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  • Haemorrhoids / Piles
    .
    • They are taking other erectile dysfunction drugs such as Viagra/sildenafil, Levitra, or Spedra
    • They are currently taking nitrates for angina, including isosorbide mononitrate, isosorbide dinitrate, nicorandil, and glyceryl trinitrate - serious reactions possible
    • They are taking medications to treat HIV, including Indinavir and Ritonavir
    • They are using anti-fungal treatments like Itraconazole or Ketoconazole
    • They are using recreational drugs such as amyl nitrate (poppers)
    • They are taking alpha-blockers often used in the treatment of prostate enlargement and high blood pressure such as Doxazosin, Prazosin, Alfuzosin, Terazosin, Indoramin and Tamsulosin

    Dr Fox cannot supply Cialis to men where the above are present.

    Cialis should not be taken at the same time or within 36 hours of taking Viagra/sildenafil, Levitra, or Spedra.

    Patient leaflet

    The 'Patient Information Leaflet' supplied with medication must be read before taking tablets.

    Cialis 2.5mg Patient Leaflet
    Cialis 5mg Patient Leaflet
    Cialis 10mg Patient Leaflet
    Cialis 20mg Patient Leaflet

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    Cialis FAQs

    Why should I see a doctor face-to-face before starting ED treatment?

    ED can be a sign of an underlying medical condition such as diabetes, raised blood pressure, or high cholesterol. An examination is required and tests may be needed. These cannot be carried out online. It is fine to obtain repeat supplies of Cialis online, but only after an initial diagnosis and assessment.

    Is Cialis suitable for all men?

    Cialis, along with the other commonly used ED medicines Viagra/sildenafil and Levitra are usually effective and well tolerated treatments. Most men are able to take them and they usually work well. However, men taking some prescription medicines, most notably drugs called nitrates used to treat heart disease, but also some other prescription medicines, should not take Cialis. Men who have some medical conditions, particularly those effecting exercise tolerance should also not take Cialis. Always consult your regular doctor before starting ED treatment. Online doctors carry out checks through online questionnaires, but this does not replace and initial face-to-face assessments and regular medical check-ups are necessary.

    What is the difference between Cialis and Viagra?

    They are similar in that they treat ED in the same way by altering blood flow in the penis and are both classed medically as PDE5 inhibitors. They differ in their duration of action. Viagra remains active for about 4 hours after taking a tablet and Cialis for about 36 hours.

    Why is Cialis sometimes called the 'weekend pill'?

    A Cialis tablet taken on Friday evening will usually remain active through a whole weekend until Sunday evening, hence the name.

    Why do some men take Cialis every day?

    Most men take Cialis occasionally up to a maximum of 2 or 3 tablets per week. They take a tablet if they expect to be sexually active in the following 36 hours. Men who regularly require Cialis more than twice a week sometimes prefer to take a lower dose 2.5mg or 5mg tablet each day, at the same time of day. These low dose tablets are specifically for daily use and provide a continuous level of treatment.

    Is Cialis stronger than Viagra and Levitra?

    No, the duration of action is longer, 36 hours for Cialis compared with 4-5 hours for Levitra and 4 hours for Viagra, however most men find that during this active period the treatments are equally effective when equivalent strength tablets are used. The lower strength of each is Cialis 10mg, Levitra 5mg, and Viagra 25mg and the upper doses 20mg, 20mg, and 100mg respectively. Some men find one type of tablet works better for them than another, but this is not usually the case.

    Is there a lower cost generic version of Cialis?

    Yes. Cialis was under patent by the drug company which developed it, Eli Lilly until 14 November 2017. Dr Fox can now offer UK licensed generic Cialis (tadalafil) at significantly lower cost.

    Who can legally supply Cialis in the UK?

    Only registered pharmacies are allowed to supply Cialis. It is a prescription only medicine. In most cases doctors write the prescriptions and pharmacies dispense the tablets. Some specialist pharmacists can also prescribe Cialis or supply it using a 'patient group direction'. In all cases only registered pharmacies can supply it.

    Why do the prices of Cialis vary?

    The amount pharmacies pay for Cialis is the wholesale price set by the drug company Eli Lilly. The amount pharmacies charge patients will depend on their business models. Some supply Cialis with a small profit margin and others with bigger profit margins. It is usually worth shopping around for the lowest cost supplier, but always use a registered pharmacy to avoid fake medicines.

