Yes. Every medicine we dispense is FDA approved. Tadalafil is the same active ingredient as in Cialis®. The FDA first approved it in 2003. A licensed US pharmacy fills your order.
No appointment or video call is needed. Your online doctor visit is free. You fill in a 3 minute health assessment form. A provider licensed in your state reviews it. If they need to know more, they contact you first via chat.
The most common are headache, indigestion, back pain, muscle aches, flushing and a stuffy nose. They usually go away after a few hours. Back pain and muscle aches usually go away within 2 days. Get medical help if an erection lasts more than 4 hours.
Your provider picks one of two ways. As needed: take your dose at least 30 minutes before sex. For most men it works for up to 36 hours. Daily: take it at about the same time each day, and be ready any time. Take it with or without food.
Tadalafil helps more blood flow into the penis when you are aroused. Most men find it easier to get hard and stay hard. It works with your own arousal, so it feels natural. Without arousal, nothing happens.
Review options approved by the FDA and pick a preference. Your provider makes the final call.
Privately tell a U.S. licensed provider about your health history and symptoms.
Ships in discreet packaging within 24 hours of successful processing.
Yes. A provider licensed in your state reviews your health form. A US licensed pharmacist fills your prescription. The pharmacy ships only to states where it is licensed. We are also LegitScript certified.
Yes, a prescription is required. If you have an active prescription at another pharmacy, we can transfer it in. If your prescription is with you, it can be mailed to us. Due to regulations, we are unable to accept faxed, scanned, or photocopied prescriptions from patients. If you require a new prescription to be issued, you can simply connect with one of our healthcare providers licensed in your state from the comforts of your own home using a smartphone or computer.
Shipping is free with minimum order. Need it fast? Expedited delivery is available for an additional charge.
Packages are shipped via USPS Priority and USPS Priority Express. Most patients receive their prescriptions in 1 to 3 days.
No auto subscriptions, no hidden fees.
There are no additional fees, extra charges, or any hidden fees. The price you see is the price you pay.
We accept all credit and debit cards, in addition to, HSA, FSA, and other health savings cards.
Unfortunately, we are unable to accept any returns as US regulations prohibit the reuse of returned prescription medications. If this is your first time using this type of medication, we recommend starting with a smaller order so you can see how it works for you.
96%
of men said tadalafil
improved their erections
In a two year study of 635 men with erectile dysfunction, 96% of those who kept taking tadalafil once a day said it improved their erections. 95% said it improved their ability to have sex.
Jiang H, Zhao L M, Yan S, et al. Asian Journal of Andrology. 2024;26(3):282 to 287.
*Prices per tablet, checked 09/29/2026. Prices may differ by location. Ro and hims sell 2.5 mg as a daily plan.
Tadalafil · Generic Cialis®
Tadalafil (Generic Cialis) is used to treat male sexual function problems (impotence or erectile dysfunction-ED). In combination with sexual stimulation, tadalafil works by increasing blood flow to the penis to help a man get and keep an erection.
Tadalafil is also used to treat the symptoms of an enlarged prostate (benign prostatic hyperplasia-BPH). It helps to relieve symptoms of BPH such as difficulty in beginning the flow of urine, weak stream, and the need to urinate frequently or urgently (including during the middle of the night). Tadalafil is thought to work by relaxing the smooth muscle in the prostate and bladder.
This drug does not protect against sexually transmitted diseases (such as HIV, hepatitis B, gonorrhea, syphilis). Practice 'safe sex' such as using latex condoms. Consult your doctor or pharmacist for more details.
Tadalafil is the active ingredient in Cialis.
A phosphodiesterase type-5 inhibitor; vasodilator agent and urological agent that is used in the treatment of erectile dysfunction and benign prostatic hyperplasia
Read the Patient Information Leaflet provided by your pharmacist before you start taking tadalafil and each time you get a refill. If you have any questions, ask your doctor or pharmacist.
Take this medication by mouth, with or without food, as directed by your doctor. Do not take tadalafil more often than once daily.
The dosage is based on your medical condition, response to treatment, and other medications you may be taking. Be sure to tell your doctor and pharmacist about all the products you use (including prescription drugs, nonprescription drugs, and herbal products).
To treat the symptoms of BPH, take this medication as directed by your doctor, usually once a day. If you are also taking finasteride with this medication to treat symptoms of BPH, talk with your doctor about how long you should continue taking this medication.
To treat erectile dysfunction-ED, there are 2 ways that tadalafil may be prescribed. Your doctor will determine which is the best way for you to take tadalafil. Follow your doctor's directions exactly since your dosage depends on how you are taking it. The first way is to take it as needed, usually at least 30 minutes before sexual activity. Tadalafil's effect on sexual ability may last up to 36 hours.
The second way to treat ED is to take tadalafil regularly, once a day every day. If you take it this way, you may attempt sexual activity at any time between your doses.
If you are taking tadalafil to treat both ED and BPH, take it as directed by your doctor, usually once a day. You may attempt sexual activity at any time between your doses.
If you are taking tadalafil once daily for BPH, or for ED, or for both, take it regularly to get the most benefit from it. To help you remember, take it at the same time each day.
With any medication, there are risks and benefits. Even if the medication is working, you may experience some unwanted side effects.
