The lineup / Tadalafil, as needed
01 · The as-needed · Prescription only
For the nights you plan for.
Tadalafil is a prescription tablet for erectile dysfunction. Taken 30 to 60 minutes before sex, it can stay active for most of a day and a half. A licensed clinician decides whether it is right for you, and at what strength.
Price shown before you pay. Your price depends on the strength your clinician prescribes and the plan length you choose. You see it, with any visit fee, before you pay.

- What’s in it
- Tadalafil
- How often
- Before sex, not daily
- Who decides
- A licensed clinician
Who it may be for
- Men 18 and older who have trouble getting or keeping an erection firm enough for sex.
- Men who plan ahead and want a tablet that covers the evening, not every day.
- Men who want a licensed clinician, not a chart, to set the strength and check it against the medicines they already take.
People often ask about it for getting an erection, keeping an erection and planned nights. These are reasons people ask, not promises of results.
How it is taken
Swallow one tablet with water 30 to 60 minutes before sex, with or without food. Take no more than one dose in 24 hours. Your clinician sets the strength.
Plans and what they include
Full terms: terms and conditions and refund policy. Price shown before you pay.
How it works here
- 01
Tell us what is going on
A short secure intake covers your health history, medications, and what you want help with. Nothing is prescribed from the form alone.
- 02
A licensed clinician reviews
A clinician licensed in your state decides whether tadalafil is right for you, picks the strength, and may ask follow-up questions or for a live visit.
- 03
Ships to your door if prescribed
A licensed pharmacy prepares it and ships it to you in a plain box. You see the full price, including any visit fee, before you pay.
What to know first
- Common side effects are headache, flushing, indigestion, back or muscle pain, and a stuffy nose. They are usually mild and pass on their own.
- Stop and get emergency care for an erection that lasts more than 4 hours, or for sudden loss of vision or hearing.
- Never take tadalafil with nitrates (such as nitroglycerin or isosorbide) or with riociguat. The combination can cause a dangerous drop in blood pressure.
- Tell your clinician if you take an alpha blocker or blood-pressure medicine, if you drink heavily, or if you eat a lot of grapefruit. Tadalafil is not for men with heart disease serious enough that sex is inadvisable.
- Not for women or anyone under 18. Your clinician reviews every medicine you take before prescribing.
Your clinician and the pharmacy give you the instructions that match the exact strength you are prescribed. Read the full safety information.
FAQ
Common questions
How long does it last?
Tadalafil can stay active for up to 36 hours. That is why many men prefer it to tablets that only cover a few hours. It does not cause an erection on its own; you still need to be aroused.
Who sets my strength?
Your clinician. They start where it makes sense for your history and change it only when you both agree it is right.
Is this generic tadalafil or a compounded version?
Generic. MED Miami prescribes FDA-approved generic tadalafil tablets, dispensed by our partner pharmacy. We do not offer compounded tadalafil.
Can I take it every day instead?
Daily tadalafil is a separate, lower-dose program with its own visit. Ask your clinician which fits you better, or read about the daily option.
What if the clinician decides it is not right for me?
Then you are not charged for medication. See our refund policy for the full terms.
Other options a clinician may consider
Get started
Your clinician decides. You see the full price first.
Start online in a few minutes. A licensed clinician reviews every visit, and nothing ships unless they say yes.
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