First, let’s create your account
You’ll need your username and password to manage your automatic refills, edit addresses, and change your payment method–please make sure you keep this information handy!
This is the daily option! Take 1 tablet every day, around the same time, so that the medication can build up in your body and be ready to do its job at any given moment… because, let’s face it, we know you can’t always plan ahead!
You may take tadalafil with or without food. Drinking alcohol (more than 2 drinks per day) with tadalafil can decrease how well the medication works (and can also be contributing to your ED). You should not take more than 20mg within 36-48 hrs.
Common side effects of tadalafil include diarrhea, flushing, redness, heartburn, muscle pain, nosebleed, stuffy or runny nose, back pain, and trouble sleeping.
More serious side effects include erections lasting more than 4 hours, sudden vision loss in one or both eyes, and sudden hearing decrease or loss. If you have these symptoms, stop taking sildenafil and contact a doctor immediately.
Do not take tadalafil if you are allergic to its ingredient or if you are taking any type of “nitrates” (such as nitroglycerin) and guanylate cyclase stimulators such as riociguat.
This is the maximum strength option! Use your FREE 4Romeo pill cutter to take half (1/2) or one (1) tablet.
Sildenafil is always taken “on-demand” 30 minutes to 1 hour before sexual activity. You may take sildenafil with or without food. However, if you eat a “greasy” meal (such as cheeseburger and French fries) sildenafil may take a little longer to start working or may not work as well. Drinking alcohol (more than 2 drinks per day) with sildenafil can decrease how well the medication works (and can also be contributing to your ED). You should not take more than 100mg within 24 hrs.
Common side effects of sildenafil include diarrhea, flushing, redness, heartburn, muscle pain, nosebleed, stuffy or runny nose, back pain, and trouble sleeping.
More serious side effects include erections lasting more than 4 hours, sudden vision loss in one or both eyes, and sudden hearing decrease or loss. If you have these symptoms, stop taking sildenafil and contact a doctor immediately.
Do not take sildenafil if you are allergic to its ingredient or if you are taking any type of “nitrates” (such as nitroglycerin) and guanylate cyclase stimulators such as riociguat.
HIPAA PRIVACY NOTICE THE FOLLOWING NOTICE DESCRIBES HOW YOUR MEDICAL INFORMATION MAY BE USED AND DISCLOSED, AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW THE INFORMATION CAREFULLY.
• Your confidential healthcare information may be released to other healthcare professionals within the organization for the purpose of providing you with quality healthcare.
• Your confidential healthcare information may be released to your insurance provider for the purpose of the organization receiving payment for providing you with needed healthcare services.
• Your confidential healthcare information may be released to public or law enforcement officials in the event of an investigation in which you are a victim of abuse, a crime or domestic violence.
• Your confidential healthcare information may be released to other healthcare providers in the event you need emergency care.
• Your confidential healthcare information may be released to a public health organization or federal organization in the event of a communicable disease or to report a defective device or untoward event to a biological product (food or medication).
• Your confidential healthcare information may not be released for any other purpose than that which is identified in this notice.
• Your confidential healthcare information may be released only after receiving written authorization from you. You may revoke your permission to release confidential healthcare information at any time.
• You may be contacted by the organization to remind you of any appointments, healthcare treatment options or other health services that may be of interest to you.
• You may be contacted by the organization for the purposes of raising funds to support the organization’s operations.
• You have the right to restrict the use of your confidential healthcare information. However, the organization may chose to refuse your restriction if it is in conflict of providing you with quality healthcare or in the event of an emergency situation.
• You have the right to receive confidential communication about your health status.
• You have the right to review, photocopy and/or receive electronic copies of any/all portions of your
healthcare information.
• You have the right to make changes to your healthcare information.
• You have the right to know who has accessed your confidential healthcare information and for what purpose.
• You have the right to possess a copy of this Privacy Notice upon request. This copy can be in the form of an electronic transmission or on paper.
• The organization is required by law to protect the privacy of its patients. It will keep confidential any and all patient healthcare information and will provide patients with a list of duties or practices that protect confidential healthcare information.
• You will be notified if the confidentiality of your healthcare information is breached.
• The organization will abide by the terms of this notice. The organization reserves the right to make changes to this notice and continue to maintain the confidentiality of all healthcare information. Patients will receive a mailed copy of any changes to this notice within 60 days of making the changes.
• You have the right to complain to the organization if you believe your rights to privacy have been violated. If you feel your privacy rights have been violated, please mail your complaint to the organization:
ATTN: HIPAA Privacy Officer
CarePartners Pharmacy, LLC
326 Peterson Road, Libertyville, IL 60048
• All complaints will be investigated. No personal issue will be raised for filing a complaint with the organization.
• For further information about this Privacy Notice, please contact: 866-832-7171.
• This notice is effective as of Date of Effectiveness. This date must not be earlier than the date on which the notice is printed or published.
This Consent is provided by CarePartners Pharmacy, LLC and its affiliates, including 4Romeo and 4Juliet entities, (collectively, “CPP,” “we,” “our,” or “us”)
The purpose of this form is to provide you with information about telemedicine / e-visit and to obtain your informed consent to participate in a telemedicine / e-visit health service as part of your medical care.
Nature of telemedicine / e-visit
Telemedicine / e-visit involves the use of electronic communications to enable a health care provider and a patient at different locations to share medical information for the purpose of evaluation, diagnosis, consultation, or treatment of the patient. The delivery of healthcare via telemedicine / e-visit allows the patient and provider to establish a relationship, much as they would during a traditional face-to-face appointment. For example, your telemedicine / e-visit encounter may include interaction through and with the use of the internet, recorded audio communications, physical examinations, medical imaging, medical tests, and diagnoses, as well as related technologies known as “store-and- forward.”
The benefits of telemedicine / e-visit include improved access to medical services and care, including the expertise of specialists and consultants that may not otherwise be available to you. Telemedicine / e-visit also permits increased efficiency in evaluations, diagnoses, consultations, and treatment.
The potential risks associated with the use of telemedicine / e-visit are rare, but include delays in medical evaluation and treatment due to equipment failures or information transmission deficiencies (such as poor image resolution); breach of privacy of protected health information due to security breaches or failures; and adverse drug interactions, allergic reactions, complications, or other errors due to patient’s failure to provide complete medical information or records.
