Tadalafil

Tadalafil (generic Cialis), like Cialis, comes in the form of tablets. Tadalafil improves the blood flow to your penis so you can get erections easier for up to 36 hours after it starts working. Tadalafil does not work if there is no sexual stimulation to your penis - it does not give you an erection. However, during your sexual activity, Tadalafil helps improve the hardness of your erections. Below are some of the other key features of Tadalafil:

Tadalafil

• Lasts up to 36 hours giving you a big window of opportunity for attempt(s) at sex
• Contains the same active ingredient as Cialis - Tadalafil citrate
• Works for 62% of people who try it (the same as Cialis)
• Takes only 30 minutes to start working
• Can be bought easily online without a previous diagnosis
• It’s easy to use – you just need to take a pill at least 30 to 60 minutes before you plan to have sex
• Is used to treat erectile dysfunction

It’s important to remember that Tadalafil won't help you improve the hardness of your penis if you don’t have erectile dysfunction (ED).

Works the same as Cialis – because Tadalafil is the generic version of Cialis (it has the same active ingredient but isn't sold under the brand Cialis), Tadalafil works exactly the same way Cialis does, including the same:

• Effectiveness
• Duration
• Prescription requirements
• Side effects

You don’t need to have been diagnosed with erectile dysfunction (ED) to order Tadalafil. To see if Tadalafil could help you, you can use our online consultation system to place an order:

Fill in the online consultation form which takes a few minutes to complete. You will be asked questions about any medical conditions or medications that you have to make sure that Tadalafil is safe for you.

Your online doctor will review your questionnaire answers and check if Tadalafil is right for you.

If your order is approved, your supply of Tadalafil will be sent to your door the next day by post.

Another way of getting Tadalafil is by a private prescription of Tadalafil from the NHS. Getting a private prescription from an NHS doctor will still require you to pay for your medication as if you bought it somewhere else. You can only get your medication for your normal prescription fee if you get an NHS prescription for Cialis. However, you’re not normally prescribed Tadalafil on the NHS unless there are very specific circumstances, including:

• Having:
• Diabetes
• Multiple sclerosis (MS)
• Parkinson's disease
• Polio
• Prostate cancer
• Spina bifida
• A spinal cord injury
• Certain genetic conditions, such as Huntington's disease
• Or if you’ve had:
• A major pelvic surgery, such as surgery to remove tumours
• Removal of their prostate (prostatectomy)
• Recent dialysis or a kidney transplant for kidney failure

There are some medical conditions which mean that Tadalafil is not a suitable medicine for you. This includes people who have:

• A condition called non-arteritic anterior ischaemic optic neuropathy, known as “stroke of the eye”
• Problems with low or high blood pressure (hypertension)
• Heart failure
• Previously had a heart attack, angina, or a recent stroke
• People who have been advised by a doctor not to have sex

The best way to take Tadalafil is:

• Swallow it whole with water
• At least 30 to 60 minutes before attempting sex
• With or without food
• Without drinking too much alcohol
• Without drinking grapefruit juice at the same time
• At the dosage your doctor has given you
• In combination with lifestyle changes that can reduce the extent of your erectile dysfunction.

Tadalafil starts working thirty minutes after you take them and lasts for up to thirty six hours. You can take Tadalafil with or without food.

Drinking alcohol - this may affect your ability to get and keep an erection. Therefore, we recommend that you avoid drinking a large amount of alcohol when taking Tadalafil, as it stops the medicine from working as effectively. We also recommend that you do not drink grapefruit juice with Tadalafil as they may cause serious side effects when combined.

Dosage - The recommended starting dose of Tadalafil is usually 10 mg. It may take your body a while to get used to the medicine, so we recommend that you take the medicine a few times before considering increasing the dosage. If you feel as if Tadalafil at the 10 mg dose does not work, you can increase the dose to 20 mg before sexual activity. You should not take Tadalafil more than once per day. You should also not take Tadalafil with other erectile dysfunction (ED) medications as they are more likely to cause side effects in combination.

Combining with lifestyle changes - There are non-medication options that can boost the effects of Tadalafil. You can make lifestyle changes such as quitting smoking, eating a healthier diet with low saturated fats, and exercising regularly. There are devices that you can use such as penis rings that are designed to improve the hardness and length of your erections. Also, sexual therapy has been shown to help some people with the symptoms of their ED.

There’s a chance you can get side effects with Tadalafil. Common side effects when Tadalafil is used for erectile dysfunction (ED) include:

• Back pain, muscle pain, headache
• Indigestion, feeling sick, or being sick
• Flushing

There are some serious side effects to watch out for. Seek medical attention immediately if you experience any of these symptoms:

• Swelling in the lips or tongue
• Difficulty breathing

For more information see the patient information leaflet online.

Tadalafil vs other erectile dysfunction (ED) medicines

Tadalafil is part of a family of medicines called PDE-5 inhibitors. There are small differences between the PDE-5 inhibitor drugs, but these can help you decide whether Tadalafil is suitable for you and your lifestyle. One of the biggest advantages of Tadalafil has a much longer duration of action, so that there is a large window of opportunity to attempt sex. Tadalafil and Spedra generally start to work much more quickly than Viagra or Levitra, which means that you don’t have to plan sex as far in advance.

Other treatment options

ED medications like Tadalafil

• Proven to be safe
• Proven to be effective
• Easily available
• May cause side effects
• Don't work if you are taking certain medicines or have certain medical conditions

Devices, lifestyle changes, or therapy

• Much less likely to cause any side effects
• Works for people who may not be able to take ED medicines
• Less evidence on safety
• Less evidence on effectiveness

Herbal or non-prescription ED treatments

• Don’t require a prescription or doctor consultation
• There isn’t real evidence that they work
• They can be harmful if purchased from the wrong provider

Tadalafil on demand vs Tadalafil daily

There are two types of Tadalafil:

• One type that you take when you want to have sex (on demand)
• One type that you take every day (daily)

You only need to take Tadalafil on demand when you want to have sex, so this type might be suitable for you if you prefer not to take tablets every day or think you might forget. However, with Tadalafil daily you do not need to plan sex at all as the medicine should cover you for the entire time you are taking the medicine. Additionally, there is evidence that suggests that Tadalafil daily is slightly more effective than Tadalafil on demand, but this varies from person to person.

Because Tadalafil (generic Cialis) only just became available, there are not many manufacturers producing low-dosage daily pills. The easiest way to take Tadalafil daily is to order the branded version – Cialis daily.