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Tadalafil (Tadalafil (Cialis))

Category: Sexual Health. Status: FDA-approved prescription.

A long-acting PDE5 inhibitor prescribed by telemedicine clinics for erectile dysfunction and daily low-dose cardiovascular/prostate health. Its 36-hour duration of effect earned it the nickname "the weekend pill." Also used for pulmonary hypertension and BPH.

How it works

Selectively inhibits phosphodiesterase type 5 (PDE5), preventing cGMP breakdown in smooth muscle. This enhances nitric oxide signaling for vasodilation in penile, pulmonary, and prostate tissue.

Key facts

  • Molecular weight: 389.40 Da
  • Half-life: ~17.5 hours
  • Bioavailability: ~36% oral
  • Storage: Room temperature.

Dosing overview

  • Typical dose: 2.5-5 mg daily or 10-20 mg as needed
  • Frequency: Daily or on-demand
  • Duration: Ongoing
  • Route: Oral tablet

Protocol notes

  • Daily approach: 2.5-5 mg every day for steady readiness plus the cardiovascular/prostate benefits.
  • On-demand approach: 10-20 mg taken at least 30-60 minutes before activity (works for up to ~36 hours).
  • Pick one approach - don't combine daily dosing with large on-demand doses.

Reported benefits

  • Erectile function improvement
  • Cardiovascular health (vasodilation)
  • Prostate health (BPH)
  • Improved exercise capacity
  • Nitric oxide support

Possible side effects

  • Headache
  • Back pain
  • Muscle aches
  • Nasal congestion
  • Flushing
  • Indigestion

Research

  • Daily tadalafil and endothelial function (2022): Daily 5mg tadalafil improved flow-mediated dilation by 30% and reduced arterial stiffness in men over 12 weeks.

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Research and educational reference only. Not medical advice.