Tadalafil
A compounded oral tadalafil medication that a licensed provider may prescribe as part of a sexual wellness program, based on clinical evaluation and health history. It is not FDA approved.
Compounded drugs are not FDA approved. FDA does not review compounded drugs for safety, effectiveness, or quality before marketing.
See it before your first visit
Photographs of the medication as dispensed.
What it is
Tadalafil is a phosphodiesterase type 5 (PDE5) inhibitor. A licensed provider may prescribe it as part of a sexual wellness program after reviewing your symptoms, medications, and health history.
This medication is compounded. It is prepared by a licensed pharmacy for an individual patient based on a prescription. It is not FDA approved, and the FDA has not evaluated it for safety, effectiveness, or quality. The form, strength, and directions are set by your prescriber and printed on your pharmacy label.
How it works
Tadalafil blocks an enzyme called PDE5. Blocking it helps blood vessels relax and widen, which increases blood flow. It works in response to sexual stimulation and does not cause arousal on its own.
Tadalafil stays in the body longer than some other PDE5 inhibitors, which also means side effects and medication interactions can last longer. Your provider determines the dose and how it should be used, and may adjust it based on how you respond.
What to expect
Your provider will review your health history, blood pressure, and every medication you take before prescribing. Your provider will tell you how much to take, when to take it, and how often, and may change the plan over time. Do not take more than prescribed.
Individual responses vary, and results are not guaranteed.
Who it is for
Whether tadalafil is appropriate for you is a decision made by a licensed provider based on your symptoms, examination, and health history. It is not appropriate for everyone, including people who take nitrate medications and people with certain heart conditions.
Sexual health concerns can have many causes, including heart health, diabetes, hormone levels, and medications. Your provider will evaluate the full picture.
This page is general information and is not medical advice.
Side effects
Commonly reported side effects include headache, flushing, nasal congestion, upset stomach, back pain, muscle aches, and dizziness.
Serious risks include a drop in blood pressure, especially when combined with nitrates or certain other medications; an erection that lasts more than four hours (priapism); sudden vision loss in one or both eyes; and sudden decrease or loss of hearing. Seek urgent care for chest pain, fainting, an erection lasting more than four hours, or any sudden change in vision or hearing.
This is not a complete list. Ask your provider about the full prescribing information.
Read this before you start
Compounded drugs are not FDA approved. FDA does not review compounded drugs for safety, effectiveness, or quality before marketing.
Medication availability, formulation, packaging and pharmacy fulfillment vary based on the patient's prescription and location.
Compounded medication. This medication is compounded by a licensed pharmacy and is not FDA approved. The FDA has not evaluated compounded medications for safety, effectiveness, or quality. It is prescribed for an individual patient by a licensed provider.
Nitrates. Never take tadalafil if you use nitrate medications, including nitroglycerin, or recreational nitrites known as poppers. The combination can cause a sudden, dangerous drop in blood pressure. Because tadalafil stays in the body for a long time, tell emergency providers that you take it.
Other medications. Tell your provider about everything you take, especially alpha blockers, blood pressure medications, riociguat, other PDE5 inhibitors, and certain antifungals, antivirals, and antibiotics. Alcohol can add to dizziness and low blood pressure.
Heart health. Sexual activity carries some cardiac risk. Tell your provider if you have heart disease, low or uncontrolled high blood pressure, a history of stroke, or liver or kidney disease.
Vision and hearing. Stop use and get medical help right away if you notice sudden vision or hearing loss.
Not medical advice. The information on this page is general and educational. It does not establish a provider relationship and does not replace a consultation with a licensed provider.
Common questions
Is compounded tadalafil FDA approved?
No. This medication is compounded by a licensed pharmacy, and compounded medications are not FDA approved. The FDA has not evaluated them for safety, effectiveness, or quality.
Do I need a prescription for tadalafil?
Yes. A licensed provider must evaluate you and write the prescription before a pharmacy prepares it.
Can I take tadalafil with nitrates?
No. Taking tadalafil with nitrate medications can cause a sudden, dangerous drop in blood pressure. Tell your provider about every medication you take.
Does tadalafil cause arousal on its own?
No. It works in response to sexual stimulation.
How do I take it?
Exactly as your provider directs. Do not take more than prescribed or change your dose on your own.
What are the common side effects?
Headache, flushing, nasal congestion, upset stomach, back pain, and muscle aches are the most common.
What if I have a serious side effect?
Seek urgent care for chest pain, fainting, an erection lasting more than four hours, or sudden vision or hearing changes. Contact your prescribing provider for other concerns.
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