Prescription medications carry risks and side effects. A licensed physician will review your health history before prescribing. Prescriptions are never guaranteed. Individual results vary.
Men's Health · ED Treatment

Tada-
lafil

Generic tadalafil — the FDA-approved generic of Cialis® — the 36-hour option
85%Clinical success rate
36 hoursDuration of action
Daily optionAlways ready
Start for $49/month →
Physician consultation included · Discreet delivery
Tadalafil golden pills
Licensed Physicians Daily or As-Needed Dosing Discreet Packaging HIPAA Compliant
The Advantage

Choose when to take it — or never think about it

Tadalafil's most distinctive feature is flexibility. Its 36-hour window means you can take it Friday evening and still have it working Sunday morning. Or with daily dosing at 5mg, it's always in your system — eliminating timing pressure entirely.

Daily Dosing — Most Popular
Always Ready
5mg
taken every day at any time
  • No timing pressure — completely spontaneous
  • Steady medication levels eliminate peaks and troughs
  • Lowest per-dose cost
  • Also improves symptoms of benign prostatic hyperplasia (BPH)
As-Needed Dosing
36-Hour Window
10–20mg
taken before sexual activity
  • Works for up to 36 hours per dose
  • Take it and forget about timing for the whole weekend
  • Higher peak dose for stronger effect
  • Preferred by men who don't want a daily medication
Why the 36-hour window changes everything

Stop planning intimacy around a pill

The anxiety of "Will it still be working?" undermines confidence — which itself contributes to ED. Tadalafil's extended window eliminates this entirely.

Confidence
No performance anxiety
Knowing you're covered for 36 hours removes the mental pressure that often makes ED worse. Confidence is its own medicine.
Spontaneity
No 45-minute countdown
With sildenafil you need to plan 30–60 minutes ahead. With tadalafil, you take it at dinner and it's working all evening — and the next morning.
Daily Option
Eliminate timing entirely
The 5mg daily dose maintains a constant therapeutic level. No planning required. No "did I take it in time?" — every moment is the right moment.
Safety Profile

Side effects & safety

Tadalafil has been prescribed for over 20 years, with an excellent safety record. Side effects are generally mild and similar to sildenafil, with some differences due to tadalafil's longer half-life.

Common (usually mild)
  • Headache (most common, typically decreases over time)
  • Muscle aches or back pain (unique to tadalafil, resolves in 12–24 hrs)
  • Nasal congestion
  • Facial flushing
  • Mild indigestion
Important contraindications
  • Do NOT take with nitrate medications (nitroglycerin, etc.)
  • Caution with alpha-blockers (antihypertensives)
  • Not for men with severe heart or liver disease
  • Lower dose (5mg) recommended for kidney impairment
  • Physician will screen for all contraindications before prescribing

Muscle aches (sometimes called "tadalafil aches") affect roughly 5–10% of users. They're harmless, usually appear 12–24 hours after dosing, and resolve on their own. If bothersome, your physician can adjust your dose.

Comparison

Tadalafil vs Sildenafil

TadalafilSildenafil
Brand equivalentCialis®Viagra®
Clinical success rate85%82%
DurationUp to 36 hours4–6 hours
Dosing optionsDaily 5mg or as-needed 10/20mgAs-needed 25/50/100mg
Food effectMinimal — eat anythingSlower on full stomach
Unique benefitAlso treats BPH (prostate symptoms)Fast-acting, more studied
Best forSpontaneous intimacy, older menPlanned encounters
NuvaMed price$49/month$49/month
Common Questions

Tadalafil FAQs

Generic tadalafil is the FDA-approved generic of Cialis®. It contains the same active ingredient, at the same dosages, and meets the same FDA approval standards. NuvaMed physicians prescribe it after reviewing your health history and determining it is appropriate. Cialis® is a trademark of Eli Lilly. NuvaMed is not affiliated with Eli Lilly.
Daily 5mg dosing works well for men who want to eliminate timing entirely and also helps with BPH symptoms. As-needed 10–20mg dosing suits men who prefer taking it only before planned activity. Your physician can help you decide.
Tadalafil has a longer half-life than sildenafil, which is why its effects last up to 36 hours compared to sildenafil's 4–6 hours.
No. Tadalafil-related muscle or back aches affect roughly 5–10% of users, are harmless, typically appear 12–24 hours after dosing, and resolve on their own.
Yes. You can cancel or pause your subscription anytime from your patient portal or by emailing help@nuvamed.org.
Get Started

Start your tadalafil program today

A physician consultation, the right dose, discreet delivery — and the freedom to stop planning intimacy around a clock.

Tadalafil Program · Starting at
$49/month
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