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-demandDaily
Dose10 mg or 20 mg2.5 mg or 5 mg
Best if you have sexOnce a week or lessTwice a week or more
SpontaneityGood — 36-hour windowComplete
Treats BPHNoYes
The crossover is around two to three times a week. Full comparison in daily vs on-demand.

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FAQ

Frequently asked questions

Does Ro tadalafil really last 36 hours?
The drug remains at effective levels for up to about 36 hours, so you can have sex at any point in that window. It does not mean a continuous erection, and arousal is still required.
Can I switch between daily and on-demand?
Yes, through the platform. Do not overlap them — allow a couple of days between the last on-demand dose and starting daily.
Why does my back ache the day after?
Tadalafil weakly blocks PDE11 in skeletal muscle. The ache typically appears 12–24 hours later and settles within a day or two.
Sources

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.

  1. [01]U.S. Food and Drug Administration. Drugs@FDA — approved drug products and prescribing information.
  2. [02]American Urological Association. Erectile Dysfunction: AUA Guideline (2018).
  3. [03]National Association of Boards of Pharmacy. Digital Pharmacy Accreditation and safe site listings.