Tadalafil tablets are FDA-approved to treat erectile dysfunction (ED), the signs and symptoms of benign prostatic hyperplasia (BPH, an enlarged prostate), and both conditions together. The label does not recommend tadalafil together with alpha-blockers for BPH. Tadalafil is not indicated for use in women. A different tadalafil product is FDA-approved for pulmonary arterial hypertension (high blood pressure in the lungs); the two must not be combined.
Common side effects: headache, indigestion, back pain, muscle aches, stuffy nose, flushing, and pain in the arms or legs. These are not all the possible side effects.
You may report side effects to the FDA at 1-800-FDA-1088 or www.fda.gov/medwatch.
Tadalafil is not indicated for use in women.
Tadalafil does not protect against sexually transmitted diseases, including HIV.
Do not combine tadalafil with other PDE5 inhibitors or other erectile dysfunction treatments, including tadalafil products approved for pulmonary arterial hypertension.
CIALIS® is a registered trademark of Eli Lilly and Company. Forever Health Rx is not affiliated with Eli Lilly and Company.
Prescription only. Tadalafil is available only after an online visit with a licensed provider, who determines whether treatment is appropriate for you. This summary does not replace the full prescribing information. Not medical advice. Results may vary.
Forever Health Rx does not provide emergency medical care. Call 911 or go to the nearest emergency department if you are experiencing a medical emergency. For urgent questions about a serious side effect, message your care team through the patient portal and seek in-person care if symptoms are severe.
About ten minutes. A licensed provider reviews your information and decides whether treatment is right for you.
Have a question before you start? Call our support team:
Prescription required. Eligibility is determined by a licensed provider. Not medical advice. Results may vary.
