Will this work if my issue is low desire, not erection quality?

Not as well. PDE5 inhibitors help the plumbing, not the spark. For low desire, PT-141 or addressing low testosterone is often more useful — your clinician can help untangle which.

Is this the same as the brand-name pills?

Same active ingredient at the same strength, just without the brand markup. We use US-licensed pharmacies.

Home Men's HealthED Treatment — Sildenafil & Tadalafil

Men's Health

ED Treatment — Sildenafil & Tadalafil

Generic Viagra and Cialis, prescribed online. As-needed or daily.

Prescription-strength sildenafil (generic Viagra) and tadalafil (generic Cialis), either as-needed for performance or low-dose daily for spontaneity. Discreet shipping, real clinician review.

Price

$29/mo

Start my assessment

Rather talk to a person first? Call Melanie at (512) 568-0957 · she picks up.

US clinicians

Free shipping

Care included

Best for

Men with occasional or consistent erectile difficulty
Patients who want a planned (as-needed) or spontaneous (daily) option
Pairs well with TRT or PT-141 when desire is the deeper issue

Not for

Men taking nitrates (nitroglycerin) — dangerous interaction
Severe heart, liver, or kidney disease without clinician clearance
Severe low blood pressure or recent stroke / heart attack

How it works

What it is — and what it isn't.

Sildenafil and tadalafil are PDE5 inhibitors — they relax smooth muscle in the penis so blood can fill the erectile tissue when you're aroused. Sildenafil acts in ~30–60 minutes for 4–6 hours; tadalafil works for up to 36 hours and is often dosed daily at lower strength for spontaneity.

Typical protocol

How a course usually unfolds.

Your clinician personalizes the actual schedule based on your goals, history, and response.

1
Week 0
Brief clinician intake (heart history, medications). No labs required for most men.
2
Week 1+
Sildenafil 25–100 mg as-needed, OR tadalafil 5 mg daily, OR tadalafil 10–20 mg as-needed.
3
Follow-up
Check in any time to adjust dose or switch options.

What's included

One flat price. Everything you need.

We bundle the whole experience — clinician care, medication, shipping, and adjustments.

Provider visit & ongoing messaging
Medication shipped free in discreet packaging
Dose adjustments based on your response
Cancel or pause anytime

Safety & side effects

What to know — straight, not scary.

Common

Headache
Flushing
Nasal congestion
Mild back or muscle ache (more with tadalafil)
Indigestion

Less common / serious

Priapism (erection >4 hours) — go to the ER
Sudden vision or hearing loss — rare, stop and seek care
Significant blood-pressure drop, especially with nitrates

Message your care team about side effects — most can be managed with dose adjustment, timing, or hydration support. Anything severe goes to 911 or the nearest emergency room first.

FAQs

Questions worth asking.

Sildenafil is best for planned use (~1 hour ahead, lasts 4–6 hours). Tadalafil is better for spontaneity — daily low-dose keeps you ready, or 10–20 mg works for up to 36 hours. Many patients try both.

See if ED Treatment — Sildenafil & Tadalafil is right for you.

Three-minute assessment. Free clinician review. No insurance needed.