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.