Cialis

Can I buy Cialis online?

If you’re buying Cialis online, make sure the site you’re buying from is regulated by organisations such as the Care Quality Commission. These organisations make sure that it is safe for these sites to prescribe and sell medication online.

Can I buy Cialis over the counter?

You cannot buy Cialis over the counter, as it is a prescription-only medication. This is because a doctor needs to assess you to make sure that it is safe for you to take it, as it can interact with certain medications, or could be unsuitable if you have certain health conditions. Viagra Connect is the only erectile dysfunction medication that is available over the counter.

How much does Cialis cost?

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Buying generic Cialis

You can buy a cheaper, generic version of Cialis, called Tadalafil. Cialis is a branded medication, which means that it is more expensive than Tadalafil as you are paying for the brand name.

Tadalafil is the name of the active ingredient in Cialis and both generic Tadalafil and Cialis work in the same way. They have the same:

• effectiveness
• dosages
• daily and before sex options
• chance of side effects
• safety information

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Cialis is a prescription treatment for erectile dysfunction. It is sometimes known as the “weekend pill” as it can work for up to 36 hours, and is the long-lasting erectile dysfunction medication. Cialis 10mg and 20mg are taken when needed before sex, like other erectile dysfunction tablets, but a lower dose option called Cialis Daily can be taken every day.

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Cialis works in a similar way to other erectile dysfunction treatments, like Viagra. It contains the active ingredient tadalafil, which is a medication known as a PDE-5 inhibitor.  It relaxes muscles around your penis, improving blood flow and making it easier to get and keep erections when you’re aroused. 

Does Cialis make you last longer?

If you find it difficult to keep an erection, Cialis can help you to get and maintain an erection, so you can stay harder for longer. However, Cialis won’t help if you are orgasming too quickly.

How to take Cialis

You should take Cialis at least 30 minutes before sex for the best results. This gives the medication time to reach its full effect and help you to get and maintain your erection. 

If you think you will be using Cialis regularly (more than a couple of times a week), there is also the option to take a small daily dosage of Cialis (2.5mg or 5mg). You take this at the same time every day, and it will mean you don’t need to plan your dose in advance of when you want to have sex. 

When taking Cialis, swallow the tablet whole with a glass of water.

For the best results when taking Cialis or Cialis Daily, avoid eating a heavy or fatty meal before taking them. This can cause the medication to take longer to work, as it will take more time for your body to absorb the medication. You should also avoid drinking alcohol when taking Cialis, as this can make the medication less effective and cause unwanted side effects.

How often can I take Cialis?

There is no evidence that Cialis becomes less effective, or causes any health problems, after long term use. As long as a doctor prescribes Cialis, you can take it for as many years as you need to.

You should only take one Cialis tablet per day, even if it’s a 2.5mg tablet (the lowest dose available). This is because the amount prescribed by a doctor has been found to be safe for you to take, and taking a higher dosage than prescribed may be unsafe as you have not been assessed for that dosage. In addition, tadalafil stays in your system for many hours, so taking more than the prescribed dose could cause the medication to build up in your body and cause serious side effects.

What are the dosages of Cialis?

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Cialis is an effective treatment, but it doesn’t work for everyone:

• It works for 60-70% of people who try it
• Cialis has a rating of 8.7 out of 10 for erectile dysfunction treatment according to user reviews on drugs.com
• On average, patients who used Superdrug Online Doctor to order Cialis treatment rate it 4.6 out of 5 stars on Trustpilot.com

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Cialis can cause some side effects and it may react with other medication you’re taking. For full safety information, please read the patient information leaflet that comes with your medication – Cialis taken before sex PIL, Cialis Daily PIL.

Cialis side effects

Less than 2% of people appear to get side effects when taking Cialis 10mg. If you think you’re having side effects, talk to your regular doctor.

Common side effects of Cialis are:

• headache
• stuffy or runny nose
• flushing
• indigestion 
• muscle aches

Uncommon side effects of Cialis are:

• increased heart rate
• changes in blood pressure
• blood in the urine 
• ringing in the ears
• palpitations
• erection that won't go away (priapism)
• blurred vision
• eye pains
• increased sweating
• difficulty breathing
• nose bleeds
• dizziness
• nausea, being sick or abdominal pain
• a rash
• chest pain
• tiredness 

If you suffer from severe side effects such as:

• visual loss
• chest pain
• a prolonged, painful erection
• a seizure 

you should always see a doctor immediately and stop taking Cialis.

If your side effects become serious and/or are impacting your life too much for you to want to continue taking Cialis, then you should stop taking it and discuss it with your doctor. 

You shouldn't just adjust or switch your treatment without medical advice as everyone's body reacts slightly differently to medications. 

