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Connect directly with a doctor for a discreet virtual ED consult and, if appropriate, obtain a prescription for FDA-approved tadalafil (generic Cialis).

Prescription available at provider's discretion

Local same-day pharmacy pickup

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  • What is tadalafil?
    Tadalafil (generic Cialis) is a prescription medication that is specifically designed to treat erectile dysfunction, alleviate symptoms associated with prostate enlargement, and manage pulmonary arterial hypertension (PAH).

    This condition, erectile dysfunction, impacts over 30 million men in the United States. Although it is a common issue, it has the potential to create stress in personal relationships and diminish self-esteem. Furthermore, PAH, while less frequent, can pose serious health risks if left untreated. Engaging in a conversation with your healthcare provider will help you determine if Tadalafil is the right course of action for you.

  • What are common side effects of tadalafil?
    Though adverse reactions to tadalafil are not common, some patients may report mild side effects such as headache, indigestion, muscle aches, back pain, nasal congestion, and flushing of the skin.

    In rare cases, more severe adverse effects have been documented. It's crucial to reach out to your healthcare provider if you believe that tadalafil is causing any troublesome side effects.

    Please be aware that this is not an exhaustive list of potential side effects. For additional information on the adverse effects you might experience while using Tadalafil, please refer to the National Institutes of Health’s DailyMed webpage.

Medically Reviewed By Dr. Allison Edwards, MD

Tadalafil, also known by its brand name Cialis, is a prescription medication utilized in the treatment of erectile dysfunction (ED) and symptoms associated with benign prostatic hyperplasia (BPH). Moreover, tadalafil may be indicated for pulmonary arterial hypertension (PAH), a severe condition characterized by elevated blood pressure in the arteries supplying the lungs. As a phosphodiesterase (PDE) inhibitor, tadalafil serves to relax muscular tissues and enhance blood flow to targeted areas of the body.

By facilitating increased circulation, tadalafil can significantly improve blood flow to the penis during periods of sexual arousal. However, it is important to clarify that tadalafil does not provide protection against sexually transmitted infections.

The primary indication for tadalafil is the treatment of erectile dysfunction and benign prostatic hyperplasia. ED is a condition affecting around 30 million American men. Tadalafil promotes increased blood flow during sexual stimulation, aiding in the ability to achieve and maintain an erection.

It is essential to note that while tadalafil is effective for erectile dysfunction, it does not prevent sexually transmitted diseases.

Occasionally, tadalafil is prescribed for the management of pulmonary arterial hypertension. By relaxing the blood vessels within the lungs, tadalafil enhances blood flow and can alleviate symptoms such as dizziness and chest discomfort, as well as improve overall breathing efficiency.

Tadalafil is classified as a phosphodiesterase type 5 (PDE5) inhibitor. These medications work by obstructing specific enzymes in the body that can cause blood vessels to constrict, resulting in circulation issues. Tadalafil assists in relaxing the muscles and opening the blood vessels, which allows for improved blood flow throughout the body.

In the context of ED, tadalafil promotes blood flow to the penis when sexual stimulation occurs. It is important to understand that tadalafil will not initiate an erection independently but will facilitate blood circulation that can result in robust, sustained erections. When dealing with BPH, tadalafil helps to relax the muscles surrounding the bladder and prostate, providing relief from the persistent discomfort associated with this condition, including frequent urges to urinate and difficulty urinating. For PAH treatment, tadalafil enhances blood flow to the lungs, thus helping reduce symptoms such as shortness of breath and chest pressure.

While taking tadalafil, it is possible to experience mild and temporary side effects. Since tadalafil has been granted FDA approval for treating ED, BPH, and PAH, the pros of using this medication often outweigh the cons of any side effects. Common side effects associated with tadalafil usage may include:

Headaches, indigestion, muscle pain, backache, nasal congestion, and flushing (reddening of the skin).

If these symptoms are persistent or escalate in severity, it is imperative to consult with your healthcare provider immediately. Prior to initiating tadalafil, it is advisable to discuss any other medications you are currently taking with your physician, as they may influence the safety and effectiveness of tadalafil.

This is not an exhaustive list of potential side effects related to tadalafil. For comprehensive information regarding adverse effects you may encounter, please visit the National Institutes of Health’s DailyMed webpage.

Tadalafil is a medication that is effective quickly, generally beginning to work between 30 to 60 minutes post-ingestion. For erectile dysfunction, it should be taken at least half an hour prior to the anticipated sexual activity. It is also crucial to recognize that tadalafil alone will not induce an erection; instead, it enhances blood flow, thus facilitating erections from sexual arousal.

Tadalafil is meant to be used once per day. Avoid adjusting the dosage or discontinuing use without first consulting your healthcare provider.

Tadalafil comes in various strengths and is prescribed based on individual patient needs. The recommended initial dosage for treating erectile dysfunction usually starts at 10 mg, taken either as needed or once daily. Depending on treatment effectiveness and the patient’s side effect tolerance, this dosage may be increased up to 20 mg or decreased to 5 mg.

When dealing with benign prostatic hyperplasia, the typical dose prescribed is 5 mg daily, which should be taken around the same time each day as directed by your physician.

Please refrain from discontinuing tadalafil unless advised by your healthcare provider. Additionally, it's important to inform your doctor about any current medications you are taking before starting tadalafil.

At present, tadalafil is solely available through prescription. This indicates that a licensed healthcare professional must authorize its use.

Looking for a prescription? Fortunately, healthcare providers on Sesame are available to write a prescription or refill an existing one during either a virtual or in-person consultation. Depending on the medication, arrangements for same-day pharmacy pickup can be made. Consider booking an online consultation with a licensed provider through Sesame today to determine if tadalafil is suitable for you.

Keep in mind that all prescriptions are subject to your healthcare provider's discretion. Additionally, providers on Sesame are not able to prescribe controlled substances.

Absolutely! You can connect with a provider via Sesame to obtain your online prescription for tadalafil or refill your existing prescription, enabling quick and convenient pickups from a pharmacy of your choice.

Remember, all prescriptions will be at the discretion of your healthcare provider.

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