Can I place an order without a prescription?

No. A telemedicine evaluation is required. Prescriptions are issued only when clinically appropriate.

Can you send my e‑prescription to a local pharmacy instead of delivery?

Yes. Tell your clinician your preferred pharmacy during the visit.

How do I rewrite/renew a prescription?

Use the Refill page to request a review. Your clinician will confirm safety, dosing, and timing.

How fast is shipping?

Most approved orders ship with tracking and typically arrive in 2–5 business days.

Do you prescribe controlled substances via telemedicine?

Generally no. We prioritize safer alternatives and coordinate in‑person care when required by safety or regulations.

Where can I read independent information about medications?

See NIH MedlinePlus, official labeling on NIH DailyMed, and approvals/history on the FDA Drugs@FDA database.

Where To Buy Tadalafil (Generic Cialis) 20mg Online

Men’s Health • Educational only; not medical advice. Prescriptions at clinician discretion.

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Overview

Tadalafil, marketed under Cialis and Adcirca, is a PDE5 inhibitor approved for erectile dysfunction, benign prostatic hyperplasia (BPH), and pulmonary arterial hypertension. Its long half-life (≈17 hours) earns it the nickname “the weekend pill.” Discovered in the 1990s and approved in 2003, it offers a prolonged therapeutic window compared with Sildenafil.

Uses

Indicated for ED, BPH symptoms such as urinary hesitancy, and PAH under specialist care. Combination use for men with both ED and BPH is common. Research continues into its potential anti-inflammatory vascular effects.

Dosage & Administration

ED treatment options include 10 or 20 mg as needed before sexual activity or 2.5–5 mg once daily for continuous therapy. For BPH, 5 mg once daily is standard. Adcirca for PAH uses 40 mg once daily. Avoid nitrates and excessive alcohol.

Side Effects & Warnings

Headache, indigestion, nasal congestion, and muscle pain are typical. Rare adverse events include prolonged erection or sudden vision/hearing loss. Patients with unstable cardiac conditions should avoid sexual activity until evaluated. Interactions with alpha-blockers or CYP3A4 inhibitors require dose adjustment.

Patient Considerations

Tadalafil’s extended duration makes it suitable for daily use but requires strict adherence to prescribed doses. Renal or hepatic impairment necessitates caution. Not intended for women or children except under specific PAH indication.