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.

Starting at

$29/mo

Start my assessment

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

Always message your clinician about side effects — most can be managed with dose adjustment, timing, or hydration support.

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.