YOU AGREE TO INDEMNIFY AND HOLD HARMLESS CarePartners Pharmacy LLC, ITS EMPLOYEES, AGENTS, DIRECTORS, MEMBERS, MANAGERS, SHAREHOLDERS, OFFICERS, REPRESENTATIVES, ASSIGNS, PARENTS, PREDECESSORS, AND SUCCESSORS FROM AND AGAINST ANY AND ALL LOSS, DAMAGE, EXPENSE, LIABILITY, CLAIM, OR DEMAND WHATSOEVER, ARISING OUT OF OR RELATED TO ANY FAILURE OF TECHNOLOGY OR EQUIPMENT IN CONNECTION WITH THE PROVISION OF TELEMEDICINE / E-VISIT WHETHER OR NOT ANY SUCH LOSS, DAMAGE, EXPENSE, LIABILITY, CLAIM, OR DEMAND ARISES FROM OR RELATES TO CarePartners Pharmacy’s NEGLIGENCE.
Alternative methods of care may be available to you, such as in-person services. Your provider will explain any such options to you, and you may choose an alternative at any time.
In some situations, telemedicine / e-visit is not an appropriate method of care. If there is an urgent situation, if you have an adverse reaction, if a technical failure prevents you from communicating with your telemedicine provider, or if you believe telemedicine / e-visit will not provide sufficient safety and quality, you should contact CarePartners Pharmacy LLC at 866-832-7171 (Mon-Fri 8:30am to 5:30pm CST). If the contacts listed below are unavailable, you must seek care at an emergency room facility or other provider equipped to deliver urgent or emergent care. If the situation is an emergency, call 911.
CarePartners Pharmacy LLC uses network and software security protocols to protect the confidentiality of your patient health information, including for example your medical record, EMR, imaging, and personal financial data. These protocols are designed to safeguard the data and to ensure its integrity against corruption. Personal information that identifies you or contains protected health information will not be disclosed to any third party without your consent, except as authorized by law for the purposes of consultation, treatment, payment/billing, and certain administrative purposes, or as otherwise set forth in CarePartners Pharmacy’s Notice of Privacy Practices.
Telemedicine / e-visit is the use of electronic information and communication technologies by a health care provider to deliver services to an individual when he/she is located at a different site than the provider. I understand that I need to provide a full and accurate medical history, including any pre-existing conditions, to my telemedicine / e-visit provider so that my provider can accurately determine what services I need. I further understand that my provider will determine whether telemedicine / e-visit is appropriate for me at this time, based on the condition being diagnosed and/or treated. I understand that I may benefit from telemedicine / e-visit, but that results cannot be guaranteed. My provider will inform me who will be present at the provider’s location during the telemedicine / e-visit service and I have the right to exclude anyone from being present, if I so choose. I further understand that I have the right to object to the use of a telemedicine / e-visit service without prejudice to any future care or treatment and without risking the loss or withdrawal of any health benefits to which I am entitled. If there are costs to me associated with my telemedicine / e-visit encounter, a health care professional will discuss those costs with me prior to the start of my session. Further, I understand and agree that I must pay the full amount of the costs associated with this telemedicine / e-visit service, including any prescription I may receive, and I will not attempt to submit a claim to Medicare, any other federal payor, or any state or private insurer. I understand that the laws that protect privacy and the confidentiality of medical information also apply to telemedicine / e-visit and I agree that CarePartners Pharmacy may provide my confidential personal health information to other medical providers who may be located in other areas, including on rare occasions to providers outside the State, as necessary. I have the right to inspect and obtain copies of all information received and recorded during any telemedicine / e-visit session, subject to the policies of the physicians, physician assistants, nurse practitioners and facilities involved in my care. I may be charged a fee for copies of my records in accordance with applicable State rules. I have read and understand the information above, and all of my questions have been answered to my satisfaction.
All photos and images used are licensed images and not actual patients unless expressed otherwise.
If you have a concern about a medical professional, you may contact the Medical Board in your state regarding your concerns.
I consent to a CarePartners Pharmacy LLC physician, physician assistant, or nurse practitioner to provide services o me via telemedicine / e-visit.
By clicking “I Agree”, I understand and consent to the foregoing acknowledgements and disclosures including CarePartners Pharmacy LLC Terms of Service and Notice of Privacy Practices.
You are free to obtain your prescription from any pharmacy of your choice. You are free to obtain your medical examination from another healthcare provider that is not associated with CarePartners Pharmacy LLC.
CarePartners Pharmacy will use its pharmacy to fulfill your order directly to your door. You are free to obtain your prescription from any pharmacy of your choice by contacting our support team. Further, for purposes of this informed consent, MY ACT OF CLICKING “I Agree” SHALL CONSTITUTE AND IS MY ELECTRONIC SIGNATURE.
This Privacy Policy (“Privacy Policy”) describes the types of information CarePartners Pharmacy, LLC and its affiliates, including 4Romeo and 4Juliet entities, (collectively, “CPP,” “we,” “our,” or “us”) may collect from you or that you may provide when you visit the websites located at www.CarePartnersRx.com, www.4Romeo.com, www.4Juliet.com (collectively, our “Websites”) and any affiliated mobile applications (the “Apps”), and our practices for collecting, using, maintaining, protecting, and disclosing that information. This Privacy Policy is incorporated into our Terms of Use. All capitalized terms used in this Privacy Policy but not defined herein have the meanings assigned to them in the Terms of Use.
In addition to this Privacy Policy, CPP has established Terms of Services that set forth the general rules and policies governing your use of the website. A copy of the terms of Service can found HERE
This Privacy Policy does not apply to information collected by us offline or through any other means, including on any other website operated by CPP or any third party; or any third party, including through any application or content (including advertising) that may link to or be accessible from or on the Websites or Apps.
Please read this Privacy Policy carefully. By accessing or using the Websites and Apps, you accept the practices and policies outlined in this Privacy Policy and you hereby consent that we will collect, use, and disclose your information as set forth in this Privacy Policy. If any term in this Privacy Policy is unacceptable to you, please do not use the Websites or Apps or provide any personal information. This Privacy Policy may change from time to time (see Revisions to Our Privacy Policy) and your use of the Websites and Apps after we make changes is deemed to be acceptance of those changes, so please check the policy periodically for updates.
We collect several types of information from and about users of our Websites and Apps, including information:
We collect this information:
Information You Give to Us. The information we collect on or through our Websites or Apps may include:
Information We Collect About You. As with many other websites and mobile applications, as you navigate through and interact with our Websites or Apps, we may use automatic data collection technologies to collect certain information about your equipment, browsing actions, and patterns, including:
The information we collect automatically is statistical data and may include personal information, or we may maintain it or associate it with personal information you provide to us or that we collect in other ways or receive from third parties. It helps us to improve our Websites or Apps and to deliver a better and more personalized service, including by enabling us to:
Cookies Used on the Websites. Our Websites and Apps use two types of cookies: single-session (temporary) and multi-session (persistent). Temporary cookies last only as long as your web browser is open, and are used for technical purposes such as enabling better navigation through our Websites or Apps. Once you close your browser, the cookie disappears. Persistent cookies are stored on your computer for longer periods and are used for purposes including tracking the number of unique visitors to our Websites and information such as the number of views a page gets, how much time a user spends on a page, and other pertinent web statistics. Cookies, by themselves, will not be used by CPP to disclose your individual identity. This information identifies your browser, but not you, to our servers when you visit the Websites or Apps. We do not respond to ‘do not track’ signals in your browser. We may also collect data by using “pixel tags,” “web beacons,” “clear GIFs,” or similar means (collectively, “pixel tags”) that allow us to know when you visit our Websites or Apps. Through pixel tags, we obtain non-personal information or aggregate information that can be used to enhance your online experience and understand traffic patterns.