Drug interactions

You may not be able to take Cialis if you're taking some types of medications, since they might react, including:

• nitrates, e.g. isosorbide mononitrate, glyceryl trinitrate 
• some antibiotics, e.g. erythromycin
• antifungals, e.g. ketoconazole and itraconazole 
• antivirals, e.g. ritonavir and saquinavir
• alpha-blockers, e.g. tamsulosin, doxazosin, alfuzosin 
• other erectile dysfunction medications, e.g. Viagra, Levitra etc

Alcohol and grapefruit juice can react with your medication too.

Pre-existing conditions

You may not be able to take Cialis if you have:

• Peyronie's disease (a condition that causes the penis to curve)
• heart problems or have had a stroke
• certain visual/ eye conditions
• kidney or liver disease
• sickle cell anaemia, multiple myeloma or leukaemia

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What does a Cialis pill look like?

Cialis pills are yellow oval-shaped pills, with an imprint on them that shows what dose they are. For example, Cialis 20mg would have “C 20” imprinted onto the pill.

What is Cialis Black?

Cialis Black is a counterfeit version of Cialis, which is marketed as a stronger and longer lasting version of Cialis. It is often marketed as having an extremely high dosage, such as 200mg or 800mg. Cialis Black is not approved for use or regulated, and there is no way to know what is actually inside this medication. At best Cialis Black is ineffective and is just a waste of money, at worst this medication could cause serious harm to you.

What should I do if Cialis stops working?

Cialis is an effective treatment for most men, but some may find that it stops working as effectively as it did before. You should make sure that you’re waiting 30 minutes after taking Cialis before trying to get an erection, and you should not take another tablet if the first one doesn’t work straight away.

If Cialis stops working for you, it may mean that the underlying factors causing your erectile dysfunction are getting worse. You may want to speak to your doctor about the common causes of erectile dysfunction, such as blood pressure, cholesterol, or stress.

Are there any alternatives to Cialis?

There are several alternatives to Cialis. Similar medicines include Viagra, Levitra and Spedra, which are prescription medications that work in similar ways. Devices such as penis pumps can also help to improve erectile dysfunction, and can be used in combination with medications. Some men find that lifestyle changes, such as exercise or stopping smoking, can also be helpful in overcoming erectile dysfunction, as well as addressing some common causes like anxiety. 

What’s the difference between Cialis and Viagra?

Cialis and Viagra both help with erectile dysfunction in a similar way, but contain different active ingredients and are available in different dosages.  The main difference between them is that Cialis is a longer lasting medication, and the effects last for up to 36 hours, whereas Viagra lasts for 4 to 6 hours.

Some men may find that one medication works better for them than the other, as they contain different active ingredients. However, because they work in the same way, you should not take both at the same time.

What happens if a woman takes Cialis?

Cialis is not licensed for women in the UK, so women should not take it as they cannot be safely prescribed Cialis by a doctor. Some websites advertise products such as “female Cialis” or “female Viagra” as medications to improve sex drive, but there is no evidence that these products work. Cialis works by improving blood flow, not increasing arousal, so if a woman takes it there would be no effect on her sex drive. 

Can I take Cialis with other erectile dysfunction medications?

No, you should never take Cialis with another erectile dysfunction medication. Erectile dysfunction medications all work in the same way, so taking them together could cause serious side effects, or even cause an overdose.

Is it safe to buy Cialis online?

Yes, it is safe to buy Cialis online from trusted and regulated sellers like Superdrug Online Doctor.

Be aware when buying Cialis online - erectile dysfunction medications like Cialis and Viagra  are some of the most counterfeited medicines in the world. In the best case scenario these medications won’t work and you will have wasted your money, in the worst case they could cause you harm.

If you’re buying Cialis online in the UK, make sure that the company is registered with the Care Quality Commission (CQC) and the General Pharmaceutical Council (GPhC) who make sure that they are dispensing real Cialis, and that real doctors are prescribing it.

Does Cialis expire?

Cialis, like most medications, has a shelf life and can become less effective if it’s left unused for too long. You should check the expiry date on your packet, and make sure you take it before then. Cialis should be stored below 30°C and out of direct sunlight. 

If your Cialis is past the expiration date, it might not be safe to take it. In this case, take the box to the pharmacy to be safely disposed of and buy a new packet of Cialis.

Why do I need to get a prescription?

Cialis is a prescription-only medication, which means that a doctor has to make sure it’s safe for you to take it. This is because it may react with other medications you are taking, or may not be suitable for you if you have certain health conditions. 

What causes erectile dysfunction?

There are many different factors that can cause erectile dysfunction, and often there are several factors working together, not just a single cause. This can include psychological factors such as stress, to physical problems with your circulation. For more information, read our doctors’ advice on the causes of erectile dysfunction.

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The efficacy and safety of tadalafil: an update BJUI [accessed 14 October 2020] 

Cialis 20mg film-coated tablets EMC [accessed 18 March 2020] 

Tadalafil NHS [accessed 18 March 2020]

British Society for Sexual Medicine Guidelines on the Management of Erectile Dysfunction in Men The Journal of Sexual Medicine [accessed 18 March 2020]

Erectile dysfunction NICE [accessed 18 March 2020]

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