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ED · Article

Daily Tadalafil: The Protocol That Changes the Conversation

Low-dose daily tadalafil is one of the most underused interventions in men's medicine. Here's how it works and who should use it.

Why daily, not on-demand

Daily 5 mg tadalafil keeps PDE5 inhibition continuous. Erections happen because you're aroused, not because you took a pill an hour ago. Intimacy stops being scheduled.

A 2010 meta-analysis showed 73% of men on daily tadalafil reported satisfactory intercourse versus 31% on placebo.

Secondary benefits

Improved lower urinary tract symptoms (LUTS). Modestly improved endothelial function. Reduced performance anxiety because you stop tracking your own readiness.

Who should not take it

Men on nitrates. Men with severe heart failure or unstable angina. Men with significant hypotension. The practitioner screens at intake.

Cost

$89/month at Selvara.

Frequently asked questions

Will I become dependent on it?

Tadalafil is not habit-forming.

Can I stop and start?

Yes. It works the same way each time.

Free intake. Practitioner review in 24 hours.

No card on file until a licensed Selvara practitioner has approved a protocol, and you have approved it.

Begin intake, free
  1. Porst H et al., "Long-term safety and efficacy of tadalafil 5 mg dosed once daily," 2008.
Selvara measures biomarkers associated with hormone health. We do not diagnose, treat, prevent, or cure any disease. Any prescription decision is made by a licensed practitioner after reviewing your intake. Compounded medications are not FDA approved. They are prepared by state-licensed pharmacies for individual patients based on a prescription from a licensed practitioner.