2-minute questionnaire
A few questions about your health, prior ED history, and any current medications. Done from your phone, on your time.
Other ED pills put you on a clock. Tadalafil (generic Cialis®) stays in your system up to 36 hours, so sex happens on your timeline, not the pill's. $49 online visit, no Instalab+ needed.

A 2-minute questionnaire, a $49 online visit, and your prescription sent to the pharmacy you choose. The visit is a physician review of your answers: no appointments, no calls, no Instalab+ needed.
A few questions about your health, prior ED history, and any current medications. Done from your phone, on your time.
A licensed US physician reviews your health history and determines whether daily tadalafil is appropriate. If they have questions, they'll message you. Most reviews complete within 1 business day.
If approved, we send the prescription to your preferred pharmacy,. You pay the pharmacy directly for the medication.
One tablet at roughly the same time each day. Steady blood levels build over the first 4 weeks — most men notice results by week 3.
Two line items: a one-time online visit and the tadalafil itself, dispensed by your pharmacy. No Instalab+ needed.
One-time physician review of your health history, with follow-up support included
Generic, dispensed by your pharmacy
The online visit is a one-time fee, not a subscription. It covers a physician review of your health history and, if the physician determines treatment is appropriate, a prescription with refills for up to one year, sent to the pharmacy you choose. If no prescription is issued, the $49 fee is refunded. You pay the pharmacy directly for the medication. Renewing after a year takes a new online visit; dose changes require Instalab+, which never charges visit fees.
Most men do great on daily 2.5mg or 5mg. But if you want maximum strength for a specific moment, a date night, a weekend away, a milestone, 10mg and 20mg on-demand are available with Instalab+.
Instalab+ also covers online visits, so dose changes and renewals never cost extra.
Taken 30 to 60 minutes before sex. Still covers you up to 36 hours. Physician-reviewed dose selection, ongoing optimization, and the freedom to switch between daily and on-demand as your needs change.
Explore Instalab+ →Daily tadalafil comes in two doses, 2.5mg and 5mg. New patients start at 2.5mg, the gentlest effective daily dose. If you have already been on tadalafil, 5mg is available self-serve in the questionnaire. Both share the same safety profile and once-daily routine.
2.5 mg daily Starting dose
Gentlest effective daily dose · ready whenever you are · 36-hour coverage
5 mg daily Available for prior tadalafil users
Already been on tadalafil and need something more?
Take one tablet each day at about the same time. Full effect builds over the first four weeks as tadalafil reaches steady blood levels.
Tadalafil is the only ED medication with a daily dosing option, which means no pill to plan and no window to watch.
Three Instalab patients, in their own words, on their own timelines.
“The mental loop of 'will it work this time' was half the problem. Knowing I'm covered all weekend broke that cycle.”
“I tried Viagra (sildenafil) first but hated planning around it. Daily 2.5mg feels like nothing — I'm just back to how things used to be.”
“2.5mg worked but I wanted it to hit a bit harder. The 5mg step-up was seamless — same drug, same routine, better result.”
Most men notice steady results by week 3 to 4. Full effect builds over the first month.
Tadalafil is a prescription medicine. Important safety information applies. Do not take tadalafil with nitrates. Common side effects include headache, back pain, flushing, and indigestion.
Common Questions
Answer a few questions. A physician reviews your case. If daily tadalafil is appropriate, your prescription goes out in discreet packaging.
No commitment to treatment.