The planning difference
As-needed treatment involves following the medication-specific window provided by the prescriber and pharmacist. Daily treatment reduces the need to plan a tablet around each occasion but requires consistent use.
Daily does not mean stronger
Daily and as-needed regimens use different dosing strategies. Taking extra tablets or combining schedules can increase risk and should never be improvised.
Questions that affect the choice
Frequency of sexual activity, side effects, other medicines, kidney or liver function, cost and personal preference may all matter. The Canadian guideline does not recommend daily tadalafil over on-demand tadalafil for everyone.
What to do after a missed or ineffective dose
Follow the pharmacy instructions. Do not double a dose or add another ED product. A clinician or pharmacist can review timing, food, stimulation, adherence and whether reassessment is needed.

