
Tadalafil taken only when you need it.
Card authorized at checkout. Charged only if a provider approves.
Product images are for illustration only. Actual packaging may vary.
The Long-Lasting As-Needed Tablet is a prescription drug that contains tadalafil and is used to treat erectile dysfunction (ED). Do not take it if you use any nitrate medicine or riociguat. Do not take it more than once a day, or within 24 hours of taking any other ED medication. See Important Safety Information.
A tadalafil tablet (20 mg) taken before sexual activity to treat erectile dysfunction.
Its effects can last up to 36 hours, providing a longer window than many as-needed options.
$99 per month. No membership fee.
Complete a secure online visit, and a licensed provider reviews your health history.
Take one tablet before sexual activity, as your provider directs.
Sexual arousal is still needed for it to work.
Your card is authorized at checkout, but you are only charged if a provider approves your treatment.
Complete a short online visit with a few health questions
Hear from your provider
Most orders arrive within a few business days of approval, with tracking sent when your order ships
Begin treatment, with your care team a message away
Your provider confirms which option is appropriate for you.
| Treatment | What it is | Price |
|---|---|---|
| Daily Tablet | Tadalafil 5 mg · daily tablet | $99/moBilled monthly · ships monthly |
| Long-Lasting As-Needed Tablet | Tadalafil 20 mg · as-needed tablet | $99/moBilled monthly · ships monthly |
| As-Needed Tablet | Sildenafil 50 mg · as-needed tablet | $99/moBilled monthly · ships monthly |
| As-Needed Tablet, Higher Strength | Sildenafil 100 mg · as-needed tablet | $99/moBilled monthly · ships monthly |
| Dual-Action Troche | Sildenafil + tadalafil · dissolving troche | $133/moBilled monthly · ships monthly |
Before sexual activity, as your provider directs.
Its effects can last up to 36 hours.
Yes, with or without food.
No. Don't take it more than once a day.
Avoid heavy drinking, which raises the risk of dizziness and low blood pressure.
No. Don't take it within 24 hours of any other medicine containing tadalafil or sildenafil, including the Daily Tablet.
Yes. Complete a short online visit to see if this treatment is right for you. A licensed provider reviews your answers and decides whether it's appropriate to prescribe.
Licensed providers make all consultation and prescribing decisions. Purchasing does not guarantee a prescription. Prescriptions are issued only after a licensed provider reviews your information and determines that treatment is appropriate.
The studies discussed here may involve different formulations, doses, delivery methods, or patient populations from the treatment offered. They do not establish the safety or effectiveness of this specific compounded product. Compounded medications are not FDA-approved; FDA does not review their safety, effectiveness, or quality before marketing.
What was studied. A systematic review of 87 studies of oral erectile dysfunction treatments.
What researchers found. Sildenafil and tadalafil are established treatments for erectile dysfunction. Your clinician selects the medication and dosing schedule based on your health history, preferences, and treatment response.
How it relates to this treatment. Studies of standard oral tablets do not establish that compounded combinations (troches, films or dissolving tablets) work, work faster, or outperform single-ingredient therapy.
“Oral drug treatments of erectile dysfunction: A AFU/SFMS systematic review,” 2025. PMID: 40915356.
The Long-Lasting As-Needed Tablet is a prescription drug that contains tadalafil and is used to treat erectile dysfunction (ED). Do not take it if you use any nitrate medicine or riociguat. Do not take it more than once a day, or within 24 hours of taking any other ED medication.
We serve patients in 46 states. We do not currently provide services in Alaska, Mississippi, New Jersey or Texas. Availability can vary by product, depending on whether the dispensing pharmacy is licensed to ship to your state.
Licensed providers make all consultation and prescribing decisions. Purchasing does not guarantee a prescription. Prescriptions are issued only after a licensed provider reviews your information and determines that treatment is appropriate. Your card is authorized at checkout, but you are only charged if a provider approves your treatment.