Information We Receive From Other Sources. This is information we receive about you if you use any of the other websites we operate or the other Services we provide. We are working closely with third parties (including, for example, third parties intermediaries, such as the physicians, medical professionals, and pharmacies with whom we partner to provide you with services, sub-contractors in technical, advertising networks, analytics providers, and search information providers).
In connection with providing you with the Websites, Apps, and Services, we may use, compile, analyze, and save your information in the following ways:
Information We Receive From Other Sources. We will combine information we receive from other sources with information you give to us and information we collect about you. We will use this information and the combined information for the purposes set out above (depending on the types of information we receive).
We may disclose aggregated, de-identified information about our users, and information that does not identify any individual, without restriction.
We may disclose your personal information to third parties in connection with the provision of our Services or as otherwise permitted or required by law. You agree that we have the right to disclose personal information that we collect or you provide as described in this Privacy Policy, including:
We strive to provide you with choices regarding the personal information you provide to us. We have created mechanisms to provide you with the following control over your information.
Tracking Technologies and Advertising. You can set your browser to refuse all or some browser cookies, or to alert you when cookies are being sent. If you disable or refuse cookies, please note that some parts of the Websites or Apps may then be inaccessible or not function properly.
Do Not Track. We do not currently respond to “do not track” signals as we do not track our customers across third party websites.
Promotional Offers from CPP. If you do not wish to have your contact information used by CPP to promote our own products or Services, you can check certain boxes on the forms we use to collect your data. You can also always exercise your right to ask us not to process your personal information for marketing purposes by contacting us at the address below. If we have sent you a promotional email, you may send us a return email asking to be omitted from future email distributions.
We do not control third parties’ collection or use of your information to serve interest-based advertising. However these third parties may provide you with ways to choose not to have your information collected or used in this way.
You may contact us at the address below—or by emailing info@CarePartnersRx.com to request access to, correct, or delete any personal information that you have provided to us. We cannot delete your personal information except by also deleting your user account. If CPP deletes your user account, medical providers and other affiliates may still have the right to retain information as required by applicable law, regulations, or their own retention policy. We may not accommodate a request to change information if we believe the change would violate any law or legal requirement or cause the information to be incorrect. Unless otherwise required by law, CPP will also erase personal information when the personal information is no longer necessary in relation to the purposes for which was collected or otherwise processed; when you withdraw your consent (where lawfulness of processing was based on your consent) and there is no other legal ground for the processing; when you object to the processing and there are no overriding legitimate grounds for the processing; when your personal information has been unlawfully processed; and when it is necessary to comply with legal obligations.
We have implemented measures designed to secure your personal information from accidental loss and from unauthorized access, use, alteration, and disclosure. Where we have given you (or where you have chosen) a password that enables you to access certain parts of our Websites and Apps, you are responsible for keeping this password confidential. We ask you not to share a password with anyone. The information you share in public areas may be viewed by any user of the Websites or Apps.
Unfortunately, the transmission of information via the internet is not completely secure. Although we will do our best to protect your personal information, we cannot guarantee the security of your data transmitted to our Websites or Apps; any transmission is at your own risk.
This Privacy Policy does not address, and we are not responsible for, the privacy, information, or other practices, including data privacy and security process and standards of any third parties, including physicians and other health care providers using the Services, the manufacturer of your mobile device and other IT hardware and software, and any other third party mobile application or website to which our Websites, Apps, or Services may contain a link. These third parties may at times gather information from or about you. We have no control over the privacy practices of these third parties.
Even though 4Romeo & 4Juliet may not be a “covered entities” as defined in HIPAA, any physician or other health care provider engaging through our Services may be a “covered entity” and therefore subject to the provisions of HIPAA from time to time. If you are using the Services, your acceptance of the Terms of Use and this Privacy Policy incorporates your acceptance and consent to the CPP Professionals Notice of Privacy Practices included on the Websites. This notice describes how your physician or other health care provider uses and discloses your PHI. CPP has agreed that its collection, use, and disclosure of your PHI on behalf of your physician or health care provider will be done consistent with the CPP Professionals Notice of Privacy Practices except to the extent you have expressly authorized additional uses and disclosures.
If you are under 18 years of age, we must obtain valid and verifiable consent by your parent or legal guardian to this Privacy Policy and our Terms of Use before you can use Websites, Apps, and Services. Such consent will be obtained via reasonable methods, as determined by us in our sole discretion. If we determine that the consent obtained is inadequate, we will notify you and you may not use or access the Websites, Apps, or Services at any time or in any manner. However, if you are a parent, legal guardian or personal representative of a minor child under 18 years of age, you may, in compliance with the Terms of Use use our Services on behalf of such minor child. Any information you provide us on behalf of your minor child will be treated in accordance with this Privacy Policy. We do not knowingly collect information for individuals under the age of 18 for whom we have not obtained adequate consent pursuant to the above. If we learn that we have received any information for an individual under the age of 18 for whom we have not obtained adequate consent pursuant to the above, we will only use that information to respond directly to that child (or a parent, legal guardian or personal representative) to inform him or her that he or she cannot use our Service, and subsequently we will delete that information from our own servers.
We reserve the right to change this Privacy Policy at any time. It is our policy to post any changes we make to our Privacy Policy posted on this page. The date this Privacy Policy was last revised is identified at the top of the page. You are responsible for periodically monitoring and reviewing any updates to the Privacy Policy. Your continued use of our Websites or Apps after such amendments will be deemed your acknowledgment of these changes to this Privacy Policy.
If you have any questions about this Privacy Policy, please contact us at:
CarePartners Pharmacy
Attention: Privacy Officer
326 Peterson Road
Libertyville, IL 60048
CarePartners Pharmacy, LLC and its affiliates, including 4Romeo and 4Juliet entities, (collectively, “CPP,” “we,” “our,” or “us”) may collect from you or that you may provide when you visit the websites located at www.CarePartnersRx.com, www.4Romeo.com, www.4Juliet.com (collectively, our “Websites”) and any affiliated mobile applications (the “Apps”), and our practices for collecting, using, maintaining, protecting, and disclosing that information. The “Services” may include (i) providing individuals with information on health care and wellness (“Content”); (ii) providing individuals with pharmacy services; (iii) providing individuals with access to technology-oriented tools for smoking cessation; (iv) development and gathering of health care records and health care information with retention of the same for use in health care provider appointments, communications, and pharmacy services; (v) administrative support in connection with scheduling, payment for health care provider services, and payment for pharmacy services; and (vi) telecommunications support for using the Services as a means of direct access to health care providers provided by CPP’s contracted physicians and similar affiliated professional entities for communication, consultations, assessments, and treatment by such health care organizations and their providers.
