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Meet with a physician
Discuss symptoms, medical history, blood pressure, cardiovascular risk and every medication or supplement you take.
PHYSICIAN-GUIDED ED CARE • FLORIDA
Prescription Tadalafil in Florida
Talk directly with Timothy Mackey, D.O. about tadalafil (generic Cialis) and the health factors that may be contributing to erectile dysfunction. Visit our Jupiter office or meet by telemedicine anywhere in Florida when clinically appropriate.
A medical evaluation is required. A prescription is not guaranteed.
Physician ledDirect medical evaluation
Florida licensedTelemedicine statewide
★★★★★4.9 Google rating
A+ BBBAccredited business
THE QUICK ANSWER
Can you get tadalafil through NovaGenix?
Yes—when a Florida medical evaluation shows tadalafil is appropriate. Tadalafil is a prescription PDE5 inhibitor used for erectile dysfunction. It can improve penile blood flow during sexual stimulation and has a longer treatment window than sildenafil, but it does not automatically create an erection or address every cause of ED.
Choose the right option
If treatment is appropriate, Dr. Mackey explains formulation, dose, timing, benefits, risks and alternatives.
Follow up
Response and side effects matter. Follow-up helps determine whether the plan should continue, change or be reconsidered.
KNOW WHAT YOU ARE GETTING
Tadalafil, generic Cialis and compounded options
Tadalafil is the active ingredient in Cialis. FDA-approved tadalafil tablets are available for ED as an as-needed treatment and as a lower-dose once-daily treatment. Tadalafil is also approved for the signs and symptoms of benign prostatic hyperplasia (BPH). A clinician selects the regimen based on your health, medications, urinary symptoms, response and side effects.
NovaGenix may discuss a customized compounded formulation when there is a clinical reason. Compounded medications are prepared for an individual patient and are not FDA-approved finished drug products.
See the complete erectile dysfunction treatment guide →WHY PHYSICIAN REVIEW MATTERS
ED can be a symptom—not just a performance problem
Erectile dysfunction may be associated with vascular disease, diabetes, medication effects, stress, sleep issues, low testosterone or other conditions. The goal is to identify safety concerns and decide whether tadalafil, another treatment or further evaluation makes sense.
Your consultation may include
- Onset, frequency and pattern of symptoms
- Current prescriptions, supplements and recreational substances
- Heart health, blood pressure and exercise tolerance
- Sexual health, libido and relationship context
- Lab testing or referral when clinically indicated
Tadalafil may not be the whole answer
If low desire, fatigue or other symptoms point toward a hormonal issue, targeted testing may be useful. Testosterone therapy should never replace a proper ED evaluation.
Learn about low-testosterone testing →SAFETY FIRST
When tadalafil may be unsafe
Tadalafil can interact with medications and can be inappropriate for some cardiovascular conditions. Tell the physician about every medication you take and any recent change in your health.
Do not combine with nitrates
Tadalafil is contraindicated with nitrate medicines such as nitroglycerin because blood pressure can fall dangerously.
Review cardiovascular risk
Some heart conditions, alpha-blockers, antihypertensives and other drugs require special caution or may make treatment inappropriate.
Know urgent warning signs
Seek urgent care for an erection lasting more than four hours, sudden vision or hearing loss, chest pain or other severe symptoms.
Common adverse effects can include headache, indigestion, back pain, muscle aches, flushing and nasal congestion. This page is educational and not a substitute for medical advice.
CHOOSE A REGIMEN WITH YOUR PHYSICIAN
Daily tadalafil vs. as-needed tadalafil
The same active ingredient can be prescribed in different ways. Do not switch dose or schedule without speaking with your prescriber.
Lower-dose daily regimen
Taken at about the same time every day, without regard to the timing of sexual activity. This may suit patients who prefer less planning.
Your physician determines whether daily use is appropriate.Longer on-demand window
Taken before anticipated sexual activity. Clinical studies in the FDA label demonstrated improved erectile function for up to 36 hours after a dose.
Compare prescription sildenafil →ONE FLORIDA PRACTICE
Jupiter office. Florida-wide access.
NovaGenix is based in Jupiter and serves eligible adults throughout Florida by telemedicine when medically appropriate. That includes Palm Beach County, the Treasure Coast and South Florida, as well as communities across Central, North and Gulf Coast Florida.
Telemedicine is held to the same clinical standard as in-person care. If your situation requires an examination, testing or another specialist, Dr. Mackey will explain the appropriate next step.
NovaGenix Health & Wellness609 N Hepburn Ave Ste 106, Jupiter, FL 33458561-277-8260
MEDICALLY REVIEWED
Meet Timothy Mackey, D.O.
Dr. Mackey evaluates erectile dysfunction in the context of the whole patient—including cardiovascular health, medications, metabolic health, hormones and treatment goals.
Florida medical license: OS9185
NPI: 1730235797
Reviewed: October 1, 2026
COMMON QUESTIONS
Tadalafil prescription FAQs
Can NovaGenix prescribe tadalafil online in Florida?
Eligible Florida adults may complete a telemedicine evaluation. A prescription is issued only when the evaluation supports it and telemedicine is clinically appropriate.
Is tadalafil the same as Cialis?
Tadalafil is the active ingredient in Cialis. FDA-approved generic tablets contain the same active ingredient, although inactive ingredients and appearance can vary.
How long can tadalafil work?
For as-needed use, the FDA label reports improved erectile function compared with placebo for up to 36 hours after a dose. This is a window of opportunity, not a continuous erection, and individual response varies.
Can tadalafil be taken every day?
Yes, tadalafil has an FDA-approved once-daily regimen for ED at lower doses. Daily treatment is not appropriate for everyone; use only the regimen prescribed for you.
Can I take tadalafil with nitroglycerin?
No. Tadalafil is contraindicated with nitrates, including nitroglycerin. Tell your clinician about all heart and blood-pressure medicines.
What if tadalafil does not work?
Do not increase the dose or add another ED medication on your own. Technique, timing, medications, health conditions and the cause of ED can affect response. Follow-up can identify the safest next step.
Does tadalafil increase sex drive?
Tadalafil supports erectile function; it is not a treatment for low desire. If libido is also low, a separate evaluation may be appropriate.
Do you serve only Jupiter and Palm Beach County?
No. The clinic is in Jupiter, and NovaGenix can serve eligible patients throughout Florida by telemedicine when clinically appropriate.
READY FOR A REAL MEDICAL CONVERSATION?
Find out whether tadalafil is appropriate for you.
Request a confidential consultation. In-person visits are available in Jupiter, and telemedicine is available statewide when appropriate.
