Tadalafil, the active ingredient in Cialis, can be prescribed for erectile dysfunction as a daily or as-needed regimen. Bidwell Health offers a $45 online assessment in Florida and 10 other states. Tell your clinician how often you expect to use treatment and whether you have tried ED medication before. If appropriate, your prescription goes to your chosen pharmacy. The visit has no required subscription; medication and any shipping cost extra.
Eligible adult men physically located in Florida can request tadalafil through a $45 Bidwell ED visit. You can state a preference for daily or as-needed use, but a Florida-licensed clinician chooses the appropriate medication, dose and quantity.
Use our Florida online ED treatment service for generic Cialis and other options to review the visit pathway. Living in Florida does not establish eligibility while you are visiting a state we do not serve; your physical location at the time of care matters. Read the step-by-step Florida ED prescription guide if you want to understand the process before submitting an intake.
Tadalafil is a selective phosphodiesterase type 5 (PDE5) inhibitor, the same drug class as sildenafil, vardenafil, and avanafil. All PDE5 inhibitors work by preserving cyclic GMP in the smooth muscle of the corpus cavernosum, allowing blood to fill the penis during sexual arousal. What makes tadalafil distinctive is its 17.5-hour half-life; far longer than sildenafil's 4 hours; which gives a clinical window of up to 36 hours per dose. The Cialis prescribing information is the authoritative reference.
Cialis is the brand name; tadalafil is the active ingredient. An FDA-approved generic must meet the same standards for strength, quality and clinical benefit. Tadalafil also has an approved use for BPH, but this page and the linked intake concern ED assessment. Urinary symptoms alone need their own evaluation rather than being assumed to be an ED visit.
Tadalafil is an appropriate first-line treatment for most adult men with ED, per the American Urological Association guideline. You can request an assessment through Bidwell if you:
Tadalafil is often a better fit than sildenafil if you want a longer window, prefer daily dosing without planning, or also have BPH symptoms. It's less affected by food so you don't need an empty stomach.
This includes nitroglycerin, isosorbide and recreational "poppers." The combination can dangerously lower blood pressure. Do not use tadalafil if you have had an allergic reaction to it or an ingredient in the tablet.
Tell your clinician about recent heart or stroke events, blood-pressure problems, severe liver or kidney disease, dialysis, a history of sudden vision loss or retinal disease, or prolonged erections. These can require a different dose, a different treatment or an in-person assessment. ED medication should not be used when sexual activity is unsafe because of your heart condition.
Alpha-blockers and other medicines can change the risk. Your clinician reviews the combination and dose; spacing tablets does not remove an interaction. See the MedlinePlus patient guide for precautions. If chest pain develops, seek emergency care and tell the team when you last took tadalafil; do not self-administer a nitrate.
| Regimen | Dose | When to use |
|---|---|---|
| Daily (low-dose) | 2.5 mg daily, adjusted to 5 mg when appropriate | A regular daily schedule rather than a tablet timed to each occasion |
| As needed (PRN) | 10 mg initially; adjusted to 5 mg or 20 mg when appropriate | Infrequent use; take 30-45 min before. Max once per 24 hours. |
For as-needed dosing, take tadalafil 30-45 minutes before anticipated activity. Unlike sildenafil, food doesn't meaningfully affect absorption; you can take it with or without a meal. Do not exceed the prescribed frequency. Kidney disease or interacting medicines can require a lower dose or an interval longer than 24 hours.
Daily dosing provides steady-state PDE5 inhibition. Most men on daily tadalafil find they don't need to "plan" around doses; if sex happens, the medication is already working. Daily dosing is also the only FDA-approved PDE5 regimen for BPH. The AUA BPH guideline includes tadalafil 5 mg daily as a first-line option, especially for men with both BPH and ED.
Tadalafil is generally well tolerated. Per the FDA label, the most common side effects are:
Serious but rare side effects: priapism (erection lasting more than 4 hours; medical emergency, go to the ER), sudden hearing loss, NAION (rare form of vision loss), severe allergic reactions. Stop the medication and seek urgent care for sudden vision or hearing changes.