AMONG OTHER ACTIVITIES, CPP’S SERVICES ENABLE COORDINATION AND COMMUNICATION WITH A HEALTH CARE PROVIDER. IT DOES NOT REPLACE YOUR RELATIONSHIP WITH ANY PHYSICIAN. THESE SERVICES MIGHT NOT BE APPROPRIATE FOR ALL MEDICAL CONDITIONS OR CONCERNS. IF YOU HAVE A MEDICAL EMERGENCY, IMMEDIATELY CALL YOUR DOCTOR OR DIAL 911.
PLEASE READ THESE TERMS AND CONDITIONS CAREFULLY BECAUSE THEY SET FORTH THE IMPORTANT TERMS YOU WILL NEED TO KNOW ABOUT THE SERVICES.
YOU UNDERSTAND THAT BY ACCESSING OR USING THE SITES OR SERVICES, YOU ACKNOWLEDGE THAT YOU HAVE READ, UNDERSTOOD, AND AGREED TO BE LEGALLY BOUND BY AND COMPLY WITH THESE TERMS OF USE. IF YOU DO NOT OR CANNOT AGREE WITH ANY PART OF THESE TERMS OF USE, YOU MAY NOT USE THE SITES OR ANY SERVICES PROVIDED ON OR THROUGH THE SITES.
THE TERMS OF USE ARE SUBJECT TO CHANGE AS PROVIDED HEREIN.
These terms and conditions of use (“Terms of Use”) describe your rights and responsibilities with regard to the CPP Sites that you may use to receive Services. Your access to and use of the Sites is subject to these Terms of Use, our Privacy Policy, as well as all applicable laws and regulations. In these Terms of Use, the terms “you” and “yours” refer to the person using the Services. Even though you may have arrived to the Sites through a website or mobile application operated or controlled by a third party, including by an affiliate of CPP, you understand and agree that these Terms of Use are entered into between you and CPP. If you do not accept and agree to be bound by these Terms of Use, you are not authorized to access or otherwise use the Sites, Services or any information or Content provided through the Sites or Services. The Sites and Services are continually under development, and CPP reserves the right to review or remove any part of these Terms of Use in its sole discretion at any time and without prior notice to you. You should check the Terms of Use from time to time when you use the Sites or Services to determine if any changes have been made. Any changes to these Terms of Use are effective upon posting to the Sites. Unless otherwise indicated, any new Content added to the Services is also subject to these Terms of Use upon posting to the Sites. If you disagree with these Terms of Use, your sole and exclusive remedy is to discontinue your use of the Sites and/or Services. Your continued use after a change has been posted constitutes your acceptance of the changes.
Certain of our Services are currently only available to individuals located in certain states (“States Where We Operate”).
In order to qualify to use the Services, the following must be true:
You understand and agree that satisfying the above requirements does not guarantee that you will receive Services through CPP. In addition to the above requirements, CPP and certain affiliated professional entities reserve the right to change or include new requirements as deemed appropriate in their sole discretion without providing prior notice to you.
You must have compatible computing and/or mobile devices, access to the Internet, and certain necessary software in order to use the Sites. Fees and charges may apply to your use of the mobile services and to the Internet.
Telemedicine, Telehealth, e-Visit, Online Consult, (Collectively “Telemedicine”) involves the delivery of health care services using electronic communications, information technology, or other means between a health care provider and a patient who are not in the same physical location. Telemedicine may be used for diagnosis, treatment, follow-up and/or related patient education, and may include, but is not limited to:
The electronic systems used in the Services will incorporate network and software security protocols to protect the privacy and security of health information and imaging data, and will include measures to safeguard the data to ensure its integrity against intentional or unintentional corruption.
Please see our Consent to Telemedicine available on our Sites for a description of the risks and benefits of telemedicine. The Consent to Telemedicine is hereby incorporated into these Terms of Use by reference and constitutes a part of these Terms of Use.
CPP does not provide any medical services, including via the Sites and Services. Rather, CPP provides a technology platform for you to access a health care provider employed or contracted with CPP or similar affiliated professional entities and obtain access to additional information, which you may or may not choose to utilize in planning your health care and wellness. The health and wellness resources made available through our Services are not a substitute for direct in-person health care services in all cases. The decision to focus on diagnosis, treatment recommendations, or both, rests with you and the health care provider. You understand that by coordinating and in certain cases consulting with a CPP or affiliate health care provider through the Services, you are not entering into a provider-patient relationship with CPP.
By accepting the Terms of Use, you agree and consent to CPP, CPP affiliates, or health care providers sending you disclosures, notices, messages, reports, and other communications. It is your responsibility to monitor these communications. You acknowledge and agree that you will not hold us or any CPP’s affiliate liable for any loss, injury, or claim of any kind resulting from your failure to read these communications or for your failure to comply with any treatment recommendations contained in these communications.
In some cases, a CPP contracted provider or affiliated health care provider may use the Services to provide advice or treatment to you. A health care provider consulting with you through the Services may not have the benefit of information that would be obtained by examining you in person and observing your physical condition, in each instance. Therefore, the health care provider may not be aware of facts or information that may affect his or her opinion regarding a potential diagnosis or treatment recommendation. To reduce the risk to you of this limitation, CPP strongly encourages you to provide all relevant information and discuss any and all diagnosis and treatment options with a health care provider. Moreover, a health care provider utilizing CPP may be limited by state law in prescribing certain medications to you without first conducting an in-person physical examination. By deciding to engage the Services, you acknowledge and agree that you are aware of these limitations and agree to assume the risk of these limitations. Furthermore, you agree and accept that: (i) any diagnosis you may receive is limited and, in some cases, provisional; (ii) the health care services are not intended, in all cases, to replace a full medical evaluation or an in-person visit with a health care provider; (iii) a health care provider acting through the Services may not have important information that is usually obtained through a “hands-on” physical examination; and (iv) the absence of a physical examination may affect the health care provider’s ability to diagnose any potential condition, disease or injury.
Except for specific communications received from CPP’s contracted providers or affiliate health care organizations and providers, none of the Content you receive through the Sites should be considered medical advice.
