Tides
Sexual health

Sexual health, on-demand or daily, prescribed for you.

Long-acting PDE5 inhibitor protocols with cadence set by your clinician. Personally reviewed by Dr. Rachel Deutsch, DNP.

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Reviewed by Dr. Rachel Deutsch, DNP · LegitScript certified · No charge until Dr. Rachel approves.

How Dr. Rachel evaluates sexual-health protocols

Dr. Rachel reviews cardiovascular history, current medications (especially nitrates and alpha-blockers), and the pattern of the concern (episodic vs. persistent). Cadence — daily low-dose vs. as-needed higher dose — is set on the prescription, not selected in checkout.

Compounds Dr. Rachel prescribes for this lane

Tadalafil
Sexual health
Tadalafil
Long-acting ED support, dosed to fit your protocol.
$79/mo
90 tablets, a 3-month supply. One charge of $237.

Frequently asked

Daily or as-needed?
That is a clinical decision, not a checkout option. Dr. Rachel picks the cadence that fits your pattern of use and cardiovascular profile.
How does compounded tadalafil compare to brand-name products?
Tadalafil is a long-acting PDE5 inhibitor. Compounded tadalafil is prepared by a licensed 503A pharmacy; it is not FDA-approved and is not a bioequivalent of any brand-name product. Dr. Rachel prescribes it based on your cardiovascular profile and medications.
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Compounded medications are not FDA-approved. FDA does not verify compounded medications for safety, effectiveness, or quality before marketing. Treatment requires clinician review and is prescribed only when medically appropriate. All orders subject to Dr. Rachel Deutsch, DNP's review before dispensing.