ED Treatment Online in BC: Sildenafil, Tadalafil, and What to Expect
Erectile dysfunction affects roughly 1 in 3 Canadian men over 40. It's common, treatable, and — in 2025 — you don't need to sit in a waiting room to address it. Here's the practical guide.
The Two Main Medications
Sildenafil (generic Viagra)
- Works within 30–60 minutes
- Duration: 4–6 hours
- Take as needed, 30–60 minutes before activity
- Generic available in Canada — significantly cheaper than brand Viagra
- Cost: $2–$8 per tablet depending on dose and pharmacy
Tadalafil (generic Cialis)
- Works within 30–60 minutes
- Duration: up to 36 hours ("the weekend pill")
- Can be taken daily at low dose (2.5–5mg) for continuous readiness
- Generic available in Canada
- Cost: $3–$10 per tablet; daily low-dose ~$40–$80/month
Sildenafil vs Tadalafil: Which Is Better?
Neither is objectively better — it depends on your lifestyle and preferences.
| Factor | Sildenafil | Tadalafil |
|---|---|---|
| Onset | 30–60 min | 30–60 min |
| Duration | 4–6 hours | Up to 36 hours |
| Food interaction | Reduced by fatty meals | Minimal |
| Daily dosing option | No | Yes (2.5–5mg) |
| Cost per dose | Slightly lower | Slightly higher |
Most men who try both prefer tadalafil for its longer window and flexibility. Daily low-dose tadalafil is popular for men who want to eliminate the "planning" aspect entirely.
How to Get a Prescription Online in BC
The process through a telehealth platform:
- Complete a health questionnaire (10–15 minutes) — medical history, current medications, cardiovascular health
- Physician review — usually same day or next day
- Prescription issued — sent to your pharmacy or dispensed directly
- Ongoing refills — most platforms allow refills without repeat consultations
Key health questions the physician will ask about:
- Cardiovascular disease or recent heart attack/stroke
- Current medications (especially nitrates — absolute contraindication with PDE5 inhibitors)
- Blood pressure
- Liver or kidney disease
Cost Breakdown
Sildenafil (generic):
- 25mg: ~$2–$4/tablet
- 50mg: ~$3–$6/tablet
- 100mg: ~$4–$8/tablet
Tadalafil (generic):
- 5mg (daily): ~$1–$2/tablet ($30–$60/month)
- 10mg (as needed): ~$4–$8/tablet
- 20mg (as needed): ~$5–$10/tablet
Telehealth consultation: $50–$150 (often included in subscription)
Total monthly cost (daily tadalafil via telehealth): $80–$150 including consultation.
What to Expect
Most men respond well to the first medication tried. If sildenafil doesn't work at the standard dose, tadalafil often does — and vice versa. Non-response to both at maximum doses warrants further investigation (testosterone, vascular health).
Side effects are generally mild: headache, flushing, nasal congestion. Serious side effects are rare but include vision changes (stop immediately) and priapism (erection lasting >4 hours — medical emergency).
The Fastest Path in BC
Telehealth is the most private and efficient route. Felix Health and similar platforms operate in BC and can issue prescriptions same day. The medication arrives at your door or can be picked up at any pharmacy with the prescription.