tadalafil, prescribed in private.

Generic Cialis, as-needed or daily, prescribed after a private home visit in Las Vegas or North Las Vegas by a Nevada-licensed provider.

Illustration of tablets and a clock, labeled “Tadalafil”

what to know about tadalafil.

What it is

Tadalafil is the generic form of Cialis. It increases blood flow when you are sexually aroused and can work for up to 36 hours. It is FDA-approved for ED and for an enlarged prostate.

Who it may help

Men with ED who want more flexibility in timing, and who do not take nitrate heart medicines. A low daily dose is another option.

What to expect

Your provider reviews your heart health and medicines. You can take it before sex as needed, or as a low dose every day, depending on your plan.

Illustration of tablets and a padlock, labeled “Tadalafil at home”

discreet care, on your schedule.

P
Private by Design

No waiting room and no running into someone you know.

L
Licensed Medical Providers

Every visit is led by a licensed provider, not a call center.

H
Delivered to Your Home

Your visit happens on your schedule, in your space.

how tadalafil works at home.

1. Private visit

Your provider reviews your symptoms, heart health, blood pressure, urinary symptoms and medicines.

2. As-needed or daily

As-needed tadalafil is taken at least 30 minutes before sex and can work for up to 36 hours. A low daily dose keeps it working all the time and can also ease prostate symptoms.

3. Start and learn

You start with the plan that fits your life. Your provider explains what to expect from the first doses.

4. Adjust

Follow-up checks how well it works and any side effects. The dose or schedule can change.

tadalafil safety and monitoring.

Do not combine with

Nitrate heart medicines, “poppers” or riociguat. Because tadalafil lasts so long, wait at least 48 hours after a dose before any nitrate is given.

Side effects

Headache, indigestion, back pain, muscle aches, flushing and stuffy nose are most common. Back pain usually starts 12 to 24 hours after a dose and fades within two days.

Emergency signs

Get help right away for an erection lasting more than four hours, sudden vision or hearing loss, or chest pain. Tell emergency staff when you last took tadalafil.

tadalafil in Las Vegas.

Privacy at home

A home visit means no waiting room and no chance of running into someone you know. What you discuss stays between you and your provider.

Long-lasting in the heat

Tadalafil stays in your body for a day or more, so its small blood pressure drop overlaps with heat, exercise and alcohol for longer. Stay well hydrated in Las Vegas summers.

Golf, hiking and back aches

Back and muscle aches are a known tadalafil side effect. If you golf or hike, it can be hard to tell the difference, so mention any new aches at follow-up.

Illustration of a question mark in a speech bubble and tablets, labeled “Tadalafil FAQ”

frequently asked questions about tadalafil in Las Vegas.

What are the side effects?
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Headache, indigestion, back pain, muscle aches, flushing and stuffy nose are the most common. Get emergency care for an erection lasting more than four hours or sudden vision or hearing loss.

Can I take tadalafil every day?
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Yes, a low daily dose is approved for ED and for an enlarged prostate. Your provider will decide if it fits you.

Who should not take ED pills?
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Never take them with nitrate heart medicines, such as nitroglycerin, or with riociguat, because blood pressure can drop dangerously. Extra care is needed with alpha-blockers and some heart, liver or kidney conditions.

How much will tadalafil cost me?
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Briya Health is a cash-pay practice. You are told the price before you book, with no surprise fees. We accept cash, Zelle, all major credit and debit cards, and HSA and FSA cards.

Where in Las Vegas do you prescribe tadalafil?
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Briya Health providers come to your home anywhere in Las Vegas and North Las Vegas. Enter your address when you book to confirm the visit.

Who will I see in Las Vegas?
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One of our Nevada-licensed providers: Yaakov D. Kotlarsky, PA-C, Madeleine Navar, PA-C, or Jonathan Navar, MD. You can see their license details on the Providers page.

Can daily tadalafil help my urinary symptoms too?
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A low daily dose is FDA-approved for an enlarged prostate as well as ED. Your provider checks your symptoms first, since urinary changes can have other causes that need testing.

Ask about tadalafil.

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