Tadalafil
The active ingredient in Cialis®. Longer-lasting ED support with flexible dosing, prescribed online.
- Free, discreet shipping
- Lab-tested quality from licensed U.S. pharmacies
- No insurance required
Starting at $109/mo · No insurance needed · Cancel anytime
What is Tadalafil?
Tadalafil is a PDE5 inhibitor and the active ingredient in Cialis®, used to treat erectile dysfunction. Tadalafil improves blood flow and can work for up to 36 hours. Your provider can recommend a daily low dose or an as-needed approach depending on what fits your life.
What are the benefits of Tadalafil?
Most men choose Tadalafil for the flexibility. A single dose can stay active for up to 36 hours, so intimacy does not have to be planned around a pill. Your provider will explain what to expect in your situation.
Tadalafil suits adults who want longer-lasting ED support with flexible daily or as-needed dosing. A provider confirms it's safe for you.
Step 1 — Take the online visit
Tell us about your health history, lifestyle, and goals through a secure intake form. A licensed Helix Seven provider reviews your information to decide whether treatment is a safe, appropriate fit — and may order labs if needed.
What's your main goal right now?
Step 2 — Personalized care, prescribed for you
If eligible, your provider builds a care plan tailored to your needs, with treatment options prescribed to support your goals safely and effectively.
Dr. Ellis
Step 3 — Easy access to your medication
Once approved, your prescription is filled by our network of licensed U.S. pharmacies and shipped directly to your door — quickly, securely, and discreetly.

Real people, real results
Discreet, fast, and it took the pressure off completely.
Felt like myself again — and so did my relationship.
The visit was easy and there was zero awkwardness.
Showed up fast, plain packaging, exactly as described.
Confidence back, stress gone.
Confidence shouldn't be complicated. Whatever's been getting in the way, the right treatment and a discreet, judgment-free visit can put you back in control. With Helix Seven, better intimacy is one quick visit away.
Get started
Delivered safely & discreetlyHeld to a higher standard.
Every prescription we fill is prepared by licensed U.S. pharmacies and checked for accuracy, purity, strength and sterility — so you can trust exactly what arrives at your door.
Get startedOne flat price. Your rhythm.
On-demand before the moment, or a small daily dose for always-ready coverage. Your provider helps you choose.
- Tadalafil 20mg on-demand or 5mg daily, prescribed if appropriate
- Ongoing provider support
- Free, discreet shipping
- No insurance needed
- Cancel anytime · FSA/HSA eligible
From $109/mo · approach chosen with your provider.
Your provider recommends the approach that fits your rhythm. Prices stay flat either way.
Prescription products require an online evaluation and are only prescribed if a licensed provider determines they’re appropriate for you.
Tadalafil — frequently asked questions
Daily or as-needed?
Both are options. Daily dosing keeps you ready without timing; as-needed is taken before sex. Your provider helps you choose.
How fast does it work?
Many people feel effects within an hour, with a longer window than some other options.
Can I drink alcohol?
Light drinking is usually fine, but heavy drinking can worsen ED and side effects. Ask your provider.
How fast is shipping?
Once your provider approves your plan, most orders ship quickly in plain, discreet packaging.
Do I need insurance?
No. Helix Seven is cash-pay with no hidden fees, and your plan covers the care around your medication.
Tadalafil is a prescription medication. Never combine it with nitrates, as the pair can cause a dangerous drop in blood pressure. Share your heart history and medication list with your provider. Prescription products require an online evaluation and are only prescribed if a licensed provider determines they're appropriate for you. Compounded medications, when prescribed, are prepared by U.S. FDA-registered pharmacies but are not FDA-approved. The FDA does not evaluate compounded drugs for safety, effectiveness or quality. This page is general information, not medical advice. Individual results may vary. Prescription required.