Although certain parts of the Sites are accessible by any individual, you are obligated to register with CPP in order to access the Services. The Services are available only to users who have registered with CPP and to other persons affiliated with CPP who have been granted accounts with usernames and passwords (“Secure Users”). If you are a Secure User, you agree to provide information that is accurate, complete and correct, and to accurately maintain and update any information about yourself that you have provided to CPP. If you do not maintain such information, or CPP has reasonable grounds to suspect as much, CPP has the right to suspend or terminate your account and your use of the Services. You also agree to immediately notify of any unauthorized use of your username, password or any other breach of security that you become aware of involving or relating to the Services by emailing CPP at info@CarePartnersRx.com. CPP may take any and all actions it deems necessary or reasonable to maintain the security of the Sites, Services and your Secure User account.
You agree to keep confidential your username and password and to exit from your Secure User account at the end of each session. You are responsible for all activities that occur under your account and for maintaining the confidentiality of your password. You are responsible for changing your password promptly if you think it has been compromised. You may not transfer or share your password with anyone, or create more than one account. You may not use anyone else’s account at any time. CPP explicitly disclaims liability for any and all losses and damages arising from your failure to comply with this section. You acknowledge and agree that: (1) all or any part of the Sites may not be accessible at any time, for any period, or for any reason; and (2) CPP will not be liable if for any reason all or any part of the Sites are unavailable at any time or for any period.
Subject to your compliance with these Terms of Use, we hereby grant to you a personal, limited, revocable, non-exclusive, and nontransferable right to view, download, access, and use the Sites in the States Where We Operate and to use the Services solely for your personal and non-commercial use and only as permitted under these Terms of Use, the Consent to Telemedicine, and the Privacy Policy. No other right, title, or interest in or to the Sites is transferred to you, and all rights not expressly granted are reserved by CPP or its licensors. We reserve the right, in our sole discretion, to deny or suspend use of the Sites or Services to anyone for any reason. You agree that you will not, and will not attempt to: (a) impersonate any person or entity or otherwise misrepresent your affiliation with a person or entity; (b) use the Sites or Services to violate any local, state, national or international law; (c) reverse engineer, disassemble, decompile, or translate any software or other components of the Sites; (d) distribute, input, upload, transmit, or otherwise run or propagate any virus, application, Trojan horse, or any other harmful computer code that could damage or alter a computer, portable device, computer network, communication network, data, or our Sites, or any other system, device, or property; (e) access or use the Sites in any manner or for any purpose that infringes, misappropriates, or otherwise violates any intellectual property right or other right of any third party; (f) license, sublicense, sell, resell, transfer, assign, distribute or otherwise commercially exploit or make available to any third party the Sites, Services or related materials in any way; (g) use or access the Sites to create or develop competing products or services or for any other purpose that is to CPP’s detriment or commercial disadvantage; (h) take any action or use the Sites in any manner which could damage, destroy, disrupt, disable, impair, overburden, interfere with, or otherwise impede or harm in any manner our Sites or any content, in whole or in part; (i) disrupt, interfere with, violate the security of, or attempt to gain unauthorized access to our Sites or any computer network; (j) bypass, breach, avoid, remove, deactivate, impair, descramble, or otherwise circumvent any security device, protection, or technological measure implemented by CPP or any of our service providers to protect our Sites; (k) remove, delete, alter, or obscure any trademarks, specifications, warranties, or disclaimers, or any copyright, trademark, patent, or other intellectual property or proprietary rights notices from our Sites or any content made available to you on or through our Sites; (l) use any manual process or automated device to monitor or copy any content made available on or through our Sites for any unauthorized purpose except as permitted by this section; (m) copy, duplicate, download, store in a retrieval system, publish, transmit or otherwise reproduce, transfer, distribute, store, disseminate, aggregate, use as a component of or as the basis for a database or otherwise use in any form or by any means any data, text, reports, or other materials related to CPP or third-party content from the Sites; (n) otherwise use the Sites in any manner that exceeds the scope of use granted above; or (o) encourage or enable any other individual to do any of the foregoing.
With the exception of any personal data or information you submit maintained in accordance with our Privacy Policy (which may be governed by the Health Insurance Portability and Accountability Act of 1996, Public Law 104-191, and its related regulations and amendments from time to time (collectively, “HIPAA”) or related state-specific privacy laws and regulations), you understand and agree that any information you provide to CPP on or through the Sites or Services, whether by direct entry, submission, email or otherwise, including, but not limited to, data, questions, comments, forum communications, or suggestions, will be treated as non-confidential and non-proprietary and will become the property of CPP and/or (i) CPP’s providers, (ii) similar affiliated professional entities, or (iii) individual health providers utilizing the Services.
Such information may be used for any purpose, including, without limitation, reproduction, solicitation, disclosure, transmission, publication, broadcast, and posting. CPP shall be free to use any ideas, concepts, know-how, or techniques contained in any communication you send to CPP via the Services or by any other means for any purpose whatsoever, including, without limitation, developing and marketing products using such information.
For any personal data or information subject to the foregoing exception, and to the extent permitted by law, you: (1) understand and agree that any such information provided by you may be used, copied or displayed by CPP, CPP may create derivative works of any such data, and CPP may provide such data to our service providers, our successors and assigns, CPP contracted providers and affiliated health care providers, and their affiliated professional entities, in performance of their services; and (2) grant CPP, our service providers, our successors and assigns, CPP contracted providers and affiliated health care providers, and their affiliated professional entities, the fully transferable and sublicenseable right and license to use, reproduce, modify, analyze, perform, display, distribute, and otherwise disclose to third parties any data or information you submit on or through the Sites for the purposes of providing services to you; conducting research or analyses of such data; and designing, developing, implementing, modifying and/or improving new, current or future features, products and services of CPP using such data.
As between CPP and you, CPP is the sole and exclusive owner of all right, title and interest in and to the Sites and their content, features and functionality (including, without limitation, all information, software, text, displays, images, video, audio, design, selection, arrangement and look and feel), other Content, and all intellectual property rights therein, and any suggestions, ideas or other feedback provided by you. You are not permitted to reproduce, publish, distribute, modify, create derivative works of, publicly display, publicly perform, republish, download, store, transmit, sell or participate in any sale of, or exploit in any way, in whole or in part, any of the material on our Sites except as generally and ordinarily permitted through the Sites according to these Terms of Use. Any copy, modification, revision, enhancement, adaptation, translation, or derivative work of the Sites or Content shall be owned solely and exclusively by CPP or its licensors, including all intellectual property rights therein. You may not access or use for any commercial purposes any part of the Sites or Content.
Certain names, logos, and other materials displayed in and through the Sites may constitute trademarks, trade names, service marks or logos (“Marks”) of CPP or its affiliates. You are not authorized to use any such Marks without the express written permission of CPP. Ownership of all such Marks and the goodwill associated therewith remains with us or our affiliates.