Back pain and muscle aches are more associated with tadalafil than sildenafil, typically starting 12-24 hours after dosing and resolving on their own or with acetaminophen/ibuprofen. If persistent or severe, consider switching agents. For more detail, see our tadalafil side effects guide and the sildenafil vs tadalafil comparison.
Bidwell charges $45 for the assessment, with tadalafil and shipping paid separately. The visit includes 21 days of messaging about the same visit. The visit process guide explains when that window starts; your portal shows its end date. There is no required subscription or video appointment.
A daily prescription and an as-needed prescription have different quantities. The intake offers 30, 60 or 90 tablets for daily tadalafil, or 15, 30 or 45 tablets for as-needed use. Your clinician decides the dose and final quantity and may authorize one refill. Once the approved supply and refill are used, another prescription needs a new $45 visit.
Pharmacy example, checked September 28, 2026: Cost Plus Drugs lists 30 tadalafil 5 mg tablets for $5.97, plus $5.25 standard shipping. With a $45 Bidwell visit, that example totals $56.22 before tax for the visit and one fill. Your clinician selects the dose; confirm the current price for your prescribed strength and quantity with your pharmacy.
For other strengths, quantities and regimens, see our ED cost comparison for daily and as-needed medication. Compare the visit fee, tablet count, refill allowance and delivery charges together.
Bidwell does not bill insurance for the visit. Ask your chosen pharmacy whether insurance or a cash discount gives the better medication price.
You must be physically located in one of these states at the time of your visit.
Yes. Eligible adult men physically in Florida can request a $45 Bidwell ED assessment. A licensed clinician decides whether tadalafil is appropriate, and an approved prescription goes to the patient's chosen pharmacy. Medication and shipping are separate. See online ED treatment in Florida for the care pathway.
Yes. Eligible adults in Florida and the other supported states can request an online ED assessment for $45. A licensed clinician decides whether tadalafil is appropriate and can send an approved prescription to your chosen pharmacy. The visit has no required subscription or video appointment; medication is separate.
Main difference: duration. Sildenafil lasts 4-6 hours; tadalafil lasts up to 36. Tadalafil can be taken daily for continuous coverage (2.5 or 5 mg) and is FDA-approved for BPH. Sildenafil is shorter-acting and a bit more affected by food.
Daily tadalafil is prescribed as 2.5 mg or 5 mg taken on a regular schedule. As-needed, or PRN, tadalafil is taken before anticipated sexual activity, with 5 mg, 10 mg or 20 mg selected by the clinician. Do not add an as-needed dose to a daily regimen unless your prescriber specifically instructs you.
Medication cost is paid separately at the pharmacy and varies by strength, quantity, pharmacy, insurance, and discount-card pricing. Generic tadalafil is usually less expensive than brand-name Cialis.
As-needed tadalafil can improve erectile response for up to 36 hours after a dose. That is a window of possible response, not a continuous erection or a guaranteed duration. Sexual stimulation is still needed. An erection lasting more than four hours needs emergency care.
Tadalafil 5 mg daily has an FDA-approved use for benign prostatic hyperplasia, or BPH. However, the Bidwell intake linked here is for ED. New urinary symptoms need clinical evaluation; do not use an ED visit as a substitute for assessing their cause.
Alcohol can add to tadalafil's blood-pressure effects, particularly in larger amounts, and can worsen erectile difficulty. Discuss your alcohol use with the clinician. Seek advice for dizziness or fainting rather than assuming a fixed number of drinks is safe.
FDA-approved generic tadalafil has the same active ingredient as Cialis and must meet FDA standards for equivalent clinical benefit at the corresponding strength. Inactive ingredients and appearance can differ. This guide covers FDA-approved generic tadalafil tablets.
A clinician can help you switch if the duration, side effects or dosing routine do not fit your needs. Do not overlap sildenafil and tadalafil or choose your own switching interval; ask your prescriber when to stop one and start the other.
Yes. Unlike sildenafil, food doesn't meaningfully delay absorption. You can take it with or without a meal.
Sources checked September 28, 2026.