
Erectile Dysfunction
Sildenafil and tadalafil are the active ingredients in Viagra® and Cialis®, respectively. These FDA-approved medications are available in their non-branded (generic) forms, which work the same way as the branded versions but are typically lower in cost.
Start my visitWhat is Tadalafil
Tadalafil is a prescription medication used to treat erectile dysfunction. It is available in both brand-name (Cialis®) and non-branded, FDA-approved forms. Tadalafil can be taken as needed or daily, depending on the dose prescribed by your clinician.


What is Sildenafil
Sildenafil is a prescription medication used to help treat erectile dysfunction (ED). It works by improving blood flow, which supports normal erectile function.
It is available as both a brand-name medication (Viagra®) and an FDA-approved non-branded form. Because both contain the same active ingredient, they are expected to have the same clinical effect. The non-branded version is typically offered at a lower cost.
3 simple steps

1

2

3
Frequently Asked Questions
How do I take sildenafil?
Sildenafil is an as-needed medication you can take when you want to be ready for sex. Here are some helpful tips:
- Test it solo first. Try your medication without a partner first so you see how it affects you/your body.
- Take at least 60 minutes before sex. Your medication stays in the body for approx. 4-6 hours.
- Works best on a close to empty stomach. Avoid fatty food and alcohol prior to using treatment.
- Arousal required. Sildenafil won’t automatically give you an erection if you’re not aroused, so start with foreplay to see the best results.
Side effects of sildenafil
The most common side effects of sildenafil reported by Lyv Wellness members include: stuffy/runny nose, flushing, headaches, heartburn, dizziness, muscle aches, and nausea.
What safety information should I know before taking sildenafil?
Do not take sildenafil if you take any medicines called nitrates, often prescribed for chest pain, or guanylate cyclase stimulators like Adempas (riociguat) as this can result in a sudden, dangerous drop in blood pressure.
How long does sildenafil take to work?
Sildenafil is a short acting medication with a rapid onset. Remember that sildenafil will not give you a spontaneous erection without sexual stimulation. It should be taken 30–60 minutes before sex, and it reaches peak blood levels in 60 minutes on average.
How long does sildenafil last?
Sildenafil is a short acting drug with an average half-life of 4–5 hours, which means that half the medicine is gone from the body after 4–5 hours in healthy people. But just because the drug stays in your body for hours doesn’t mean your erection should last that long. Sildenafil (and other ED treatments) will not give you an erection for the entire period that they are in your system and your erection will still go down as normal after ejaculation.
How to get sildenafil?
Sildenafil is one of the medications offered on our platform. To determine which medication might be right for you, it’s best to complete the online visit and connect with a US-licensed healthcare provider to further discuss your options. If prescribed, your medication will be mailed directly to your door in discreet packaging.
Are non-branded forms of Viagra® safe?
Yes. Sildenafil (the active ingredient in Viagra®) is FDA-approved and considered safe when taken as prescribed. While the appearance of non-branded sildenafil tablets may differ, they contain the same active ingredient and are expected to produce the same clinical results.
Before prescribing sildenafil, your healthcare provider will review your health history and current medications to make sure it is safe for you.
How do I take tadalafil?
- Test it solo first. Try your medication without a partner first so you see how it affects you/your body.
- Take at least 60 minutes before sex (if you’re taking as-needed). Your medication stays in the body for approx. 24-36 hours. If you’re taking medication daily, you’ll be ready for sex at any time.
- Arousal required. Tadalafil won’t automatically give you an erection if you’re not aroused, so start with foreplay to see the best results.
Side effects of tadalafil
The most common side effects are headache, upset stomach, back pain, muscle aches, stuffy or runny nose, flushing, and pain in leg or arm.
What safety information should I know before taking tadalafil?
Do not take tadalafil if you take any medicines called nitrates, often prescribed for chest pain, or guanylate cyclase stimulators like Adempas (riociguat) as this can result in a sudden, dangerous drop in blood pressure.
How long does tadalafil last?
Compared with other ED drugs, tadalafil lasts longer, working for up to 36 hours. But that doesn’t mean a continuous erection for 36 hours. It means that the medicine enhances your ability to get hard over the course of 36 hours. You still need to be aroused to get an erection.
What does tadaldafil do?
Tadalafil increases blood flow into the penis, giving you stronger and longer-lasting erections. This is why it’s prescribed for erectile dysfunction (ED), a condition where the penis doesn’t get enough blood because the blood flow isn’t strong enough, or their blood vessels don’t stay open long enough to get the blood into their penis. However, tadalafil and other PDE5 inhibitors won’t give you an automatic erection. You need to be aroused for them to work.
What is tadalafil used for?
Tadalafil is used to treat erectile dysfunction (ED). It comes in four doses, 2.5 mg, 5 mg, 10 mg, and 20 mg.The drug can be taken as needed in any of the four doses. The 2.5 mg and 5 mg doses are also approved for daily use for ED. Tadalafil in the 2.5 mg and 5 mg doses is also FDA-approved for men suffering from urinary symptoms due to benign prostatic hyperplasia (BPH) with or without ED.
How long does tadalafil take to work?
It can take between 30 minutes and two hours for the medication to work. That means if you take the as needed dose, you should take it at least 30 minutes before sexual activity. When used daily, the medication should be taken around the same time every day. You should not take more than one dose in a 24-hour period.
