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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.
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    Treating erectile dysfunction due to underlying health issues

    If you are suffering from erectile dysfunction as a result of an underlying health condition, youíll usually need to treat the underlying condition first, before you embark upon a course of treatment for impotence. You may then find that by treating the underlying condition, this solves the problem of your erectile dysfunction too. Speak to your doctor about the fact that you are struggling with ED as well as your underlying condition, so that they can factor this into your treatment plan. 

    If you are taking medication for another condition and you think that this is causing erectile dysfunction, have a chat with your doctor about it. It may be that they can suggest an alternative type of medication. Make sure that you talked to your doctor or healthcare professional before you stop taking any medication that youíve been prescribed. 

    Psychological Treatment Options

    Counselling can be very helpful for people who have erectile dysfunction that is caused by psychological problems like anxiety or depression. Another type of treatment for people who have ED that has a psychological cause is called Sensate Focus. 

    Sensate focus is a type of sex therapy. You and your partner agree not to have sex for a set period of time. During this time, you can still touch each other, but you agree not to touch each othersí genitals (or a womanís breasts). During the agreed timeframe, you then set aside time to spend together as a couple to explore each othersí bodies without having sex. Clothed or naked, you can massage each other, explore touch, and stroke each other. Once the agreed timeframe has passed, you can then start to touch each othersí genitals, you can start to use your mouth as a way of exploring each othersí bodies through kissing or licking your partner, for example. Gradually, you can then build up to penetrative sex together. If you would like to read a bit more about Sensate Focus or about sex therapy in general, the College of Sexual and Relationship Therapists website is very useful: /www.cosrt.org.uk/information-for-members-of-the-public/tips-for-sexual-wellbeing/

    Psychosexual counselling is a talking therapy. It has mixed results and can take a while to work, but many people find it really helps. It provides space for you and your partner to talk about any issues that might contribute to or cause your erectile dysfunction. The aim of talking it through is to help you feel less worried or anxious, so that you can overcome your problems. The counsellor can also offer advice on sex, like practical foreplay techniques and how you might like to incorporate other treatments for erectile dysfunction into your plans to improve your sex life. The NHS offers advice on good sex which includes practical tips on arousal. You can read this on the NHS website: /www.nhs.uk/LiveWell/Goodsex/Pages/Goodsexhome.aspx

    Cognitive Behavioural Therapy can also be helpful in treating impotence. Cognitive Behavioural Therapy explores the link between the way we think and how we feel. It aims to change the way you think about and react to a situation, to help you feel happier. A CBT therapist can work with you to identify factors that are contributing to your erectile dysfunction. They will look for unhelpful thoughts or thought patterns that might be linked to: your self esteem, your sexuality or your personal relationships. With the therapist, you can then work to change these by practicing different ways of thinking. 

    Complementary therapies

    Like acupuncture claim to improve impotence. The evidence of whether this is effective is limited. If you decide to try to treat your erectile difficulties with complementary therapies, speak to your doctor first because sometimes they can interact with other medicines. 

    Pelvic Floor Muscle Exercises

    The pelvic floor muscles are grouped under the bladder, around the rectum and at the base of the penis. The exercises strengthen and train the muscles used to urinate and to control the anus (back passage). There is some evidence to suggest that for some people, exercising these muscles can improve erectile dysfunction. If you think this might help you, have a chat with your GP who might refer you to a physiotherapist so that you learn how to do the exercises correctly. 

    The vacuum pump

    A vacuum pump is made up of a clear plastic tube connected to a hand or battery activated pump. You put your penis into the tube and pump out all of the air. This increases the blood flow to your penis so that you can get and sustain an erection. You then put a rubber ring around the base of your penis to keep the blood there. Using this, you will be able to sustain an erection for about 30 minutes. It can take a bit of practice to get used to using the pump properly, but 90% of men who used it found that they were able to sustain an erection (regardless of the cause of their impotence).

    Cautions

    You shouldnít use the vacuum pump if you have a bleeding disorder or take anti-coagulant (blood thinning) drugs. Under a third of people find that they experience side effects of pain or bruising using the pump. If you qualify for erectile dysfunction treatment on the NHS, then you might also be able to get a pump, but normally most people have to buy their own. You can get advice on using pumps and other topics from the Sexual Advice Association: /www.sda.uk.net/advice.php

    Alprostadil

    If you find that your erectile dysfunction is not responding to your course of treatment, or if you canít use Viagra, Cialis, Levitra or the vacuum pump, then your doctor might suggest you try Alprostadil (a synthetic hormone that increases the flow of blood to the penis given either as injection into the penis or as a pellet placed inside the urethra). You can be trained in how to inject or insert the pellet of Alprostadil. It usually takes effect within five to fifteen minutes. The length of time that the erection lasts for varies with the dose. If your partner is pregnant, youíll need to use a condom during sex. 

    Alprostadil when placed in the urethra is effective in 2 out of 3 men with ED. Alprostadil injections worked for just over 8 out of 10 men who found that Viagra, Cialis and Levitra didnít work for them.

    Cautions, risks, side effects, interactions

    Men with the following conditions should not use Alprostadil:

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