Here's how it works.
Become a 4Romeo member and complete your medical profile.
Select a treatment plan for our doctors to approve.
Sit back and relax while we get to work!
Your medication will be conveniently delivered to your door!
Your discount will be applied automatically at checkout.
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.
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.
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.
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.