The Sites may contain hyperlinks or references to other websites (“Linked Sites”) operated by third parties. The Linked Sites may not be under our control, therefore, we are not responsible for the information, products or services described thereon, or for the content of any Linked Site, including, without limitation, any link contained in a Linked Site, or any changes or updates to a Linked Site. We are providing these Linked Sites to you only as a convenience, and the inclusion of any link does not necessarily imply endorsement of the Linked Site or any association with its operators. Your use of these Linked Sites is at your own risk, and we are not liable to you in any way, either directly or indirectly, for any content, errors, damage or loss caused by or in connection with use of or reliance on information contained in or provided to Linked Sites.
You may have arrived to the Sites through a Linked Site, including a Linked Site controlled by a parent, subsidiary or affiliate of CPP. You understand and agree that we are not responsible for the information, products or services described on those Linked Sites and only these Terms of Use will apply to your use of or access to the Sites.
The Terms of Use will remain in full force and effect as long as you continue to access or use the Sites or Services. You may terminate the Terms of Use at any time by discontinuing use of the Sites. Your permission to use the Sites automatically terminates if you violate these Terms of Use.
CPP may terminate or suspend any of the rights granted by these Terms of Use and your access to and use of the Sites or Services with or without prior notice, for any reason, and at any time. The following provisions survive the expiration or termination of these Terms of Use for any reason whatsoever: Disclaimer of Warranties; Limitation of Liability; Indemnification; Governing Law, Dispute Resolution, Arbitration, Venue, Severability of Provisions; No Waiver; and Assignment.
Subject to applicable law, CPP reserves the right to maintain, delete or destroy all communications and materials posted or uploaded to the Sites pursuant to its internal record retention and/or content destruction policies. After such termination, CPP will have no further obligation to provide the Services, except to the extent an affiliated professional entity is obligated to provide you access to your health records or is required to provide you with continuing care under applicable legal, ethical and professional obligations to you. You agree that if your use of the Services is terminated pursuant to these Terms of Use, you will not attempt to use the Services in any way, and further agree that if you violate this restriction after such termination, you will indemnify and hold CPP harmless from any and all liability that CPP may incur therefore.
YOU EXPRESSLY AGREE THAT USE OF THE SITES IS AT YOUR SOLE RISK. YOU ACKNOWLEDGE AND AGREE THAT THE SITES AND ANY SERVICES ARE PROVIDED THROUGH THE SITES ON AN “AS IS” AND “AS AVAILABLE” BASIS. CPP AND ITS AFFILIATES, INCLUDING WITHOUT LIMITATION ALL AFFILIATED PROFESSIONAL ENTITIES, AND THEIR RESPECTIVE OFFICERS, DIRECTORS, MANAGERS, PARTNERS, MEMBERS, EMPLOYEES, AND AGENTS (COLLECTIVELY “RELATED PERSONS”) MAKE NO REPRESENTATIONS OR WARRANTIES AND EXPRESSLY DISCLAIM ANY AND ALL WARRANTIES OF ANY KIND, WHETHER EXPRESS OR IMPLIED, WITH RESPECT TO THE SITES AND SERVICES INCLUDING, BUT NOT LIMITED TO, ANY REPRESENTATIONS OR WARRANTIES WITH RESPECT TO MERCHANTABILITY, FITNESS FOR A PARTICULAR USE OR PURPOSE, NONINFRINGEMENT, TITLE, AVAILABILITY, SECURITY, OPERABILITY, CONDITION, QUIET ENJOYMENT, VALUE, ACCURACY OF DATA, FREEDOM FROM VIRUSES OR MALWARE, COMPLETENESS, TIMELINESS, FUNCTIONALITY, RELIABILITY, SEQUENCING OR SPEED OF DELIVERY OR SYSTEM INTEGRATION. WE MAKE NO WARRANTIES OR REPRESENTATIONS THAT YOUR USE OF THE SITES OR SERVICES WILL NOT INFRINGE THE RIGHTS OF THIRD PARTIES.
TO THE FULLEST EXTENT OF APPLICABLE LAW, NEITHER CPP NOR ITS RELATED PERSONS WILL BE LIABLE FOR ANY LOSS OR DAMAGE CAUSED BY YOUR RELIANCE ON INFORMATION OBTAINED THROUGH THE SITES. IT IS YOUR RESPONSIBILITY TO EVALUATE THE ACCURACY, COMPLETENESS, TIMELINESS, RELIABILITY OR USEFULNESS OF THE SITES. FURTHERMORE, CPP DOES NOT GUARANTEE THAT THE SITES WILL BE UNINTERRUPTED, OR FREE FROM ERROR, DEFECT, LOSS, DELAY IN OPERATION, CORRUPTION, CYBER ATTACK, VIRUSES, INTERFERENCE, HACKING, MALWARE, OR OTHER SECURITY INTRUSION, AND CPP DISCLAIMS ANY LIABILITY RELATING THERETO.
YOU UNDERSTAND AND AGREE THAT ANY CONTENT, MATERIAL AND/OR INFORMATION OBTAINED THROUGH THE USE OF THE SITES ARE USED AT YOUR SOLE RISK AND THAT YOU WILL BE SOLELY RESPONSIBLE FOR ANY DAMAGE TO YOUR COMPUTER OR MOBILE PHONE OR LOSS OF DATA THAT RESULTS FROM THE DOWNLOAD OF SUCH CONTENT, MATERIAL AND/OR INFORMATION.
YOU UNDERSTAND THAT TO THE EXTENT PERMITTED UNDER APPLICABLE LAW AND EXCEPT AS SET FORTH IN THIS SECTION, IN NO EVENT WILL CPP, ITS RELATED PERSONS OR LICENSORS BE LIABLE TO YOU OR TO ANY PARTY FOR ANY CLAIMS, LIABILITIES, LOSSES, COSTS OR DAMAGES UNDER ANY LEGAL OR EQUITABLE THEORY, WHETHER IN TORT (INCLUDING NEGLIGENCE AND STRICT LIABILITY), CONTRACT, WARRANTY, STATUTE OR OTHERWISE, INCLUDING, BUT NOT LIMITED TO, ANY INDIRECT, INCIDENTAL, SPECIAL, CONSEQUENTIAL, PUNITIVE OR EXEMPLARY DAMAGES, INCLUDING BUT NOT LIMITED TO, DAMAGES FOR LOSS OF REVENUES, PROFITS, GOODWILL, USE OR DATA, SERVICE INTERRUPTION, COMPUTER OR MOBILE PHONE DAMAGE, OR SYSTEM FAILURE, OR THE COST OF SUBSTITUTE PRODUCTS OR SERVICES, OR FOR ANY DAMAGES FOR PERSONAL OR BODILY INJURY OR EMOTIONAL DISTRESS, INCLUDING DEATH, ARISING OUT OF OR IN CONNECTION WITH ANY ACCESS, USE OF (OR INABILITY TO USE) THE SITES OR ANY SERVICES PROVIDED THROUGH THE SITES, OR OTHER INTANGIBLE LOSSES ARISING OUT OF OR RELATED TO YOUR USE OF THE SITES. THIS IS TRUE EVEN IF CPP OR RELATED PERSONS HAVE BEEN ADVISED OF THE POSSIBILITY OF SUCH DAMAGES OR LOSSES.
