Prescription onlySexual 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

Up to a 36-hour window
Tadalafil stays active longer than other options, so timing matters less.

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

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

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

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.
Start your assessment
Step1A short online health questionnaire. No appointment, no waiting room.

A provider reviews it
Step2A clinician licensed in your state reviews your history and prescribes only if it's appropriate.

The pharmacy ships it
Step3A state-licensed U.S. pharmacy fills your prescription and ships it in plain packaging.

Care continues
Step4Message your care team with questions. Dose changes and refills are handled online.

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FAQ
Questions, answered
How long does tadalafil last?
What does pycnogenol add?
Is my information private?
Do you take insurance?
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.