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Tadalafil Ultra

Buy Tadalafil Ultra

Discover Tadalafil Ultra, a powerful combo of tadalafil and phentolamine, revolutionizing ED treatment! Experience enhanced results with this dynamic duo, boosting blood flow and erection quality, making it a game-changer in ED therapy. Patients can buy Tadalafil Ultra after the included telemedicine consultation.
Starting at $9 per dose
Benefits of Tadalafil Ultra
  • Improves Erectile Function
  • Increases Confidence
Common Tadalafil Ultra Side Effects
  • Low blood pressure
  • Risk of dizziness
  • Lightheadedness
  • Fainting
  • Flushing
  • Headache
  • Nasal congestion
  • Nausea
*Prescription medications available only if prescribed by the healthcare provider after an online consultation.

What’s Included

When you buy Tadalafil Ultra from Invigor Medical, you can rest assured that you are working with a licensed, experienced, and dedicated doctor and receiving Tadalafil Ultra from a U.S.-based, FDA 503B-registered pharmacy.
Rx Consultation

Discuss your treatment plan with one of our licensed practitioners.


All medications and supplies included, no hidden fees.


Our well-trained medical staff are ready to answer your questions. 

Single Purchase
5 Count
Single Purchase
30 Count

Benefits of Tadalafil Ultra

Tadalafil and phentolamine are two proven treatment options for erectile dysfunction. They work via different mechanisms to maximize blood flow into the penis to produce an erection.

  • Improves Erectile Function
  • Increases Confidence
What users are saying about Tadalafil Ultra

Signs You Might Need This Treatment Plan


You may be experiencing a combination of the following symptoms
  • Erectile Dysfunction
If you are experiencing any of the symptoms listed above, please fill out our medical forms. After that, an Invigor Medical specialist will contact you.

Tadalafil Ultra FAQs

The Plan
Is phentolamine used for erectile dysfunction?

Yes, phentolamine is used to treat erectile dysfunction. It causes blood vessels to dilate, increasing blood flow into the penis, producing an erection.

Phentolamine is an alpha-blocker, which produces an erection in 20 to 30 minutes. The drug is generally well-tolerated. The most common side effects are headaches and lightheadedness.

What medications should not be taken with tadalafil?

Tell your doctor about all medications you are taking, especially the ones listed below, as they are likely to interact with tadalafil:

  • Other ED medications in the same class (avanafil, sildenafil, and vardenafil)
  • Drugs that are used to treat blood pressure
  • Drugs used to treat prostate disorders
  • Antibiotics such as clarithromycin, erythromycin, and others
  • Antifungal medications such as ketoconazole and itraconazole
  • Medications used to treat HIV/AIDS
  • Seizure medications such as carbamazepine or phenytoin
What can cause tadalafil to stop working?

Tadalafil is a phosphodiesterase inhibitor that increases blood flow into the penis. Medical conditions that cause further damage to the inner lining of blood vessels can limit tadalafil’s effectiveness.

Potential reasons tadalafil is not working well to treat ED:

  • The incorrect dose is used
  • The medication is past its expiration date
  • You have not waited for 30 to 60 minutes for tadalafil to reach its full effect
  • A dosage adjustment is not made for men with poorly controlled diabetes, obesity, kidney disease, or high blood pressure (a higher dosage may be needed)
  • Hormonal issues such as low testosterone or high prolactin
When is the best time to take tadalafil?

Tadalafil is taken on an as-needed basis, a minimum of 30 minutes before anticipated sexual activity, and never more than once daily.

Is tadalafil good for the heart?

Tadalafil is a PDE 5 inhibitor that increases nitric oxide and blood flow. In addition to treating ED, it also has beneficial cardiovascular effects. It can improve heart muscle contractility and blood flow and can be beneficial for:

  • Coronary artery disease
  • High blood pressure
  • Heart failure
  • Pulmonary artery hypertension
  • Diabetes mellitus
Can I drink alcohol with tadalafil?

Tadalafil can cause side effects such as headaches and flushing because of its effects on blood vessels. Alcohol can make these side effects worse, and therefore alcohol and tadalafil should not be used together.

Does grapefruit juice make tadalafil stronger?

Grapefruit and grapefruit juice affect how tadalafil is metabolized. Grapefruit juice can decrease the metabolism of tadalafil and increase its level in the blood. Grapefruit will decrease the enzyme CYP3A4, which breaks down tadalafil and releases it in a controlled dosage in your body.

