PDE5 inhibited
Tadalafil blocks PDE5, the enzyme that breaks down cGMP, the chemical signal that keeps blood vessels relaxed.
Tadalafil relaxes blood vessels. Taken daily at a low dose, it holds a steady level in your body, so there is no window to plan around.

Every prescription reviewed by a U.S. licensed physician for your state.
Dispensed by a licensed, accredited U.S. pharmacy.
Arrives in plain packaging with tracking.
Change, pause, or cancel before your next order.
Tadalafil acts on a single enzyme in your vascular system. That one action is what supports an erection, and it is the same action researchers are studying for vascular health.
Tadalafil blocks PDE5, the enzyme that breaks down cGMP, the chemical signal that keeps blood vessels relaxed.
With PDE5 blocked, cGMP stays active longer. Blood vessels stay relaxed and blood moves more freely.
Tadalafil clears slowly. That is why one low dose a day holds a steady level instead of peaking and wearing off.
Taken once daily, tadalafil reaches a stable concentration in about five days. After that it is simply there.
Pharmacokinetics per the CIALIS prescribing information. Tadalafil is FDA-approved for erectile dysfunction and, at 5 mg, for the signs and symptoms of benign prostatic hyperplasia.
Men who took daily tadalafil experienced:
1Kloner et al., “The Association of Tadalafil Exposure With Lower Rates of Major Adverse Cardiovascular Events and Mortality,” Clinical Cardiology (2024). Groups matched for blood-pressure, diabetes and cholesterol medications. Risk shown against men not taking tadalafil, indexed to 100. Observational data show association, not cause and effect. Tadalafil is FDA-approved for ED and BPH; it is not approved to prevent cardiovascular disease. Individual results vary.
A low dose every day keeps a constant level in your bloodstream rather than a peak that fades.
No window to hit, no meal to time around, no deciding in advance whether tonight is the night.
2.5 mg or 5 mg daily, against 10 mg to 20 mg taken as needed. Side effects track with dose.
Tadalafil is the FDA-approved active ingredient in Cialis®. At a low daily dose (2.5–5 mg), it's approved to treat erectile dysfunction, and also the urinary symptoms of benign prostatic hyperplasia (BPH).
One tablet, once a day, at roughly the same time, with or without food. Your provider determines the right dose based on your health history.
Daily dosing builds to a steady level over several days rather than working from a single dose, so once you're at steady state there's no timing window to plan around.
The most common are headache, flushing, nasal congestion, indigestion, and back or muscle aches. These are generally mild and often settle as your body adjusts. See the full Important Safety Information.
Don't take tadalafil with nitrate medications (such as nitroglycerin), the combination can cause a dangerous drop in blood pressure. It may also be unsuitable with significant heart disease, uncontrolled blood pressure, or severe liver or kidney conditions. A licensed provider reviews your full history before prescribing.
We offer telehealth consultations and prescription fulfillment in 49 U.S. states, every state except South Carolina.
A short online visit. A licensed provider reviews your history and decides whether treatment is appropriate. You are only charged if you are prescribed.
We use cookies and similar technologies to run this site, understand how it is used, and measure our advertising. See our Privacy Policy.