To the extent that we may not, as a matter of applicable law, disclaim any implied warranty or limit liabilities, the scope and duration of such warranty and the extent of our liability will be the minimum permitted under such applicable law.
You agree to indemnify, defend, and hold harmless CPP, its affiliates (including without limitation all affiliated professional entities), subsidiaries, and their directors, officers, employees, contractors, licensors, suppliers, representatives, proprietors, partners, shareholders, servants, principals, agents, predecessors, successors, assigns, accountants, and attorneys harmless from and against any and all third-party suits, actions, claims, proceedings, damages, settlements, judgments, injuries, liabilities, obligations, losses, risks, costs, and expenses (including, without limitation, reasonable attorneys’ fees, litigation expenses, and accounting fees), relating to or arising from, or alleged to arise from, your use of materials or features available on the Sites in an unauthorized manner, fraud, violation of law, or willful misconduct, or any breach by you of these Terms of Use.
CPP reserves the right at any time and for any reason to modify, or temporarily or permanently discontinue, the Sites or Services or any portion thereof, with or without notice. You agree that CPP shall not be liable to you or to any third party for any modification, suspension, or discontinuance of the Sites or Services.
If you receive a prescription as a result of the Services, you may select CarePartners Pharmacy (“CPP Pharmacy”) to ship your prescription. You give us consent to send and disclose to the CPP Pharmacy all information provided by you, health care records, and other applicable health care information and personal information (such as your name, location and demographic information) so that you may receive pharmacy services.
If you select to use the CPP Pharmacy to fulfill any prescriptions provided by health care providers through the Services, you acknowledge that your medication, if approved, will not be shipped in child-resistant packaging and that you must keep it out of the reach of children.
You agree to pay all fees due for services requested. You will see a prompt for your payment details, such as your credit card information and any promotional codes you may have. By entering your payment information and submitting your request, you authorize us, our affiliates, or our third-party payment processors to charge the amount due.
You understand and agree that you are responsible for all fees due to receive health care services and pharmacy services, including any fees charged by the health care organization(s) or provider(s). Your payments to CPP may include fees charged by health care organization(s) or provider(s) for health care services and/or pharmacy services, which CPP collects on their behalf. Any health care services or pharmacy services not made available through the Services are not included in the payments collected by CPP and you may be separately charged by the applicable health care providers for such services. In the event that your credit card expires or CPP, our affiliates, or our third-party payment processors are unable to process your payment, you may receive notice for you to provide an alternative payment method. CPP and/or the health care organization(s) and/or provider(s) have no obligation to provide any health care services or pharmacy services unless and until full payment has been received and/or verified.
Federal and state health care programs, such as Medicare and Medicaid, do not pay for all health care costs, even for some health care services and products that you or your health care provider have good reason to think you need. If you are a beneficiary of a federal or state health care program, and such program does not pay for certain services or products rendered to you, you may have to pay for these services and products. As we understand it, neither federal nor state health care programs currently pay for any of the medical services or products made available through the Services performed by affiliated health care organizations or providers, at least not in the way such services or products are provided (i.e., using telemedicine and bundled treatment offerings). By agreeing to use the Services, you acknowledge and agree that: (1) you will pay directly for any medical services and products provided to you, and (2) neither CPP nor any CPP affiliated health care organization or provider will bill any federal or state health care program for such medical services or products. We strive for transparency in the costs for any medical services and products that you may obtain through the Services, and, as such, you can find specific pricing information at www.4Romeo.com.
PLEASE READ THIS SECTION CAREFULLY BECAUSE IT REQUIRES YOU AND CPP TO RESOLVE ALL DISPUTES BETWEEN US THROUGH BINDING INDIVIDUAL ARBITRATION AND LIMITS THE MANNER IN WHICH YOU CAN SEEK RELIEF FROM CPP
These Terms of Use and your use of the Sites shall be governed by the laws of the State of Illinois, without giving effect to the principles of conflict of laws. Any dispute arising under or relating in any way to these Terms of Use will be resolved exclusively by final and binding arbitration in Illinois under the rules of the American Arbitration Association, except that either party may bring a claim related to intellectual property rights, or seek temporary and preliminary specific performance and injunctive relief, in any court of competent jurisdiction. The parties agree that the courts located in Illinois shall have exclusive personal jurisdiction, subject matter jurisdiction, and venue for any such claim.
All parts of these Terms of Use apply to the maximum extent permitted by law. CPP and you both agree that if we cannot enforce a part of this contract as written, then that part will be replaced with terms that most closely match the intent of the part we cannot enforce, to the extent permitted by law. The invalidity of part of these Terms of Use will not affect the validity and enforceability of the remaining provisions. The section headings are for convenience only and do not have any force or effect.
No waiver by CPP of any term or condition set forth in these Terms of Use shall be deemed a further or continuing waiver of such term or condition or a waiver of any other term or condition, and any failure by CPP to assert a right or provision under these Terms of Use shall not constitute a waiver of such right or provision.
Neither these Terms of Use, nor any Content, materials or features of the Services create any partnership, joint venture, employment, or other agency relationship between us and you. You may not enter into any contract on our behalf or bind us in any way.
You agree that any violation, or threatened violation, by you of these Terms of Use constitutes an unlawful and unfair business practice that will cause us irreparable and unquantifiable harm. You also agree that monetary damages would be inadequate for such harm and consent to our obtaining any injunctive or equitable relief that we deem necessary or appropriate. These remedies are in addition to any other remedies we may have at law or in equity.
You may not assign any of your rights under these Terms of Use, and any such attempt will be null and void. CarePartners Pharmacy, LLC and its affiliates may, in their individual discretion, transfer, without further consent or notification, all contractual rights and obligations pursuant to these Terms of Use if some or all of the business of CPP is transferred to another entity by way of merger, sale of its assets or otherwise.
CPP reserves the right to remove any content or any other material or information available on or through our Sites, at any time, for any reason. CPP otherwise complies with the provisions of the Digital Millennium Copyright Act (“DMCA”) applicable to Internet service providers (17 U.S.C. § 512, as amended), and responds to clear notices of alleged copyright infringement. This Section describes the procedure that should be followed to file a notification of alleged copyright infringement with CPP Notification of Claimed Copyright Infringement.
Any notification to CPP under 17 U.S.C. § 512(c) alleging copyright infringement must include the following information:
For more information about the 4Romeo Terms and Conditions, contact us.
