Description
This option covers an online provider evaluation and, if you are approved, a 90-day supply of compounded erectile dysfunction medication shipped to your door from a licensed US pharmacy.
The two medications are sildenafil and tadalafil, the active ingredients in Viagra and Cialis. Sildenafil comes as a tablet in 50 mg and 100 mg strengths. Tadalafil comes as a mango-flavored sublingual tablet that dissolves under the tongue, in 5 mg for daily use or 20 mg for use as needed. Both are PDE5 inhibitors, a class of medication that works on blood flow.
Whether ED treatment is right for you, and which medication and strength, is a decision a licensed provider makes after reading your medical history and questionnaire answers. No lab work is required to be considered, and there is no office visit. You order online, a provider licensed in your state reviews your answers, and if approved the pharmacy compounds your medication and ships it in plain packaging with nothing on the outside naming the contents.
Your provider chooses the medication and the strength. It is not something you select. Men who take nitrates for chest pain should not take sildenafil or tadalafil, so your provider will ask about heart medication before deciding.
One price covers three months, whichever strength your provider prescribes, and there is no membership fee on top of it.
This service is prescription only and treatment is not guaranteed. Medication is dispensed only if a licensed provider approves you, and fulfillment is subject to pharmacy requirements. The sublingual form of tadalafil is compounded and is not an FDA-approved form of the drug. Compounded medications are not approved or evaluated by the FDA for safety, effectiveness or quality.
Medically reviewed by Dr. Rostami, Medical Director, Happy Care Meds. Last reviewed 17 August 2026.
What is included
- A telehealth visit with a provider licensed in your state
- Your medication, if the provider approves you, compounded by a licensed US pharmacy
- Delivery to your door in plain packaging, with nothing on the outside naming the contents
- Ongoing support from our care team at support@happycaremeds.com
- No membership fee. The price on this page is the price.
How billing works. You are charged in full when you place your order, before a provider reviews it.
If a provider decides treatment is not right for you, you are refunded in full. Full details are in our Refund Policy.
What to expect
- You complete a medical questionnaire when you order.
- A licensed provider reviews your history, your answers, and your risk factors. They may approve you, decline, or come back with questions.
- If approved, your prescription goes to a licensed US compounding pharmacy, which fills it and ships it to you.
- Your provider chooses which medicine and which strength. It is not something you select, and it is not the same for everyone.
Two medicines are used to treat erectile dysfunction here. Tadalafil is supplied as a mango-flavored sublingual that dissolves under the tongue. Sildenafil is the other option. They differ in how quickly they take effect and how long they last, and your provider will explain how to take whichever one they prescribe.
Erectile dysfunction medication is dispensed as a 90-day supply. One order covers three months, and the price is the same whichever strength your provider prescribes.
Safety and side effects
The notes below are drawn from FDA-approved labeling for sildenafil and tadalafil. Compounded medicines, including the sublingual form of tadalafil, are not approved or evaluated by the FDA, so this describes the active ingredients rather than this specific compounded product.
Never take this with nitrates. Combining these medicines with a nitrate can cause a sudden, dangerous drop in blood pressure. That includes nitroglycerin, isosorbide mononitrate and isosorbide dinitrate, and the recreational inhalants sold as poppers, such as amyl nitrite or butyl nitrite. It also includes riociguat, sold as Adempas.
If you get chest pain during or after sex, get emergency help and tell them you have taken this medicine, so that you are not given a nitrate.
Seek emergency care for an erection lasting more than four hours. This is called priapism. Left untreated it can cause permanent damage.
Stop and get medical help straight away if you have
- Sudden loss of vision in one or both eyes
- Sudden decrease or loss of hearing, sometimes with ringing in the ears or dizziness
- Swelling of the face, lips, tongue or throat, or trouble breathing
- Chest pain, or a severe or persistent dizzy or faint feeling
Commonly reported effects
- Headache, flushing of the face and neck
- Indigestion, heartburn, or an upset stomach
- Blocked or runny nose
- Dizziness or lightheadedness
- With sildenafil: changes in color vision, a blue tinge to what you see, blurred vision, or sensitivity to light
- With tadalafil: back pain and muscle aches, usually starting a day or so after a dose and settling within a couple of days
Before you start, tell your provider if you
- Take any nitrate medicine, riociguat, or use poppers
- Take alpha blockers such as tamsulosin or doxazosin, or other blood pressure medicines
- Take medicines for HIV, antifungals, or certain antibiotics, which can raise the level of these medicines in your blood
- Have heart disease, or have had a heart attack, stroke, or serious heart rhythm problem
- Have blood pressure that is uncontrolled, either high or low
- Have ever had sudden vision loss from reduced blood flow to the optic nerve, or have retinitis pigmentosa
- Have sickle cell anemia, leukaemia, or multiple myeloma, which raise the risk of priapism
- Have a curved penis, Peyronie disease, or any deformity of the penis
- Have severe liver or kidney problems, a stomach ulcer, or a bleeding disorder
Also worth knowing
- Alcohol can add to dizziness and low blood pressure
- Grapefruit and grapefruit juice can raise the level of these medicines in your blood
- Do not take more than your provider prescribes, and do not combine it with other erectile dysfunction medicines
- These medicines do not protect against sexually transmitted infections
- This erectile dysfunction treatment is for adult men. It is not for women or for anyone under 18
This is not medical advice and is not a complete list of side effects. Read the information supplied with your medication and speak to your provider or pharmacist about anything that concerns you.
Shipping and delivery
Your erectile dysfunction medication ships from a licensed US compounding pharmacy in plain packaging, with nothing on the outside naming the contents, the treatment, or the condition.
Delivery timing, carriers, address requirements, and what to do if a package arrives damaged are all set out in our Shipping Policy.
Common questions
Which medicine will I be prescribed?
That is your provider decision, based on your medical history and your answers. The options are tadalafil, as a mango-flavored sublingual that dissolves under the tongue, and sildenafil. You do not choose it yourself.
Do I need lab work first?
No lab work is required to be considered for this treatment. Your provider may still ask for more information before deciding.
Is it discreet?
Yes. There is no waiting room and no pharmacy counter, and your treatment arrives in plain packaging with nothing on the outside naming the contents or the condition.
Do I need insurance?
No. This is paid directly and does not go through insurance. The price on this page covers the telehealth visit, the medication if you are approved, and shipping.
What happens if the provider does not approve me?
If a provider decides treatment is not right for you, you are refunded in full.
Can I cancel?
Yes. You can cancel at any time from your account or by emailing support@happycaremeds.com. Cancellation takes effect at the end of the current subscription period. There are no cancellation fees.
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