Men's Health Watchdog

Sildenafil vs Tadalafil: What Your Doctor Didn’t Explain

By Shameless Care · published · 7:14 · 270K views when we checked · The company's own video: Shameless Care

The video belongs to Shameless Care and plays on YouTube's privacy-enhanced player. Watch on YouTube.

What this video covers

This is the company's own video, published on the Shameless Care channel. According to its description, the company runs an ED medication pricing service, and the description links to its landing page and to a weekly sexual health email signup. The creator presents the video as a comparison of sildenafil (Viagra) and tadalafil (Cialis), which it calls the two most popular ED medications. It says the differences between them go well beyond how long each one lasts.

The chapters show a 7:14 video in five parts. A short introduction is followed by the longest section, from 0:17 to 2:43, on comparing side effects. The description says this covers eye-related side effects for one drug and muscle and joint pain for the other. The metadata does not say which is which. The next chapters cover food and duration, starting at 2:43, and practical user experiences, starting at 4:37. The creator says it has prescribed these drugs to thousands of men and has feedback from thousands, and it frames the video around what every man taking or considering them should know.

The final chapter, at 6:43, is titled compounded medication options. Because the channel belongs to a company that offers ED treatment, readers may want to weigh that section as part of the company's own offering. This summary draws only on the title, description and chapters, not on the spoken content, so check the video itself for what is actually said.

Our summary, written from the video's title, description and chapters (description and chapters), checked 2026-10-31. It reports what the creator presents; it is not medical advice, and the creator's experience may not match yours.

Chapters

  1. 0:00The video opens with a short introduction to ED medications.
  2. 0:17This chapter compares the side effects of sildenafil and tadalafil, the longest section of the video.
  3. 2:43This chapter covers how food and duration factor into the comparison.
  4. 4:37This chapter turns to practical user experiences, which the creator says draw on feedback from thousands of men.
  5. 6:43The closing chapter covers compounded medication options.

What it costs today

Top-scored for sildenafil and tadalafil
Ro
9.2/10Excellent
From $32/mo, Generic sildenafil 25 mg, 8 doses a month
  • FDA-approved and compounded
  • No FDA warning letter found
  • No state list published
What generic sildenafil and tadalafil cost →

Which programs let you message a clinician

From each program's own page, read 2026-10-31. "Not found" means we found no statement either way.

ProgramMessage a clinicianCostFromVisit
Strut HealthYesFree, unlimited follow-ups with a healthcare provider, who you can message from your account.source, 2026-10-31Included$16/moVisit
GoodRx CareYesYou message your provider from the treatment subscription dashboard; a dose change or a long gap may require a new paid telehealth visit, and no messaging price is stated.source, 2026-10-31Not stated$18/moVisit
BlueChewYesYou can message the BlueChew medical team through your account; the page does not say whether it costs anything.source, 2026-10-31Not stated$20/moVisit
HimsYesYou can message a provider with questions at any time, for free.source, 2026-10-31Included$22/moVisit
RoYesFree, unlimited follow-up messaging with a Ro-affiliated provider after you start treatment.source, 2026-10-31Included$32/moVisit
MaximusYesEvery protocol includes 24/7 messaging with your care team at no additional cost.source, 2026-10-31Included$35.99/moVisit
Henry MedsYesYou and your provider exchange messages in a secure patient portal, and ongoing care is part of the plan price.source, 2026-10-31Included$50/moVisit
MangoRxYesUnlimited access to licensed providers for any concerns, with ongoing provider support listed in the monthly plan; the page does not name the channel.source, 2026-10-31Included$59/moVisit
Rex MDYesFollow-ups are free once treatment starts; you message your assigned provider through the member portal any time.source, 2026-10-31Included$18/moVisit
Lemonaid HealthYesMessaging with clinical providers is included (stated on the oral minoxidil hair loss page; the ED page does not mention it).source, 2026-10-31IncludedSee reviewVisit
PeterMDYesUnlimited free consultations and 24/7 access to your medical team; the page says access and consults, not messaging by name.source, 2026-10-31IncludedSee reviewVisit
Hone HealthYesUnlimited messaging with your care team, plus a clinician meeting every 3 months, as part of the membership.source, 2026-10-31Included in the paid Hone membershipSee reviewVisit
RugietYesYou can message your doctor anytime in the portal, and unlimited follow-ups with your doctor are included in the price.source, 2026-10-31Included$99/moVisit
DudeMedsNot foundNo statement found on the site about messaging a clinician after starting treatment.Not statedSee reviewVisit

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