How It Works

Tadalafil lasts long enough that a small daily dose builds a steady level. After about five days you are covered around the clock.

Who It Suits

Men who have sex more than twice a week, men who dislike planning, men whose anxiety is made worse by the pill-before-sex ritual, and men over 50 with prostate urinary symptoms (it is FDA-approved for that too).

Side Effects

Mild and often fade in the first two weeks: headache, back ache, flushing, heartburn. Not for men on nitrates for chest pain.

Cost

Included in the ED program, $199 a month, with provider check-ins. Every prescription at Zen IV Spa is written by a licensed provider under our medical director after a free video consultation. Medication ships to your door anywhere in New York or New Jersey, and a nurse can come to your home for labs or a first dose.

Common Questions

Can I switch from on-demand to daily?+

Yes, at any check-in.

Does it lose effect over time?+

No evidence of that.

Can I skip a day?+

You can; the level dips a little but usually holds for a day or two.

All treatments are medical services. Every guest is screened, and every treatment is provided only under the clearance, prescription or standing protocol of a licensed medical provider. Nothing on this page is a diagnosis or a promise of results. For an emergency, call 911.