Why this molecule tends to win
Head-to-head, tadalafil and sildenafil are equally effective — around 60–70% of men respond to either. Where studies ask men who have tried both to state a preference, tadalafil usually wins, and the reason given is almost always the longer window rather than a firmer erection.
Taken on a Friday evening, a single dose covers most of the weekend. That removes the planning, the clock-watching and the ritual — which for men whose ED has an anxiety component is frequently the whole problem.
Daily or on-demand?
| On-demand | Daily | |
|---|---|---|
| Dose | 10 mg or 20 mg | 2.5 mg or 5 mg |
| Best if you have sex | Once a week or less | Twice a week or more |
| Spontaneity | Good — 36-hour window | Complete |
| Treats BPH | No | Yes |
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Frequently asked questions
Does Ro tadalafil really last 36 hours?
Can I switch between daily and on-demand?
Why does my back ache the day after?
What this is based on
We link to primary sources — clinical guidelines, regulator publications and peer-reviewed research — wherever possible. Links open on third-party sites we do not control.
- [01]U.S. Food and Drug Administration. Drugs@FDA — approved drug products and prescribing information.
- [02]American Urological Association. Erectile Dysfunction: AUA Guideline (2018).
- [03]National Association of Boards of Pharmacy. Digital Pharmacy Accreditation and safe site listings.