Questions, Answered

Roughly fifteen minutes for most men. Dissolving under the tongue avoids the digestive delay a swallowed tablet has, though a heavy meal or several drinks will still push it later.

The tadalafil component can remain active for as much as thirty-six hours. That is a window in which response is easier, not a continuous erection.

Yes. The tablet extends the life of a signal your body produces during arousal. Without the signal there is nothing to extend.

No. Desire originates in the brain, several steps upstream of anything happening in the tissue. If wanting rather than achieving is the issue, raise that with a clinician.

A drink or two is generally fine for most men. Heavier drinking both weakens the result and sharpens the side effects, because alcohol and PDE5 inhibitors both dilate blood vessels.

No. You complete a written health assessment, an independently licensed U.S. physician reviews it, and they issue a prescription where appropriate.

In most states, no — the written assessment is the basis of the review. A few states impose extra telemedicine requirements and you will be told if yours does.

A doctor holding an active licence in your state, working independently of the platform. Hard Health organises the review but does not practise medicine and does not overrule the clinician.

Currently AL, AK, AZ, CA, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI and WY, with eligibility confirmed at checkout.

Anyone using nitrate medication in any form. It is also unsuitable with several heart conditions, recent stroke or heart attack, severe liver or kidney impairment, and certain retinal disorders. Full detail is on the safety page.

Headache, facial flushing, nasal congestion, mild indigestion and some light-headedness. They stem from PDE5 sitting in blood vessels beyond the pelvis and usually settle over the first few doses.

Chest pain during sex, sudden vision or hearing change, or an erection lasting beyond four hours. All three need immediate medical attention rather than waiting to see.

Take only the dose you were prescribed and never more than one in twenty-four hours. If you want a different pattern, ask the prescribing physician rather than deciding alone.

Plain, with no product name, no clinic branding and a generic sender line. Nothing on the outside indicates a medical purchase.

Standard shipping is free and normally arrives three to five business days after the pharmacy dispatches it. Physician review usually adds a day at the start.

Prescription medication cannot be returned to stock once dispatched — that restriction applies to every legitimate U.S. pharmacy. Damaged or incorrect deliveries are corrected at no cost.

Through your account or customer service, before the next shipment is processed. Anything already packed and posted will still arrive and be billed.