1. Eligibility & Safety

• I am not allergic to Tadalafil or other PDE-5 inhibitors (sildenafil, vardenafil, avanafil) or tablet excipients. If I have allergies, I will list them during intake.
• I do not have chest pain with exertion/unstable angina, recent heart attack or stroke (past 6 months), severe heart failure, or uncontrolled blood pressure.
• I do not use nitrates (nitroglycerin, isosorbide), recreational nitrites (“poppers”), or riociguat (these must not be combined with Tadalafil).

2. Medical History & Screening

• I will disclose any drug allergies.
• I will indicate whether I have taken Tadalafil or other ED medicines before and, if yes, provide dose, response, and side effects.
• I will describe my ED concerns and duration.
• I will list all current medications/supplements, including: alpha-blockers (tamsulosin/doxazosin) or other BP-lowering meds; ketoconazole/itraconazole; ritonavir/cobicistat; clarithromycin/erythromycin; rifampin; carbamazepine/phenytoin; St. John’s wort; grapefruit products.
• I will disclose if I have serious kidney or liver disease.
• I will disclose retinal disorders (e.g., retinitis pigmentosa) or history of sudden vision loss/NAION.
• I will disclose any hearing loss/ringing/sudden decrease in hearing.
• I will disclose penile anatomy issues (e.g., Peyronie’s) or conditions predisposing to priapism (sickle cell disease, leukemia, myeloma).
• I will disclose any bleeding disorder or use of anticoagulants/antiplatelets.
• I will provide my usual blood pressure (if known).

3. How to Use & Key Precautions

• I will not use Tadalafil with nitrates/riociguat and will avoid other ED meds within the same 24 hours. I understand nitrates must be avoided for at least 48 hours after Tadalafil.
• I will take no more than one dose in 24 hours, use caution with alcohol, and seek emergency care for chest pain—informing clinicians I took Tadalafil (no nitrates).
• I understand possible effects: headache, flushing, nasal congestion, indigestion, back pain/muscle aches, dizziness. I will seek urgent care for erection > 4 hours, vision/hearing changes, severe dizziness/fainting, or allergic reaction.

4. How the Medication is Provided

• Tablets may be dispensed as manufactured or compounded; my dosing will be individualized by my provider.

5. Identification & Confidentiality

• Uploading a valid government-issued photo ID is a legal requirement to verify my identity before the consultation can be completed.
• This verification complies with state and federal telemedicine regulations.
• My personal information and ID will be handled securely, stored confidentially, and never shared except as required by law or to provide my medical care.

IMPORTANT: Please keep a clear image of your Driver’s License / State ID / Passport (or photo of any government-issued ID) ready on this device to upload.

6. Consent

• I give my consent for RightMD INC and its affiliated medical/pharmacy teams to prescribe and dispense Tadalafil 10 mg based on the information I have provided.

7. Payments & Refund Policy

• All purchases and services are final and non-refundable.

8. Policies

• I have read and agree to the Terms & Conditions, Privacy Policy, and Refund & Cancellation Policy.