Erectile Dysfunction | Tadalafil

Tadalafil is the active ingredient for the medication Cialis. It is a prescription drug approved by the FDA to treat erectile dysfunction (ED) in men, and an enlarged prostate (benign prostatic hypertrophy, BPH). Another brand of tadalafil is Adcirca, which is used to treat pulmonary arterial hypertension and improve exercise capacity in men and women.

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Tadalafil belongs to a group of medications called phosphodiesterase 5 (PDE5) inhibitors. For erectile dysfunction, Tadalafil relaxes the blood vessels connected to the penis, so more blood flows to the penis easily. For men suffering from an enlarged prostate, BPH symptoms, Tadalafil relaxes the muscles in the bladder, making these symptoms less severe allowing one to urinate easily. Tadalafil is available by prescription only, and not over the counter.


The medication comes in the form of a tablet to be swallowed by mouth and comes in a variety of dosages such as 2.5 mg, 5 mg, 10 mg, 20 mg.  The 2.5 and 5 mg are usually taken every day, however the 10 and 20 mg are generally taken as needed and can be taken with or without food. Your doctor will decide which dosage is best for you depending on your particular situation and the condition to be treated. The pill will either be taken once a day or once before sexual activity.


Tadalafil can also be prescribed to both men and women to treat the symptoms of pulmonary arterial hypertension and improve one’s ability to exercise. Tadalafil works on the enzyme called PDE5 in the lungs and relaxes the blood vessels, therefore, increasing the blood supply to the lungs.


Tadalafil takes 1 to 2 hours to work and can last up to 36 hours. While both tadalafil and sildenafil tread ED, tadalafil can last longer and is sometimes a preferred treatment.


Tadalafil does not cure erectile dysfunction or increase a person’s sexual desire. Men who take it will not get an erection without sexual stimulation. It does not prevent the spread of sexually transmitted diseases such as HIV (Human immunodeficiency virus or prevent pregnancy. It is important to inform your doctor of all other medications or supplements that you may be taking.


With advanced research in erectile dysfunction (ED) treatments are helping more men with ED regain the joys and intimacy of a fulfilling sex life. Erectile dysfunction and maintaining an erection are one of the biggest challenges for maintaining a healthy sex life for mature men. Approximately 52% of men experience some form of ED in the United States alone. The good news is with Tadalafil you can overcome it.

Possible side effects and Risk Factors can include:

Upset stomach, Headache, diarrhea, back pain, muscle aches, flushing (feeling of warmth), stuffy or runny nose. If these symptoms become worse or do not go away, call your doctor, or seek medical advice.  It is important to tell your doctor if you have had any heart problems in the past. The FDA has urged caution in men who have suffered from strokes, heart attacks, or have a history of congestive heart failure or an unstable angina. For more comprehensive information please speak to your doctor or medical provider.

People who get muscle aches or back pain usually get it 12 to 24 hours after taking tadalafil and it generally goes away on its own according to the FDA.

How do I know if Tadalafil is for me?

Tadalafil is for men who are experiencing some form of erectile dysfunction or impotence.

For men with signs and symptoms of benign prostatic hyperplasia (BPH) which is due to an enlarged prostate

For both men and women to treat the symptoms of pulmonary arterial hypertension

Tadalafil is for anyone, but is generally recommended for:

Tadalafil can be taken by men 18 years old and over. If you have had an allergic reaction to this medication in the past do not take it and consult with your doctor.

How long does it take to work?

Tadalafil can take between 1 to 2 hours to start working and can last up to 36 hours. Important to note, it does not work on its own, and to get an erection you will need to feel sexually aroused, the more relaxed and comfortable you are the sooner the effect can happen.

How long does Tadalafil typically last?

For treating erectile dysfunction, you may get tadalafil prescribed to take as needed before sexual activity, to help maintain erections. Tadalafil can last up to 36 hours in your body.

For treating BPH you will most likely always have the medication in your system, and it will work throughout the day.

