Licensed clinicians · Ships from licensed U.S. pharmacies · All online

radivarx
Tadalafil + PycnogenolPrescription only

Sexual Health — Men · Prescription

Tadalafil + Pycnogenol

Tadalafil 20mg · Pycnogenol 25mg

Long-window tadalafil with pycnogenol, in a tablet that dissolves on the tongue.

From $68 · 6 doses

You're only charged if a provider prescribes.

What is Tadalafil + Pycnogenol?

Tadalafil 20mg with pycnogenol 25mg in a rapid-dissolve tablet. Tadalafil can remain active for up to 36 hours, though response varies.

What's included

Your prescription, what you need to use it, and written directions from your clinician.

Benefits
  • Up to a 36-hour window
  • Pycnogenol added
  • Dissolves in seconds
  • Matched by a provider
How it's taken

Rapid-dissolve tablet · as needed. Your clinician writes your schedule after reviewing your assessment.

  • Take about 30–60 minutes before activity, dissolved under the tongue or on it.
  • No more than one dose in 24 hours unless your provider says otherwise.
  • A heavy, high-fat meal can slow how quickly it starts working.
Safety
  • Never take with nitrates (nitroglycerin, isosorbide) or riociguat — the combination can cause a dangerous drop in blood pressure.
  • Use caution with alpha-blockers and other blood-pressure medications; tell your provider everything you take.
  • Common effects include headache, flushing, nasal congestion, indigestion, and dizziness.
  • Seek care immediately for an erection lasting more than 4 hours, or any sudden loss of vision or hearing.
  • Compounded medications are prepared by state-licensed pharmacies for individual patients. They are not FDA-approved, and the FDA does not verify their safety, effectiveness, or quality.

Benefits

Tadalafil + Pycnogenol: the long-window option

  • A couple laughing together on the porch of a weekend cabin in the woods

    Up to a 36-hour window

    Tadalafil stays active longer than other options, so timing matters less.

  • A man's hand holding the jar at a wooden breakfast table beside a mug of coffee

    Pycnogenol added

    A pine-bark extract studied for its effects on blood-vessel function.

  • A couple making pancakes together on a Saturday morning in a bright kitchen

    Dissolves in seconds

    A rapid-dissolve tablet — no water, no swallowing a pill.

  • Close-up of a man's open palm holding three plain dusty-pink round tablets with no imprint, warm kitchen light

    Matched by a provider

    Your provider confirms it's safe with your health history and other medications.

How it works

Tadalafil + Pycnogenol at a glance

Tadalafil + Pycnogenol
  • Long window

    Less need to plan the timing.

  • Pycnogenol inside

    A pine-bark extract is included with the tadalafil.

  • Melts on the tongue

    No water and no pill to swallow.

How radivarx works

Care without the waiting room

How it works
  1. Start your assessment

    Step1

    A short online health questionnaire. No appointment, no waiting room.

    Starting the assessment on a phone
  2. A provider reviews it

    Step2

    A clinician licensed in your state reviews your history and prescribes only if it's appropriate.

    Clinician reviewing an intake
  3. The pharmacy ships it

    Step3

    A state-licensed U.S. pharmacy fills your prescription and ships it in plain packaging.

    Shipping box at the front door
  4. Care continues

    Step4

    Message your care team with questions. Dose changes and refills are handled online.

    Messaging the care team

FAQ

Questions, answered

How long does tadalafil last?
Tadalafil can remain effective for up to 36 hours after a dose, which is why it's often chosen for flexibility.
What does pycnogenol add?
Pycnogenol is a French maritime pine bark extract studied for blood-vessel support. It is included as a supporting ingredient.
Is my information private?
Your assessment is handled under HIPAA. Packages ship in plain packaging with nothing about the contents on the outside.
Do you take insurance?
radivarx is cash-pay. Pricing is shown up front, with no insurance paperwork or prior authorizations.

Prescription required. All prescriptions require evaluation by a licensed provider, and completing an assessment does not guarantee a prescription.

Plans and renewals. Plans renew monthly at the price shown at checkout until you cancel. You can cancel any time.

This page is not medical advice. Individual results vary.

Join the waitlist

Get notified

We'll email you once this treatment is available to order. No spam, and we never sell your email.

Please don't include any health information here.