Tadalafil (Cialis)
Tadalafil is the longest-lasting ED pill, working for up to 36 hours. A low daily dose means you don't have to plan around a pill.
Medically reviewed by Kayla Papez, NP· Updated October 6, 2026
- Brands
- Cialis, generic
- How it's taken
- Tablet
- How often
- Daily low dose or as needed
- FDA status
- FDA-approved for erectile dysfunction
How it works
It relaxes blood vessels and improves blood flow to the penis when you're aroused. It doesn't cause an erection on its own.
A good fit for
- Men who want spontaneity
- Men who also have urinary symptoms from an enlarged prostate (daily dose)
Things to know
- Never combine with nitrate heart medications
- Headache, flushing, back pain or congestion
- Seek care for an erection lasting over 4 hours
FAQ
Tadalafil questions
Daily or as-needed?
Daily low-dose works well for men who want to be ready anytime. As-needed is fine for less frequent use. We'll help you choose.
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Pricing
All-in memberships
Foundation
Testosterone care with everything included.
$179/month
Veterans & first responders: $159/month
- Testosterone therapy (injection, oral or topical, FDA-approved)
- Quarterly labs, including PSA and hematocrit
- Annual heart & metabolic panel (lipids, A1c, ApoB)
- The same named clinician every visit
- Unlimited video follow-ups and text check-ins
- Supplies and shipping included
Performance
Most popularHormones plus the next problem solved.
$249/month
Veterans & first responders: $229/month
- Everything in Foundation
- One add-on included: ED, hair loss or fertility-preserving care
- Body-composition scan twice a year
- Quarterly coaching on training, sleep and nutrition
- 20% off Strata Skin + Lab
Executive
Priority care for men who can't wait.
$349/month
Veterans & first responders: $329/month
- Everything in Performance
- Same-day and after-hours priority visits
- Advanced annual panel and results review
- Monthly Strata Base Routine refill
- $50 monthly aesthetics credit for men (Botox, skin)
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Free consult and same-day testosterone and PSA results in Holladay, Utah.