Questions, Answered

Roughly 15 minutes for most men. Dissolving under the tongue skips the digestive delay a swallowed tablet has, though a heavy meal or several drinks will still push it later.

The long-acting component can remain active for up to 36 hours. That is a window in which a response is easier, not a continuous erection.

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

No. Desire is generated in the brain, several steps upstream of anything happening in blood vessels. If wanting sex is the issue, raise that with a clinician.

One or two drinks are generally fine for most men. Heavier drinking both weakens the result and sharpens the side effects, because alcohol and these medicines both widen blood vessels.

Sildenafil and tadalafil are individually FDA-approved medicines. A compounded tablet combining them is prepared by a licensed pharmacy and is not itself an FDA-approved product. We keep those two statements separate on purpose.

No. You complete a written health form, a physician licensed in your state reviews it, and they issue a prescription where appropriate.

In most states no. The written form is the basis of the review, though a few states impose extra telemedicine requirements and you will be told if yours does.

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

Nothing ships and you are not charged for medicine. It means the reviewing physician found something worth taking seriously, which is worth following up with your own doctor.

Anyone using nitrate medicine in any form. It is also unsuitable with several heart conditions, a recent stroke or heart attack, severe liver or kidney impairment and certain retinal disorders. The safety page has the full list.

Headache, facial flushing, a blocked nose, mild indigestion and light-headedness. They come from the same widening of blood vessels happening elsewhere in the body and usually settle after the first few doses.

Chest pain during sex, a sudden change in vision or hearing, 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 24 hours. If you want a different pattern, ask the prescribing physician rather than deciding alone.

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

The pharmacy posts within 24 hours of approval and standard shipping runs three to five business days. Physician review usually adds a day at the start.

Prescription medicine 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 order is processed. Anything already dispatched will still arrive and still be billed.