Long Lasting
Designed to support firmer erections with a window of up to 36 hours.
Tadalafil is a PDE5 inhibitor designed to support blood flow for firmer erections. It lasts longer than other options in its class, up to 36 hours, so there is less need to plan around timing.
No membership fee. Every order is reviewed by an Axiom Medical Professional before it ships.
No. Your medical review and check-ins are included. You only pay for your treatment.
Usually not. Your Axiom Medical Professional reviews your answers online. If they need to speak with you, they schedule a short video visit at no cost.
Tadalafil can work for up to 36 hours. You still need arousal for it to work.
Sildenafil is taken shortly before sex and lasts a few hours. Tadalafil lasts longer. Your Axiom Medical Professional helps you choose.
Yes. Orders ship in plain packaging.
Monthly plans can be canceled anytime before your next billing date. The 3 month prepaid plan renews every 3 months and can be canceled before renewal.
These statements have not been evaluated by the Food and Drug Administration. Compounded medications are not FDA approved. This product is not intended to diagnose, treat, cure or prevent any disease. Prescription required.
Treatments / Sexual Health / Tadalafil

Sexual Health
Monthly price $299/mo
Size 20mg, 30 tablets
Strengths and pricing
Your Axiom Medical Professional sets your starting dose and adjusts it over time. You choose monthly or 3 month billing at the end of your intake.
Answer a few questions about your health and goals. Your Axiom Medical Professional reviews them before anything is prescribed or ships.
Nothing is charged until you review your order.
Tadalafil belongs to a class of medications called PDE5 inhibitors. They support blood flow when you are sexually aroused.
Because it lasts up to 36 hours, many people find it more flexible than shorter acting options.
Each bottle contains 30 compounded tadalafil 20mg tablets. Your Axiom Medical Professional confirms the dose and schedule that fit you.
Step by step instructions ship with your order. Your Axiom Medical Professional is available if you have questions.
Headache, indigestion, back pain and muscle aches are the most common side effects and are usually mild.
If side effects bother you, your Axiom Medical Professional can adjust your dose.
Why Tadalafil
Designed to support firmer erections with a window of up to 36 hours.
One tablet lasts up to 36 hours, so there is less need to plan around timing.
Your Axiom Medical Professional reviews your answers, confirms your treatment and checks in as you progress.
No Membership Fees
Many telehealth companies charge a monthly membership on top of medication. We do not.
$149per month membership, plus medication
$0membership fee
Typical membership pricing based on publicly listed rates from leading telehealth programs.
Your Path
STEP 1
About 5 minutes online. Your health history is part of it, so there are no repeat forms.
STEP 2
Pick your plan and check out. No membership fee.
STEP 3
Your Axiom Medical Professional reviews your answers. A video visit only if needed.
STEP 4
Once approved, your order ships and we text you tracking.
Tadalafil is a prescription medication. It is not FDA approved. Compounded products are not reviewed by the FDA for safety, effectiveness or quality. Read this information before starting and talk with your Axiom Medical Professional about any questions.
Taking this medication with nitrates or poppers can cause a sudden, dangerous drop in blood pressure.
Erection lasting more than 4 hours. Get emergency medical help right away to avoid lasting damage.
Sudden vision or hearing loss. Stop taking it and get medical help right away.
Blood pressure. Tell your Axiom Medical Professional if you take alpha blockers or blood pressure medication. Limit alcohol.
Serious allergic reactions. Get emergency help for swelling of the face, lips, tongue or throat, trouble breathing, or a severe rash.
Other medications. Share a full list of your medications and supplements in your intake so your Axiom Medical Professional can check for interactions.
Call 911 for a medical emergency. To report side effects, contact your Axiom Medical Professional or the FDA at 1-800-FDA-1088 or fda.gov/medwatch.
Questions
No. Your medical review and check-ins are included. You only pay for your treatment.
Usually not. Your Axiom Medical Professional reviews your answers online. If they need to speak with you, they schedule a short video visit at no cost.
Tadalafil can work for up to 36 hours. You still need arousal for it to work.
Sildenafil is taken shortly before sex and lasts a few hours. Tadalafil lasts longer. Your Axiom Medical Professional helps you choose.
Yes. Orders ship in plain packaging.
Monthly plans can be canceled anytime before your next billing date. The 3 month prepaid plan renews every 3 months and can be canceled before renewal.
These statements have not been evaluated by the Food and Drug Administration. Compounded medications are not FDA approved. This product is not intended to diagnose, treat, cure or prevent any disease. Prescription required.