Factors affecting how long it lasts are:

  • Age
  • Medications you might be on
  • Diet and Lifestyle
  • Overall Health
  • Psychological state of mind
  • The severity of your condition

You will be directed to a telehealth appointment where your personalized treatment plan will be made with a healthcare professional.

  • Contains no gluten
  • Contains no lactose
  • Contains no soy
  • Contains no gelatin
  • Contains no sweeteners

How to use:

Tadalafil comes in the form of a tablet and should be taken by mouth. It is best to follow your doctor's instructions prior to taking the medication. The two different ways to take it are once as needed, or on a daily basis. For erectile dysfunction, it is taken 30 minutes before sexual activity and not more than once a day. When used for other treatments it is taken once a day.

If you have other medical conditions, it is best to follow your doctor's instructions on how often you can take it. The pill can be taken with or without food.

When taking Tadalafil for ED, your doctor will probably start off on a lower dose and then increase or decrease it depending on how your body reacts to the medication. If it is not working or you are experiencing side effects, tell your doctor immediately.

How often Should I use Tadalafil?

Tadalafil should not be taken more than once every 24 hours (once a day). Your doctor might tell you to take it less if you have other health conditions or are taking certain medications.

If you skipped or missed a dose, take it as soon as possible. If it is nearly time for your next dose, then skip the missed dose and continue with your regular schedule. Do not double up on the doses.

Taking Tadalafil with food?

This medication can be taken with or without food.

Can Tadalafil be used with other treatments for Erectile Dysfunction?

Combining Tadalafil with other medications for ED have not been studied and could lead to a low blood pressure. Therefore, it is not recommended to mix medications for this purpose.

Are Tadalafil and Cialis the same?

Yes. Tadalafil is the generic drug sold globally and Cialis is the brand name. The two are the same exact medication

Is Tadalafil Cialis safe?

The FDA has approved Tadalafil and considers generic brands to be just as effective and safe as the original drug. They provide the same benefits in safety, strength, quality, and effectiveness. The risks and benefits are also the same in the generic brands as in the brand-name treatments.

What medications should not be taken with Tadalafil?

It is best to consult with your doctor prior to taking any new medication as certain drug interactions are not recommended. If you have an allergic reaction to Tadalafil, tell your doctor or pharmacist. Do not take Tadalafil if you are taking or recently took nitrates (medications for chest pain).

Is Tadalafil cheaper than Cialis?

Yes, there is a large price difference between the two. Generic Cialis, known as Tadalafil, is less expensive and is just as safe and effective. Generic medications have the same active ingredients, and a person can receive the same benefit and effectiveness as the brand name versions.

Does Tadalafil increase the size of a man’s penis?

No. Tadalafil does not increase the size of a man’s penis. The medication does increase blood flow to the area helping it to have an erection so for that reason it may appear larger.

Can tadalafil cure erectile dysfunction?

Tadalafil does not cure erectile dysfunction and does not increase sexual desire.

Is Tadalafil available over the counter?

No, Tadalafil is not available over the counter in the United States. It has been approved by the FDA and is one of the most popular treatments for ED. To get this medication, you will need to speak to your doctor and get a prescription.

Which lasts longer, Sildenafil or Tadalafil?

Tadalafil lasts longer than Sildenafil. Tadalafil can last up to 36 hours and sildenafil lasts for up to 4 hours. This means that you could have an erection with sexual stimulation during that time, not that you will have a constant prolonged erection for the time periods that the medication is active for.

What is the effectiveness of Tadalafil vs Cialis?

The medication Tadalafil and its Brand name Cialis have a success rate of approximately 70% in treating ED. Both are equally as effective. The biggest difference is the shape of the tablet and the price difference.

Cialis (Tadalafil) vs Viagra (Sildenafil) - What's the difference between them?

Cialis and Viagra are both treatments for erectile dysfunction. Both work when a man is sexually aroused. Cialis lasts for up to 36 hours, where Viagra lasts for about 4 to 5 hours. Food does not affect the effectiveness of Cialis, but it does with Viagra. Cialis can be used daily, and a smaller dosage can treat benign prostatic hyperplasia (BPH)

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