    Can I get Cialis on the NHS?

    This depends, there are strict criteria in the NHS for the supply of Cialis and limits on the amounts which can be prescribed. NHS prescription fees apply.

    Can I get Cialis on a private prescription from my doctor?

    Some doctors, particularly private doctors, but also some GPs, will write private prescriptions for Cialis. NHS doctors usually charge in the region of £25.00 to write private prescriptions, and private doctors usually quite a lot more. A private prescription can be taken to or posted to a pharmacy for dispensing. The cost of the medicine is in addition to the prescription fee. When medicines are supplied online an electronic private prescription from a doctor is usually involved and costs are usually quite a lot lower.

    Can Cialis tablets be divided and taken in parts?

    No, Cialis tablets are film coated and are intended to be swallowed whole. Cutting up the tablets will reduce their effectiveness.

    Why should Cialis not be taken with recreational or illegal drugs?

    People who take illegal drugs are likely to engage in risky sexual practices and this likelihood is increased when ED treatments are taken at the same time. There is also an increase in side effects, such as changes in vision and changes in blood pressure. The combination of Cialis and cocaine and other recreational drugs may lead to the rare but dangerous condition of priapism in which a prolonged erection of more than an hour or two can cause permanent damage to the erectile tissues. See Beware club drugs and Viagra.

    Is ED counselling better than tablets?

    This depends - ED increases with age, effecting up to 40% of men by the age of 50. In many men there is no significant psychological cause and counselling is likely to be ineffective. In other men stress, relationship difficulties, and psychosexual factors play a role and for these men counselling may be preferable. Sometimes a combination of tablet treatments and counselling works best.

    See also erectile dysfunction FAQs page.

    Authored 7 December 2012
    by Dr Tony Steele

    Reviewed 30 July 2017 by Dr B. Babor, Dr A. Wood, Dr P. Hunt

    Last updated 3 October 2018

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    Medication features

    .
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    Cialis is the well known branded version of Tadalafil. A cheaper alternative is generic Tadalafil, which contains the same active ingredient

    NOTE: After selecting this product, you will need to complete a short assessment, so we can make sure this medication is suitable for you.

    Overview

    Buying Cialis Online

    You can buy Cialis online from our UK registered online pharmacy and doctor service. Cialis is a treatment for erectile dysfunction, containing the active ingredient Tadalafil. Cialis and all ED medications should be used responsibly, and only by those who suffer from dysfunction. 

    To order Cialis online, you will need to complete a medical assessment so our doctors can assess your suitability for this treatment. If your order is approved, a prescription is passed to our UK registered pharmacy, who will dispense and deliver your order.

    Cheaper Generic Cialis

    Tadalafil which is the active ingredient in Cialis is now available generically. In 2017, the patent for the exclusive manufacture of this drug expired, and so Lilly were no longer the only company able to market this medication. When a patent expires, prices will often drop drastically, making medications more affordable for patients and the NHS.

    'Generic Cialis' is medically equivalent to Cialis, and contains Tadalfil, the same ingredient. It is Tadalafil which works to increase blood flow to the penis to help achieve an erection. 

    Cialis Summary

    Taking Cialis

    Take one tablet about 30 minutes before sex.  The effects of Cialis can sometimes be noticed as soon as after 30 minutes, and last for up to 36 hours.

    Never take more than a ONE tablet within 36 hours

    Although Cialis can be taken with food, this may slow down the time it takes for the drug to work.

    How it works

    Cialis works by increasing blood flow into the erectile tissue of the penis. Cialis does not have an impact on libido, only your ability to get and maintain an erection when sexual aroused.

    Effectiveness

    Most men will notice a firmer and longer-lasting erection. If  the treatment does not work, ask our doctors (or your own GP), whether it would be appropriate to increase the dose. Alternatively, they may recommend another treatment.

    If Cialis doesn’t work for you first time round, it could nevertheless be more effective next time. Doctors often advise trying all erectile dysfunction medicines eight times before giving up.

    Side effects

    While side effects are uncommon, they can include nausea, vomiting and diarrhoea. Cialis can also cause nasal congestion, headaches, facial flushing, slight vertigo, a pounding heartbeat and blurred vision.

    Nitrates and Cialis

    Cialis can not be prescribed by our doctor if you are taking nicorandil or nitrate based medication, such as GTN spray or isosorbide mononitrate tablets for angina.

