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    • some men with anatomical problems with their penis; or
    • some men with infections of their penis.

    Alprostadil can cause the following side effects: changes in your blood pressure, dizziness, headache, pain in your penis, urethral burning or bleeding, reactions at the site of the injection, such as swelling. You should always read the patient information leaflet.

    Hormone therapy

    If your doctor thinks that your erectile dysfunction is related to your hormones, chances are you will be referred to a hormone specialist (an endocrinologist) who will look to rebalance your hormone levels (probably with a series of hormone injections.)

    Surgery

    Surgery is a last resort for treating impotence. It is normally only recommended for younger men who have seriously injured their pelvic area or men who have an anatomical problem with their penis. 

    It used to be the case that if a man had a blockage in the blood vessels leading to the penis, then surgery could be used as a way to unblock these to allow the blood to flow again. However, evidence shows that this surgery is often not successful in the longer term, so it is now rarely used to treat this problem.  

    Penile implants are another type of surgery. This is not normally available on the NHS, but about 75% of men who have it are satisfied with it.

  • Can I take 20mg of Cialis?

    Yes. While the starting dose of Cialis is generally 10mg, in men who do not response to this dosage, Cialis 20mg can be prescribed.

    Can you get Cialis on the NHS?

    Cialis can be prescribed on the NHS in men who have certain medication conditions, and other certain circumstances.

    Do you need a prescription to buy Cialis?

    Cialis is a prescription only medication, so a doctor must issue a prescription in order to dispense this medication. Our UK online doctor, can issue a prescription if you complete an assessment, and it is judged that the medication is suitable for you.

    What is the average cost of Cialis?

    You can buy Cialis from around £8.25 per tablet, as it is the most expensive of the ED medications. There is now a generic version of Cialis available, at a more affordable price. Generic Cialis can be from £2.10 per tablet.

    Is Cialis legal in the UK?

    Yes. Cialis is a legal drug, prescribeable in the UK by GMC registered doctors.

    Can I buy Cialis over the counter?

    No. Cialis is a prescription only medication, meaning you will have to have a doctor prescribe you this medication.

    Can I buy Cialis online?

    Yes. You can use a UK registered online pharmacy and doctor service, to buy Cilais online in the UK. You should check the pharmacy service is registered, before buying any medications online.

    Compare

    Treatment Comparison

    SildenafilViagraTadalafilCIalisLevitraSpedra
    Active IngredientSildenafilSildenafilTadalafilTadalafilVardenafilAvanafil
    Time to Take Effect30-60 mins30-60 mins15-45 mins15-45 mins30-60 mins15-30 mins
    Duration of Action4-6 hours4-6 hours24-36 hours24-36 hours4-6 hours4-6 hours
    Unique FeatureSame active ingredient as ViagraMost well knownSame active ingredient as CialisLongest ActingUsed for diabeticsQuickest Acting
    Price Per TabletFrom ?1.04From ?3.44From ?8.25From ?5.15From ?3.05

    Side Effects

    Side Effects of Cialis

    With any medication you take, there is always a risk of side effects occuring. Some are more common than others, and often side effects may subside with the regular usage of the medicine. If the side effects do not subside, you should report them to us, or your GP.

    Common Side Effects

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