Contact your doctor immediately if you experience any of the following:
The following side effects may get better over time as your body gets used to the medication. Let your doctor know immediately if you continue to experience these symptoms or if they worsen over time.
*Common side effects*
*Other side effects*
The following side effects have also been reported:
Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.
Check with your doctor immediately if any of the following side effects occur:
*Less common*
Arm, back, or jaw pain, blurred vision, chest pain or discomfort, chest tightness or heaviness, chills, cold sweats, confusion, dizziness, fainting, faintness or lightheadedness when getting up suddenly from a lying or sitting position, fast or irregular heartbeat, headache, hearing loss, increased erection, nausea, nervousness, pain or discomfort in the arms, jaw, back, or neck, pounding in the ears, slow or fast heartbeat, spontaneous penile erection, sweating, unusual tiredness or weakness, vomiting
*Rare*
Painful or prolonged erection of the penis
*Incidence not known*
Blindness, blistering, peeling, or loosening of the skin, cough, cracks in the skin, decrease or change in vision, diarrhea, difficulty with speaking, double vision, fast, irregular, pounding, or racing heartbeat or pulse, headache, severe and throbbing, hives or welts, itching, skin rash, inability to move the arms, legs, or facial muscles, inability to speak, joint or muscle pain, loss of heat from the body, numbness or tingling of the face, hands, or feet, red skin lesions, often with a purple center, red, irritated eyes, red, swollen skin, redness of the skin, redness or soreness of the eyes, scaly skin, slow speech, sores, ulcers, or white spots in the mouth or on the lips, stomach pain, sudden cardiac death, swelling of the feet or lower legs
Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:
*More common*
Belching, heartburn, indigestion, stomach discomfort, upset, or pain
*Less common*
Bloody nose, body aches or pain, burning, crawling, itching, numbness, prickling, "pins and needles", or tingling feelings, burning, dry, or itching eyes, burning feeling in the chest or stomach, congestion, difficulty with moving, difficulty with swallowing, dry mouth, dryness or soreness of the throat, excessive eye discharge, eye pain, feeling of constant movement of self or surroundings, feeling of warmth, redness of the face, neck, arms and occasionally, upper chest, fever, hoarseness, lack or loss of strength, loose stools, muscle aching or cramping, muscle stiffness, nasal congestion, neck pain, pain, pain in the arms or legs, pain or burning in the throat, redness, pain, swelling of the eye, eyelid, or inner lining of the eyelid, reduced sensitivity to touch, runny nose, sensation of spinning, sleepiness or unusual drowsiness, stomach upset, swelling of the eyelids, swelling or puffiness of the eyes or face, swollen joints, tearing, tender, swollen glands in the neck, tenderness in the stomach area, trouble with sleeping, upper abdominal or stomach pain, voice changes, watering of the eyes
*Rare*
Changes in color vision
Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.
Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.
Cialis (tadalafil) may interact with certain medications or supplements. Always let your doctor and pharmacist know about any other medications or supplements (including prescribed and over-the-counter medications, vitamins, and dietary or herbal supplements) that you are currently taking. The list below does not include all possible drug interactions with Cialis (tadalafil). Please note that only the generic name of each medication is listed below.
Using this medicine with any of the following medicines is not recommended. Your doctor may decide not to treat you with this medication or change some of the other medicines you take.
Amyl Nitrite, Boceprevir, Erythrityl Tetranitrate, Isosorbide Dinitrate, Isosorbide Mononitrate, Nitroglycerin, Pentaerythritol Tetranitrate, Propatyl Nitrate, Riociguat, Telaprevir
Using this medicine with any of the following medicines is usually not recommended, but may be required in some cases. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.
Alfuzosin, Atazanavir, Bunazosin, Clarithromycin, Cobicistat, Darunavir, Erythromycin, Fosamprenavir, Indinavir, Itraconazole, Ketoconazole, Lopinavir, Moxisylyte, Nefazodone, Phenoxybenzamine, Phentolamine, Prazosin, Ritonavir, Saquinavir, Simeprevir, Simvastatin, Tamsulosin, Telithromycin, Terazosin, Tipranavir, Trimazosin, Urapidil
Using this medicine with any of the following medicines may cause an increased risk of certain side effects, but using both drugs may be the best treatment for you. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.
Doxazosin, Rifampin, Silodosin
Store at room temperature in a dry place. Do not store in a bathroom.; Keep all drugs in a safe place. Keep all drugs out of the reach of children and pets.; Throw away unused or expired drugs. Do not flush down a toilet or pour down a drain unless you are told to do so. Check with your pharmacist if you have questions about the best way to throw out drugs. There may be drug take-back programs in your area.
Individual results may vary.
Neither. They are the same medicine. Tadalafil is the generic version of Cialis® and its only active ingredient. The differences are color, shape and most of all, cost.
EQUAL WHERE IT COUNTS, BY FDA GUIDELINES*
Same medicine,
without the brand name price.
Cialis price: average retail price, checked 09/29/2026. Our price: our lowest price per tablet. *U.S. Food and Drug Administration, “Generic Drug Facts,” fda.gov, content current as of 11/01/2021.
EQUAL WHERE IT COUNTS, BY FDA GUIDELINES*
Good deals coming your way