    Alpha-blockers and Cialis

    If you are taking alpha-blocking medicines, such as tamsulosin or trazodone, you are advised to leave at least six hours between taking your alpha-blocker and Cialis.

    About Cialis

    What It Does

    Cialis is part of a group of drugs called PDE5 inhibitors. These drugs work by increaseing the blood flow to your penis when sexually stimulated. For men who are unable to achieve a sufficient erection for penetration, Cialis and the other erectile dysfunction drugs have proven highly effective. They have helped millions of men have normal sex lives.

    Why Choose Cialis

    The main reason many men may choose Cialis over the other ED drugs available, is it's long lasting effect. Tadalafil can be effective for up to 72 hours after dosing, and so men may be able to have regular sexual activity for 3 days after taking a dose. Wihle many patients who used Cialis have now chosen to use the generic form, there is still a brand recognition with the original Lilly product, and men will still choose Cialis over Tadalafil for this reason.

    The Wekend Pill

    Due to this long lasting effect, Cialis has become known as "The Weekend Pill". This long lasting effect is the distint difference between Viagra and Cialis, and the reason why men will select Cialis over the other PDE5 inhibitor drugs available.

    Cialis Daily

    More recently, Cialis has become available as a daily dose in 2.5 and 5mg strenghts. Men may consider using the daily dosage if they have found the 'when required' dosage effective. The reason the daily form of the drug is advantageous is that men no longer need to always remember to take their cialis dose 30 minutes before sexual activity. The daily dose is taken each day, and maintains levels of Tadalafil in the blood. This means that an erection should be achived at any time of day or night, without needing to remember to take your medicatoin just before. This daily tablet is particularly useful for men with a highly active sex life.

    Initial Dosage

    The recommended starting dose of Cialis is 10mg, 30 minutes before sexual activity. If unsuccessful, the dosage can be increased to 20mg. A second dose should not be taken however within 72 hours of the first. It it advised that any ED medication should be taken several times, before deciding to try another, as it may not work first time.

    Cialis Alternatives

    Drug alternatives to Cialis include the famous blue pill, Viagra. Sildenafil is a generic form of Viagra, which is cheaper but contains the same active ingredient. Spedra and Levitra are two other ED drugs also available in the UK.

    Some men may also find that counselling is effective in treating their ED. For men whose erectile dysfunction is mainly down to nerves, or some other form of anxiety, psychologists can assist in developing techniques to better cope with situations where stress occurs. This in turn, can help improve your sexual performance.

    Lifesyle changes can also help some men to overcome erectile dysfunction symptoms. Obesity and alcohol are both factors in erectile dysfunction, and decreaseing your alcohol intake, and exercising more, can have a positive impact on your ability to get and maintain an erection.

    FAQ

    What is the drug Cialis used for?

    Cialis is a drug used in the treatment of erectile dysfunction in men

    How To Take Cialis?

    Take one tablet about half an hour before sex. For optimum performance, take on an empty stomach.

    How Effective Is Cialis?

    Most men will notice a firmer and longer-lasting erection. If  the treatment does not work, ask our doctors whether it would be appropriate to increase the dose..

    How Does Cialis Work?

    Cialis enhances the erectile response in men by relaxing the smooth muscle and increasing blood flow. It is one of a class of drugs known as PDE-5 inhibitors

    How long does Cialis last?

    The effects of Cialis can last between 24-36 hours.

    How Long Does Cialis Take To Work?

    Cialis should be taken about 30 minutes before sexual activity, but can work in as soon as 15 minutes.

    What are the side effects of Cialis?

    While side effects are uncommon, they can include nausea, vomiting and diarrhoea. Cialis can also cause nasal congestion, headaches, facial flushing, slight vertigo, a pounding heartbeat and blurred vision.

    Can I take Cialis with Nitrates?

    No - Cialis can not be prescribed by our doctor if you are taking Nicorandil or nitrate based medication, such as a GTN spray or isosorbide mononitrate tablets for angina.

    Can I take Cialis with Alpha-Blockers?

    If you are taking alpha-blocking medicines, such as tamsulosin or trazodone, you are advised to leave at least six hours between taking your alpha-blocker and Cialis.

    What is the active ingredient in Cialis?

    Tadalafil is the active ingredient in Cialis.

    Is generic Cialis available?