Tadalafil | Livv Telehealth

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Trusted ED treatment

Tadalafil

Description

An FDA-approved treatment with the same active ingredient as Cialis®—without the brand-name price tag. Clinically proven, long-lasting, and ready when you are, it delivers reliable performance and confidence at a fraction of the cost. Getting hard just got easier.

6 month plan

$24/month

3 month plan

$27/month

Monthly plan

$30/month

These prices reflect our lowest dosage & frequency option.

What is Tadalafil?

Tadalafil is an FDA-approved prescription medication used to treat erectile dysfunction (ED). It works by increasing blood flow to the penis during sexual stimulation, making it easier to achieve and maintain an erection. Known for long-duration—often lasting up to 36 hours—it offers more flexibility and less pressure around timing compared to shorter-acting ED medications. As the generic form of Cialis®, Tadalafil is clinically proven, reliable, and widely trusted by millions of men worldwide for improved confidence and satisfaction in their sexual performance.

What you'll get

personalized plan icon Personalized treatment plan designed for you
medication icon Convenient access to prescribed medications
check-in icon Ongoing check-ins with licensed providers
adjustments icon Adjustments tailored to your progress
discreet care icon Discreet, judgment-free care

How to take

  • Tadalafil is an as-needed treatment, ideally taken with or without food at least 30 minutes before sexual activity. Stimulation is required to trigger the effects.
  • The doctor will personalize your dosage and instructions to fit your unique needs. Details will be included in your shipment, if prescribed.
  • Always reach out to your provider if you have any concerns or need assistance.

Side effects

  • Side effects can generally mild and temporary, including headaches, facial flushing, nasal congestion, upset stomach, back pain, or mild muscle aches. Contact your provider if you experience an erection lasting longer than four hours, or if you notice any side effects that bother you or don't go away.
  • Prescription products require an online consultation to determine if a prescription is appropriate. We include regular follow-ups with your provider to monitor your response.

*For a 6-month plan paid upfront. Actual price depends on the product and payment frequency.

Only available by prescription from provider after virtual consultation. Actual product packaging may appear differently than shown. Compounded drugs are permitted to be prescribed under federal law but are not FDA-approved and do not undergo FDA safety, effectiveness, or manufacturing review. Individual results may vary.

Who it's for

Tadalafil is for men who want reliable, long-lasting support for sexual performance. It's an ideal option for those who prefer a medication that stays active longer, offers more flexibility, and reduces the pressure of perfect timing.

Weak erectionsLow libidoPerformance anxietyLow confidencePoor spontaneityInconsistency

How it can help

This treatment helps improve sexual performance by increasing blood flow to the penis during arousal, making it easier to achieve and maintain a firm, reliable erection.

Stronger erections
Improved intimacy
Better consistency
Boosted confidence

Taking Tadalafil

How it works

Tadalafil works by increasing blood flow to the penis during sexual stimulation, making it easier to achieve and maintain an erection. It belongs to a class of medications called PDE5 inhibitors, which help relax the blood vessels and support a stronger, more reliable response. Unlike shorter-acting options, Tadalafil stays in the body for up to 36 hours, offering more flexibility, less pressure around timing, and a more natural feeling experience during intimacy.

What to expect

With Tadalafil, you can expect a smoother, more flexible experience compared to shorter-acting ED medications. Most men begin noticing effects within 30 minutes, with benefits lasting up to 36 hours. Many users report stronger, longer-lasting erections, and greater confidence during sexual activity. It's important to note that this treatment won't automatically give you an erection, and stimulation is still necessary to see results. Individual results may vary.

Potential side effects

The most commonly reported side effects include headaches, facial flushing, nasal congestion, upset stomach, back pain, or mild muscle aches, but these are usually mild and temporary. Your provider will review your health history and monitor results to help minimize potential risks and ensure the treatment is safe and effective for you.

Dr. Gidon Akler, MD
Tailored to you

Personalized care, backed by doctors

At LIVV, men's sexual health treatments are prescribed by licensed providers who tailor care based on your health history and goals, with ongoing guidance to support safe, effective treatment.

Dr. Gidon Akler, MD

US Board-Certified Physician • Precision Medicine

Start treatment in 4 easy steps

Intake forms

10-15 minutes

Answer a few quick questions about your health history and goals.

Doctor review

Up to 2 days

A licensed provider will determine if the treatment is the right fit for you.

Order processing

5 business days

The order will be compounded, processed, and shipped, if prescribed.

Free standard shipping

3-5 days

Your treatment will ship quickly and discreetly to your door at no cost.

What our patients are saying

4.8 (5 Reviews)

Tadalafil has been steady and reliable for me. I like that it lasts longer, and Livv made the whole experience private and simple.

Elias R.

December 25, 2025

Great results without feeling rushed or timed. Livv's provider explained everything clearly.

Austin S.

December 22, 2025

I get a mild stuffy nose sometimes, but I'm not sure it's related, and the benefits are worth it anyway. Long-lasting and dependable. Ordering through Livv was super easy.

Jamal K.

December 19, 2025

Exactly what I needed—smooth onset and consistent performance. The Telehealth visit was fast, and I really appreciate how fast Livv ships everything.

Armin R.

December 17, 2025

Tadalafil feels more natural for me compared to fast-acting options. More like what I needed without planning around it. Good experience overall.

Rafael T.

December 13, 2025

Common questions about Tadalafil

Visit our FAQ page for more

Is Tadalafil as effective as Cialis®?

Yes. Our Tadalafil contains the same active ingredient and works the same way as Cialis®, but at a fraction of the cost.

Is Tadalafil FDA-approved?

Yes. Tadalafil is an FDA-approved medication for treating erectile dysfunction (ED). It must meet strict standards for safety, quality, and effectiveness. As the generic form of Cialis®, Tadalafil contains the same active ingredient and delivers the same clinically proven results—just at lower cost.

Can I use Tadalafil with alcohol or food?

Yes. Tadalafil can be taken with or without food, and the absorption is not significantly affected by meals. Light to moderate alcohol use is generally safe, but excessive drinking can reduce effectiveness and increase side effects.

What dosage of Tadalafil will I take?

Our Tadalafil is available in 5 mg, 10 mg, and 20 mg tabs. You'll have the chance to select a preferred strength in your intake form, but your provider will determine the right dosage based on your unique needs. If appropriate, many patients begin with 10 mg and adjust based on response. Some may need 20 mg for optimal effect, while others may do well at 5 mg. Your provider will recommend the right strength for your needs.

How often can I use Tadalafil?

Tadalafil is designed for as-needed use. You should not take more than one dose in a 24-hour period. Your provider will guide you on the right frequency based on your goals and response.

We offer plans with 6, 8, or 10 uses per month, so you can choose the frequency that best fits your lifestyle and level of intimacy.

If eligible, how much does this treatment cost?

Our treatments are priced competitively and transparently to ensure accessibility for our patients. The price includes your initial consultation, follow-up visits, ongoing support, shipping, and any necessary supplies — with no hidden fees.

Your cost depends on the subscription plan, dosage, and the number of uses per month you select, so you can choose the plan that best fits your needs:

  • 1-month plan: From $30/month
  • 3-month plan: From $27/month
  • 6-month plan: From $24/month

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