Diarrhea, flushing, redness, heartburn, muscle pain, nosebleed, stuffy or runny nose, back pain, trouble sleeping.
Sildenafil 100mg
21 Tablets
Take half (1/2) or 1 tablet by mouth. Pill cutter included with your order!
Remains in the body for 4-6 hours.
Diarrhea, flushing, redness, heartburn, muscle pain, nosebleed, stuffy or runny nose, back pain, trouble sleeping.
Tadalafil 5mg
60 tablets
Take 1 tablet by mouth
Can be taken with or without food. Do not take with alcohol.
Take once daily; For best results, take it at approximately the same time every day.
Since it is taken daily, it will accumulate in your body and be ready to go when you are!
Flushing, nausea, throat irritation, nose irritation, back pain, muscle pain, common cold symptoms, painful extremities
Tadalafil 20mg
21 Tablets
Take half (1/2) or 1 tablet by mouth. Pill cutter included with your order!
Can be taken with or without food. Do not take with alcohol.
Take 30 minutes prior to sexual activity.
Remains in the body for 36 hours
Flushing, nausea, throat irritation, nose irritation, back pain, muscle pain, common cold symptoms, painful extremities
Remains in the body for 4-6 hours.
Diarrhea, flushing, redness, heartburn, muscle pain, nosebleed, stuffy or runny nose, back pain, trouble sleeping.
Take half (1/2) or 1 tablet by mouth. Pill cutter included with your order!
Take on an empty stomach or avoid taking it with high-fat meals. Do not take with alcohol.
Take 30 minutes prior to sexual activity; can be taken up to 4 hours before activity.
Remains in the body for 4-6 hours.
Diarrhea, flushing, redness, heartburn, muscle pain, nosebleed, stuffy or runny nose, back pain, trouble sleeping.
Take 1 tablet by mouth
Can be taken with or without food. Do not take with alcohol.
Take once daily; For best results, take it at approximately the same time every day.
Since it is taken daily, it will accumulate in your body and be ready to go when you are!
Flushing, nausea, throat irritation, nose irritation, back pain, muscle pain, common cold symptoms, painful extremities
Take half (1/2) or 1 tablet by mouth. Pill cutter included with your order!
Can be taken with or without food. Do not take with alcohol.
Take 30 minutes prior to sexual activity.
Remains in the body for 36 hours
Flushing, nausea, throat irritation, nose irritation, back pain, muscle pain, common cold symptoms, painful extremities
This is the adjustable dose option! Because everyone is different, it might take more/less medication for some men to reach the same effect. Start off by taking 1 or 2 tablet(s) and, if you do not notice a desirable effect, you can increase the number of tablets for the next dose. Gradually increase your dose by 1 tablet until you find the dosage that works best for you. You can take up to a maximum of 5 tablets.
Sildenafil is taken “on-demand” 30 minutes to 1 hour before sexual activity. You may take sildenafil with or without food. However, if you eat a “greasy” meal (such as a cheeseburger and French fries) sildenafil may take a little longer to start working or may not work as well. Drinking alcohol (more than 2 drinks per day) with sildenafil can decrease how well the medication works (and can also be contributing to your ED). You should not take more than 100mg within 24 hrs.
Common side effects of sildenafil include diarrhea, flushing, redness, heartburn, muscle pain, nosebleed, stuffy or runny nose, back pain, and trouble sleeping.
More serious side effects include erections lasting more than 4 hours, sudden vision loss in one or both eyes, and sudden hearing decrease or loss. If you have these symptoms, stop taking sildenafil and contact a doctor immediately.
Do not take sildenafil if you are allergic to its ingredient or if you are taking any type of “nitrates” (such as nitroglycerin) and guanylate cyclase stimulators such as riociguat.
This is the maximum strength option! Use your FREE 4Romeo pill cutter to take half (1/2) or one (1) tablet “on-demand” 30 minutes to 1 hour before sexual activity.
You may take tadalafil with or without food. Drinking alcohol (more than 2 drinks per day) with tadalafil can decrease how well the medication works (and can also be contributing to your ED). You should not take more than 20mg within 36-48 hrs.
Common side effects of tadalafil include diarrhea, flushing, redness, heartburn, muscle pain, nosebleed, stuffy or runny nose, back pain, and trouble sleeping.
More serious side effects include erections lasting more than 4 hours, sudden vision loss in one or both eyes, and sudden hearing decrease or loss. If you have these symptoms, stop taking sildenafil and contact a doctor immediately.
Do not take tadalafil if you are allergic to its ingredient or if you are taking any type of “nitrates” (such as nitroglycerin) and guanylate cyclase stimulators such as riociguat.
Wesley Lynch is a board-certified family nurse practitioner. He completed his Master’s and Doctorate at Walden University in 2014 and 2019. He has over 5 years of experience in internal medicine and urgent care. He has been primarily involved in internal medicine wherein he provided prompt and complete attention to all patient care needs including diagnosis, treatment and the performance of medical procedures. Wesley prides himself on having a diverse medical experience that includes working with pediatrics along with adults in acute care and chronic situations.
Dr. Steven M Pouls is a Board Certified Family Medicine Specialist with medical licenses in the states of Illinois and Florida. He graduated with honors from Rowan University School Of Osteopathic Medicine in 1989. Dr. Pouls has more than 32 years of diverse experience, and has been consistently rated as a 5-star physician within his specialty by his peers and his patients. Family Medicine is the medical specialty which is concerned with the total health and wellbeing of the individual and the family. It is the specialty which integrates the biological, clinical, and behavioral sciences. As such, Dr. Pouls’ practice is not limited by age, sex, organ system, or disease entity.
Dr. Yasmin Pirani is a US Board Certified Family Doctor. She sees patients of all ages, in a variety of clinical settings. She also has a Masters in Skin Diseases.
Dr. KaNisha L. Hall (Dr. KaNisha) is a board-certified anesthesiologist, sexuality counselor, published author, and media personality. She graduated with honors (magna cum laude) from Louisiana Tech University with a B.S. in Chemistry, second B.S. in Bio-Science Technology from Thomas Jefferson University. Dr. KaNisha ventured to Sagamihara, Japan to complete her fellowship in Cytopathology at Kitasato University. She received her Doctorate of Medicine (M.D.) from Howard University and later completed her residency in anesthesiology at Louisiana State University Health Sciences Center. Dr. KaNisha is currently practicing peri-operative, palliative, and addiction medicine across several states.
Recently, Dr. Hall has established an impressive media presence. She was named the Chief Medical Contributor for Kluster Radio Medio Group. This conglomerate of streaming iHeart™ Radio stations and digital media platforms has also designated Dr. KaNisha Hall as their first White House Correspondent for the incoming administration. Dr. Hall is a regular contributor to multiple news platforms and magazines.