Sildenafil / Tadalafil · As-needed or daily
Confidence, on your terms.
Sildenafil and Tadalafil are the most studied, most trusted ED medications available — improving blood flow so you can achieve and maintain an erection when it matters.
Physician reviewed
Personalized protocol
Free discreet shipping
Select your plan
Choose your ED Treatment plan
Choose your medication
Your clinician confirms the medication and dose during review — you can change it any time.
Pills per month
Choose your supply
Sildenafil 50mg · 6 pills per month. Longer supplies lower your monthly cost.
*Medications only issued when clinically appropriate after provider evaluation. Shape Meds does not manufacture compounded medications. Actual product appearance may differ from images.
The protocol
What is ED treatment.
Sildenafil (generic Viagra) and Tadalafil (generic Cialis) are FDA-approved PDE5 inhibitors that relax blood vessel walls, increasing blood flow to the penis in response to arousal. Sildenafil acts fast and clears within hours; Tadalafil lasts up to 36 hours, and a low daily dose removes the need to time doses altogether. Your clinician determines the right medication and dose for you.
Get started
The mechanism
How it works
N°01
PDE5 inhibition
Both medications block the PDE5 enzyme, allowing nitric oxide to relax smooth muscle in the penis, increasing blood flow during arousal.
N°02
Fast-acting or long-lasting
Sildenafil works in about 30–60 minutes and lasts 4–6 hours. Tadalafil takes slightly longer to onset but remains effective for up to 36 hours.
N°03
Spontaneity with daily dosing
A low daily dose of Tadalafil maintains a steady level in your system, so you're ready without needing to plan around a dose.
N°02 — Outcomes
The results
Transformative results
- 01Improved ability to achieve and maintain an erection
- 02Onset within 30–60 minutes (Sildenafil) or a steady daily baseline (Tadalafil)
- 03Up to 36 hours of responsiveness with Tadalafil
- 04Discreet, physician-reviewed prescribing — no office visit required
- 05Often paired with lifestyle and cardiovascular screening for long-term results
Your protocol timeline
What you
can expect.
Phase 01
First dose
Most men notice improved response within the first use, typically 30–60 minutes after taking Sildenafil, or with the first few days of daily Tadalafil.
Phase 02
Weeks 1 → 4
Your clinician fine-tunes dose and medication choice based on your response and any side effects like flushing or mild headache.
Phase 03
Ongoing
Once dialed in, most men settle into a consistent routine — as-needed dosing or a low daily dose — with sustained results.
✦ How it works
Get started in three simple steps
Your personalized treatment plan is just minutes away.
≈ 5 minutes
Share your story
A brief, 100% online health assessment from the comfort of your home.
Within 24 hours
A clinician reviews
Board-certified physicians review your answers and build a tailored plan within 24 hours.
Free shipping
Care, delivered
If a prescription is granted, it ships discreetly to your door — free.
FAQ
Questions,
answered.
Everything you need to know before starting your protocol. Still curious? Our care team is one message away.
01What is erectile dysfunction?
ED is the ongoing struggle to attain or sustain an erection suitable for sexual activity. It's common, treatable, and often has both physical and psychological contributors.
02Sildenafil or Tadalafil — which is right for me?
Sildenafil acts quickly and wears off in 4–6 hours, good for planned intimacy. Tadalafil lasts up to 36 hours, and a low daily dose removes timing altogether. Your clinician recommends the best fit during intake.
03What are the possible side effects?
The most common are headache, flushing, nasal congestion and mild indigestion. Men with certain heart conditions or on nitrates should not take PDE5 inhibitors — your clinician screens for this before prescribing.
04Is my order discreet?
Yes — every order ships free in plain packaging with no indication of the contents.
Membership
What's included
One price. Everything you need — prescription, physician care and concierge support.
Treatment + ongoing care
Your prescription plus continuous physician support.
Free delivery to your door
Discreet, fast shipping included with every order.
Online doctor consultation
Evaluated by a licensed U.S. physician — no office visit needed.
Message your provider anytime
Ongoing care and adjustments whenever you need them.
100% money-back guarantee
Full refund if you're not approved for treatment.