Grapefruit can take 72 hours to metabolize. Do not consume grapefruit while taking tadalafil.

Potential side effects of combining grapefruit and tadalafil:

  • Redness
  • Flushing
  • Headache
  • Vision changes
  • Shortness of breath
  • Irregular heartbeat


How long does phentolamine last?

Peak drug levels of phentolamine are achieved in about 15 minutes to 45 minutes. The duration of action for phentolamine is about one to two hours and the drug’s half-life is about two hours.

Invigor Medical
Do I need a prescription before I buy from Invigor Medical?

No, Invigor Medical employs doctors licensed in all 50 states, and a medical consultation is included with each medical service. Each patient will receive a valid prescription, which is sent to the pharmacy to be filled.

How long does it take to get my medication?

Once you have enrolled for medical services with Invigor Medical, it usually takes 7-14 business days before items arrive at your home. This process includes an online medical consultation, prescription approval, the medication getting filled at the pharmacy, and the medication being sent to your home.

How do I know if I will be approved?
Most of the services that Invigor Medical offers are elective services. This means that most clients, if there are no restrictive contraindications, will be approved for the medications of their choice.
More Questions?
Fill out the form below, and one of our treatment specialists will contact you.

What is Tadalafil Ultra?

Erectile dysfunction is the inability to get and maintain an erection satisfactory for penetrative sex. The most common physical cause of erectile dysfunction is damage to blood vessels entering the penis due to high cholesterol, diabetes, and high blood pressure. ED medications, such as tadalafil and phentolamine, dilate blood vessels allowing more blood to enter and fill the corpora cavernosa in the penis.

Tadalafil is a phosphodiesterase (PDE) class 5 inhibitor. Medications in this class are used to treat erectile dysfunction, pulmonary artery hypertension, benign prostatic hypertrophy (BPH), or the concurrent treatment of erectile dysfunction and BPH.

Tadalafil (generic for Cialis) is a lower-cost alternative to Cialis that contains the same active ingredients. It works exactly the same way as the brand-name medication in your body. In contrast to other oral ED medications, tadalafil provides two convenient treatment dosing options: once daily and as needed.

Phentolamine is an alpha-adrenergic antagonist that relaxes the smooth muscle lining the corpora cavernosa, allowing it to fill with blood producing an erection. Tadalafil and phentolamine work via different mechanisms to maximize blood flow into the penis.

How Does Tadalafil Ultra Work?

Tadalafil is a Phosphodiesterase Type 5 Inhibitor

Nitric oxide is a small molecule found throughout the body. It is released from nerve endings near the blood vessels in the corpus cavernosum of the penis after sexual stimulation. Nitric oxide triggers a chemical cascade that dilates blood vessels and increases blood flow into the penis, resulting in an erection. cGMP (another chemical in the cascade) levels must remain high to maintain the erection. Phosphodiesterase inactivates cGMP. When cGMP is deactivated, the smooth muscles in the walls of small blood vessels contract, reducing blood flow and ending the erection.

Oral ED medications, such as tadalafil, are phosphodiesterase inhibitors. By inhibiting phosphodiesterase, nitric oxide continues to trigger the cascade, and blood flow into the penis is maintained, meaning a firm erection that persists. Understanding this cascade led to the development and subsequent FDA approval of tadalafil in 2003.

Phentolamine is a Vasodilator

Phentolamine is an alpha-adrenoceptor antagonist, which means that it blocks chemicals that bind to alpha-adrenergic receptors. Competitively binding to their receptors, phentolamine causes muscle relaxation and a widening of blood vessels. When blood vessels are widened, blood pressure decreases, and blood flow into the penis increases. Phentolamine also blocks 5-HT receptors, which cause the release of histamine from mast cells.

Included with the Plan

No Hidden Fees

Free Doctor Consult

The consultation with the practitioner is always included when you buy Tadalafil Ultra.

Medical Support

Medical Support

Our friendly staff are knowledgeable and available to answer any questions.

Supplies Included

Supplies Included

When you purchase Tadalafil Ultra, all required supplies are always included.

No Doctors Office Visit Required

No Doctor's Office

Skip the in-person doctor’s visit, consult remotely, and get Tadalafil Ultra shipped directly to you.

Licensed Pharmacies

Licensed Pharmacies

Our U.S. based, FDA-registered pharmacies provide quality meds tested for purity and potency.

Free Doctor Consultation

Licensed Doctors

Our licensed doctors cover all 50 states and are very well versed with the medications we offer.

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