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About Cialis

The weekend pill

Lilly logo

Cialis from Lilly pharmaceutical company is sometimes known as The Weekend Pill.

Cialis has been licensed in the UK for over a decade. It was the second erectile dysfunction (ED) prescription medication of its type to receive a UK license, after Viagra (sildenafil). Its prolonged duration of action and the option to take a low dose daily tablet have led to Cialis becoming increasingly popular and being more widely prescribed.

Generic Cialis

The patent for Cialis expired in the UK on 14 November 2017, allowing other drug manufacturers to legally make and sell generic Cialis (marketed as tadalafil). Generic medicines are medically identical to branded originals and are usually much lower cost.

Daily versus Cialis '36 hours'

Most men take Cialis as and when they need it, usually 10mg or 20mg, which is effective for up to 36 hours.

Men who need erectile dysfunction treatment two or more times a week should consider taking a regular low dose Cialis tablet daily. Cialis 2.5mg or 5mg tablets taken every day will provide continuous erectile dysfunction treatment, without peaks and troughs.

What does it do?

Cialis contains tadalafil which is known medically as a PDE5 inhibitor. Tadalafil inhibits the PDE5 enzyme which is involved in regulating blood flow in the penis during erections. Sexual stimulation is required before the medication will work and without it Cialis will have no effect. Cialis augments and supports sexual performance and relationships.

Cialis can also be used to treat benign prostatic hyperplasia (enlarged prostate) symptoms.

Why do men get erectile dysfunction?

A range of factors contribute to erectile dysfunction, including lifestyle choices, mental state, chronic disease, and injuries and operations. Emotional problems, such as stress and performance anxiety, can have an impact on both erectile performance and sexual desire. Occasional treatment with a PDE5 inhibitor such as Cialis can be effective in breaking a cycle of anxiety and failure. Lifestyle factors, such as smoking, non-prescription drug use, excessive drinking and even obesity can have an effect. Erectile dysfunction is sometimes a symptom of underlying health problems such as diabetes, atherosclerosis and heart disease, amongst others.

Men suffering from erectile dysfunction should inform their GP who will undertake an assessment, possibly perform tests, and provide advice.

Why Cialis?

Cialis benefits from having a long duration of action. Viagra remains active for about 4 hours, Levitra for 4-5 hours and Cialis for 36 hours – hence its familiar name 'The Weekend Pill'. Erections will not be continuous during 36 hours after taking Cialis, occurring only at times of arousal during those 36 hours.

Alternative treatment

Viagra, Sildenafil, Levitra, and Spedra are alternative tablet treatments for erectile dysfunction and are also available to buy in various strengths and pack sizes after completing the same medical consultation.

Taking Cialis for the first time

There are four strengths of Cialis – 2.5mg, 5mg, 10mg and 20mg. The lower doses of 2.5mg and 5mg are primarily for regular daily use, although Cialis 5mg strength can be taken on an as required basis by men who respond well to one-off lower doses.

The usual starting dose is 10mg taken at least 30 minutes before sexual activity. If this dose is highly effective, subsequent doses could be reduced to 5mg on a trial basis. If repeated trials of a 10mg dose prove ineffective, the dose can be increased to 20mg.

There is no benefit in taking a higher dose than is needed. Repeated trials of treatment at one dose are recommended before changing to higher or lower strength tablets.

Cialis dosage


Daily Cialis 5mg tablets

Daily Cialis

2.5mg or 5mg daily tablet for continuous erectile dysfunction treatment.

Cialis 10mg tablets

Cialis 10mg

Recommended starting dose for most men taking Cialis for first time.

Cialis 20mg tablets

Cialis 20mg

High strength dose as required for when 10mg is insufficient.


Does it work every time?

Response to treatment is usually predictable and consistent. On most occasions, if Cialis has worked before, it will work again.

Some causes of erectile dysfunction, such as physical injuries or nerve damage, are more resistant to tablet treatments and may require other therapies, such as injections or penile implants.

Erectile dysfunction may require specialist treatment apart from tablets. Some men, whose erectile dysfunction has psychological causes, may benefit from counselling.

All men who are troubled by erectile dysfunction, which can be a distressing problem, should consult a doctor for a full assessment and advice.

Side effects of Cialis

Most men taking Cialis do not experience significant side effects. A full list of the most frequent side effects can be found in the manufacturer's patient information leaflet supplied with Cialis tablets (links below).

Some men experience a bluish or yellowish tinge to their vision after taking Cialis. This is not dangerous and fades after a few hours time. This is a possible side effect of all ED drugs (PDE5 inhibitors).

Other common side effects (affecting 1%-10%) include headache, back pain, muscle aches, pain in the arms or legs, nasal congestion, facial flushing, and indigestion.

On very rare occasions ED treatment produces prolonged and painful erections, in a condition known as priapism. Priapism is a medical emergency with the potential on rare occasions for irreversible injury to the penis. If an erection lasts for more than 4 hours, medical attention should be sought immediately.

When not to take Cialis

During an assessment on the Dr Fox web site, men are required to complete an erectile dysfunction questionnaire. This determines if Cialis is suitable. Men should not take Cialis without further assessment from their GP if any of the following apply:

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  • 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?