What should I do if tadalafil is not helping or I want to stop or switch?

If tadalafil is not helping, ask your prescriber to review how you are taking it. Timing, sexual stimulation, alcohol, other medicines, and the cause of ED can affect your experience. Daily tadalafil takes several days to reach steady levels. Results vary, and one attempt does not always show how well a treatment will fit your needs.

Do not take extra doses or combine tadalafil with sildenafil or another ED treatment. Tadalafil stays in the body for a long time, so switching without guidance can cause overlapping effects and raise the risk of low blood pressure or other harm.

Tadalafil used for ED usually does not need a gradual dose reduction when stopping. Still, tell your prescriber why you want to stop, especially if you also take it for another condition. Your ED symptoms may remain after stopping. Results vary.

A licensed physician in your state can review dose changes, a different schedule, or another treatment. Persistent ED may also need evaluation for conditions such as diabetes or heart and blood vessel disease.