Sexual Wellness · Provider-guided
Tadalafil, for when timing shouldn’t matter
The long-acting ED medicine, pressed into a scored troche that melts in your mouth. Take it earlier in the day and stop watching the clock — prescribed only after a licensed provider reviews your health.
How it works
What a tadalafil troche is, in plain terms
Tadalafil is the longer-acting of the two classic ED medicines — its effect window stretches far beyond sildenafil’s, which is why it earned the nickname “the weekend pill.” Ours is a scored troche that dissolves against your cheek, absorbing partly through the lining of your mouth.
- Improves blood flowTadalafil relaxes blood-vessel muscle so blood can flow where it’s needed — with arousal, not automatically.
- A much longer windowOne dose covers far more time than sildenafil, so spontaneity doesn’t require planning.
- Scored into quartersIf the full dose is more than you need, it breaks cleanly into halves or quarters — your provider will say when.
Why people choose it
Many patients prefer tadalafil precisely because timing matters less — take it earlier and the evening takes care of itself. Our 11 mg troche sits inside the FDA-approved range (5–20 mg as needed, max 20 mg/day), and your provider may start you lower.
ED medication supports an erection with arousal; it doesn’t cause one on its own, and it doesn’t treat the underlying cause. ED can be an early sign of cardiovascular disease — if your history suggests that, we’ll say so and order labs.
What's included
Everything in the pack
Your troches
Compounded by a US-licensed pharmacy and shipped discreetly — plain packaging, no clinic name on the label.
Scored dosing
Each troche breaks into halves or quarters, so one pack flexes with the dose your provider sets.
Provider evaluation
A Florida-licensed provider reviews your health history and medications before anything is prescribed.
No pharmacy counter
No claim to insurance, no record with your carrier, nothing to pick up in person.
Care that remembers you
Because the same provider guides your plan each time, it builds on what's working for you — not a new questionnaire with a new stranger every visit.
What to expect
Simple, and unhurried
Tadalafil’s long window is the whole point — less scheduling, more living.
Getting started: Complete an evaluation and a Florida-licensed provider reviews your history — per Florida telehealth law, usually without labs or a physical exam for ED, unless your answers raise something that needs a closer look.
Taking it: Let the troche dissolve against your cheek or under your tongue. Food matters less with tadalafil than with sildenafil, and its effect window is long enough that you can take it well ahead.
Adjusting: If the effect is too strong or not enough, message your provider — the scored design means many adjustments don’t even need a new pack.
Important safety information
What to know before starting
This is a summary, not a substitute for the guidance your provider and pharmacy will give you. Read all materials that come with your medication and ask your provider about anything you don't understand.
⚠ Safety & who should talk to a provider first
Nitrates — absolute: Nitroglycerin, isosorbide, or amyl nitrite (“poppers”) taken with tadalafil can drop blood pressure to a dangerous level. There is no dose that makes this combination safe. The same applies to riociguat (Adempas).
Heart and blood pressure: A heart attack, stroke, or unstable angina in the last six months, uncontrolled blood pressure, or unstable heart failure — talk to your provider first.
Alpha-blockers: Tamsulosin, doxazosin and similar prostate or blood-pressure medications can stack with ED medication. Not a hard stop, but dose and timing have to be planned — tell us everything you take. Because tadalafil stays in your system longer, interaction planning matters even more.
Eye and blood conditions: A history of NAION or sudden vision loss in one eye, retinitis pigmentosa, sickle cell disease, leukemia, or multiple myeloma need provider review first.
An erection lasting over four hours: Go to an emergency department. Priapism is a medical emergency, and waiting it out can cause permanent damage.
Questions
Tadalafil FAQ
How much does tadalafil cost at DonoMed?
Tadalafil 11 mg troches are $79 for 8 doses, $99 for 12, or $149 for 20 — evaluation and discreet shipping included. Because each troche is scored into quarters, a pack often lasts longer than its dose count.
How long does tadalafil last?
Considerably longer than sildenafil — long enough that most patients stop planning around it. That extended window is the main reason people choose tadalafil, and also why interactions have to be reviewed carefully first.
Is this dose FDA-approved?
The compounded troche itself is not FDA-approved, but every strength we offer stays inside the FDA-approved as-needed tadalafil range (5–20 mg, max 20 mg/day). Some clinics sell 80–100 mg tadalafil troches — four to five times the daily limit, with no approval or safety data behind those numbers. We don’t stock them.
Do I need labs or an exam?
For ED, usually not — Florida Statute § 456.47 allows a licensed provider to evaluate and treat from a written history when that’s sufficient. If your answers raise something, we’ll ask for a call or labs before prescribing.
Tadalafil or sildenafil?
Tadalafil for a long window and less planning; sildenafil for the classic as-needed approach. Your provider will help you choose — and a combined troche exists if one alone isn’t ideal.
Will anyone know?
Shipping is discreet with plain packaging, there’s no insurance claim, and no record with your carrier. Your health information is never sold or shared for advertising.