
Tactical Grade Pre-Workout
Daily Tadalafil
For police officers, firefighters, and first responders.
Starting at $22.50/month
Daily Tadalafil (Pre-Workout)
As low as $22.50 per month
$270 total · 1 Year · Automatic Refills • Cancel Anytime

Daily support for blood flow, training, and recovery.
How it works

Start
Start from your phone
Answer a few questions about your health and goals.

Review
A clinician reviews your requested treatment
They decide whether treatment is appropriate. No video visit required in 41 states.

Delivered
Your treatment ships
One of our trusted pharmacy partners discreetly ships your medication to your doorstep.

Your pre-workout isn't doing enough.
You've got a solid program, a real pre-workout stacked, and you're still leaving gains on the table. Here's the bottleneck: your blood vessels.
Daily 5mg tadalafil blocks PDE5, the enzyme that constricts blood vessels. That means more nitric oxide signaling, wider vessels, and more oxygen and nutrients reaching working muscle — before, during, and after your session.
It's not a hack. It's physiology.
Four reasons your training changes
Better blood flow. Bigger pumps. Faster recovery. Tap a pin to see what daily tadalafil does for each.
Bigger pumps
Enhanced nitric oxide signaling expands blood vessels and sustains blood volume in working muscle. PDE5 inhibition is the mechanism; the physiology is well-established.¹
The science, for the skeptics.
Tadalafil works by blocking PDE5, the enzyme that breaks down cGMP in smooth muscle cells. More cGMP means more nitric oxide activity, wider vessels, and more delivery to working tissue.
This isn't bro science. It's peer-reviewed research from journals including JCEM, Clinical and Translational Science, and British Journal of Clinical Pharmacology.
↑ Testosterone + cortisol response
Tadalafil amplified salivary testosterone AND cortisol responses to maximal exercise vs. cortisol-only rise in placebo.
Di Luigi, L., et al. (2008). J Clin Endocrinol Metab, 93(9), 3510–3514.
Short-term daily PDE5 treatment increased skeletal muscle protein synthesis and reduced fatigue in humans. The protein synthesis response was of similar magnitude to 100–200 mg/week testosterone injection.
Sheffield-Moore, M., et al. (2013). Clin Transl Sci, 6(6), 463–468.
PDE5 inhibition reduced muscle damage markers and improved endurance over 4 weeks.
Venckunas, T., et al. (2019). J Appl Physiol, 127(1), 48–58.
Tadalafil reduced arterial stiffness and systolic blood pressure during recovery from exercise in humans.
Rosano, G. M., et al. (2006). Br J Clin Pharmacol.
Physician reviewed
One 5mg tablet daily, taken at the same time each day.
Daily tablet
Medication, supplies, provider messaging
Frequently asked questions
Everything else worth knowing about Daily Tadalafil (Pre-Workout).
About Our Medications
Our treatments contain active pharmaceutical ingredients that conform to USP (United States Pharmacopeia) monograph standards and are custom-compounded by licensed 503A and 503B pharmacies to meet your individual needs. Compounded medications are not FDA-approved finished drug products. The suggested formulations are provided for reference only and are based on formulations that have historically been prescribed by duly licensed prescribers. All medications are prepared in accordance with a valid prescription from a licensed healthcare provider following a medical consultation.
Medical Consultation Required
Our licensed medical providers will evaluate your health history and goals to determine the most appropriate treatment option for you. Prescriptions are subject to medical evaluation and are not guaranteed. If we are unable to prescribe treatment after your consultation, you pay zero. Independent clinical services provided by: Arora Health & Aesthetics • Licensed in all 50 states + DC. 300 Lenora Street, Seattle, WA 98121 • https://www.arora-health.com.
Clinical References
- 1Di Luigi, L., Baldari, C., Sgrò, P., Emerenziani, G. P., Gallotta, M. C., Bianchini, S., Romanelli, F., Pigozzi, F., Lenzi, A., & Guidetti, L. (2008). The type 5 phosphodiesterase inhibitor tadalafil influences salivary cortisol, testosterone, and dehydroepiandrosterone sulphate responses to maximal exercise in healthy men. Journal of Clinical Endocrinology & Metabolism, 93(9), 3510–3514.
- 2Sheffield-Moore, M., Wiktorowicz, J. E., Soman, K. V., Danesi, C. P., Kinsky, M. P., Carroll, C. C., Randolph, K. M., & Urban, R. J. (2013). Sildenafil increases muscle protein synthesis and reduces muscle fatigue. Clinical and Translational Science, 6(6), 463–468.
- 3Aversa, A., Francomano, D., Bruzziches, R., Pili, M., Natali, M., & Lenzi, A. (2017). Tadalafil improves lean mass and endothelial function in nonobese men with mild ED/LUTS: in vivo and in vitro characterization. Journal of Sexual Medicine.
- 4U.S. Food and Drug Administration. (2018). Tadalafil (Cialis) tablets: Full prescribing information. FDA Drug Label.
- 5Rosano, G. M., Aversa, A., Vitale, C., Fabbri, A., Fini, M., & Spera, G. (2006). Tadalafil reduces arterial stiffness and systolic blood pressure during recovery from exercise. British Journal of Clinical Pharmacology.
- 6Mankowski, R. T., Rozenberg, A., Assis, B., Bhanu, B., & Leeuwenburgh, C. (2022). PDE5 inhibition and vascular function in aging skeletal muscle. International Journal of Molecular Sciences, 23(8), 4191.
- 7Venckunas, T., et al. (2019). Effects of PDE5 inhibition on dystrophic muscle following an acute bout of downhill running and endurance training. Journal of Applied Physiology, 127(1), 48–58.
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