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Cialis (Tadalafil)

What is Cialis?

Cialis tablets are used to treat erectile dysfunction. They work by blocking PDE5, the chemical responsible for stopping an erection. If this chemical is blocked, the arteries in the penis are able to open wider, increasing the blood flow to the penis. This means that men who are unable to achieve or maintain an erection are able to engage in satisfactory sexual intercourse. Cialis tablets contain the active ingredient tadalafil and need only 30 minutes to start working.

Can I buy Cialis online?

There are various online services providing Cialis tablets. However, many of them are illegal and may be dispensing unlicensed or fake versions of Cialis, which may not work or could even be harmful. Before you buy Cialis online, you should check whether the website you are using has been approved by the General Medical Council as well as the Care Quality Commission. If you can buy Cialis without a prescription, you are likely to be ordering from a fraudulent business. Legitimate online doctor services like DrEd offer the opportunity to obtain a prescription online and will ask you to fill in a medical questionnaire.

Cialis vs. Viagra – What is the difference?

The main difference between Cialis and Viagra lies in the time frame during which they are effective. Cialis works for a period of 36 hours. This means, that if you are sexualy stimulated within this period of time, Cialis will help you get an erection. It is often referred to as a “weekend pill”, as it allows you to have spontaneous sex several times during the specified window of time. Viagra, however, will usually only be effective for four hours and therefore requires that you plan ahead. Both Viagra and Cialis take 30 minutes to work, so you should take the tablet half an hour before intercourse.

Can I take Cialis on a daily basis?

You should only take Cialis 10mg and Cialis 20mg tablets if you expect to have sex on the same day. These dosages are not suitable for daily consumption. If you would like to use Cialis everyday, please consult your doctor. You will need to undergo a medical check-up to ascertain whether you could safely be prescribed a daily dose of 5mg to help with your erections.

Do I need a prescription for Cialis tablets?

In the UK, Cialis is only available on prescription. This means, that the tablets have to be dispensed from a licensed doctor or pharmacist. You can go to your GP to buy Tadalafil tablets or you can obtain a prescription for an erectile dysfunction treatment from us. Our team of UK-based online doctors use a questionnaire-based assessment to check which treatment is best for you. If you order before 4pm, your medication will be sent out on the same day.

What is the difference between a 5mg, 10mg and 20mg dose of Cialis?

Cialis tablets come in 5mg, 10mg and 20mg doses. The dose of your Cialis tablets tells you how much of the medicine are in them. As a rule: the higher the dose, the stronger the medication.

10mg or 20mg Cialis tablets are to be taken as and when you need them. Take your tablet about 30 minutes before you are going to have sex.

If you’re expecting to have regular sex, your doctor might recommend that you take 5mg Cialis tablets. 5mg doses of Cialis are suitable for taking everyday.

What effect does Cialis have on blood pressure?

You shouldn’t take Cialis if your blood pressure isn’t under control, or if you have low blood pressure (hypotension). Cialis can dangerously decrease your blood pressure. Make sure to check with your doctor first before taking Cialis if you have a history of low blood pressure, or heart attacks.

Lots of blood pressure medications can actually cause erectile dysfunction. If you’re taking blood pressure medicine, and find that you’re having problems with your erections, talk to your doctor about changing your medication. Most men decide that they can live with their erectile dysfunction in order to keep their blood pressure at a safe level.

Precautions

Tadalafil tablets like Cialis should be taken with extreme caution by anyone who is predisposed to prolonged erections. This includes patients suffering from:

  • sickle cell anaemia
  • multiple myeloma
  • leukaemia
  • a history of recurrent prolonged erections
  • decreased kidney function
  • decreased liver function
  • cardiovascular disease (involving the heart and blood vessels)
  • Peyronie’s disease, severe scarring, curvature or abnormality of the penis
  • anyone taking medication for high blood pressure

Who should not take Cialis?

Cialis should not be used by:

  • women
  • anyone under the age of 18
  • anyone advised against sexual activity on health grounds
  • anyone taking any form of nitrate medication

The same applies to patients suffering from any of the following conditions:

  • angina
  • serious heart disease or recent heart attack or stroke
  • low or high blood pressure
  • eye conditions i.e. NAION
  • kidney failure or severely decreased function
  • rare hereditary problems of galactose intolerance, the Lapp lactase deficiency or glucose-glucose malabsorption

These are all serious contraindications, please speak to your doctor before taking Cialis.

Warnings

Tadalafil can cause dizziness and affect spacial awareness. Do not drive, operate machinery or engage in any activity that requires intense concentration after consuming tadalafil tablets, until you are confident that it won’t affect your performance. Be wary of mixing tadalafil with alcohol. This may cause a drop in blood pressure and feelings of dizziness. Avoid drinking grapefruit juice when using Cialis, as it may increase the level of the medicine in your blood, resulting in more pronounced side effects. Consult a doctor if you erection lasts longer than 4 hours. Delayed treatment of this condition can result in irreversible damage. Consult a doctor if you experience a sudden, partial or total loss in vision in one or both eyes.

How is Cialis taken?

You should take Cialis 20mg or 10mg tablets on an ‘as needed’ basis. This means taking it around 30 minutes prior to sex.Tadalafil tablets can be taken either with or without food and should be taken with a full glass (not just a gulp) of water. If you expect to have sex on a regular basis, you may prefer to take daily 2.5mg or 5mg doses of tadalafil. You will need to discuss this dosage with your doctor, as it may not be suitable for you.

How do I take Cialis for the first time?

If you have never taken Cialis before, you may wish to start with a 10mg dose, to see whether this dosage is effective for you. We recommend, that you allow one hour for the tablet to work if it is the first time you are using Cialis. If you feel that the effect was too strong or too weak, you can adjust the dosage accordingly the next time you take a tablet. Do not exceed the maximum dosage of 20mg.

What does Cialis contain?

Every Cialis tablet contains the active ingredient tadalafil. Depending on the dosage, each pill may contain 10 or 20mg of tadalafil, as well as the additional non-active ingredients lactose monohydrate, magnesium stearate, triacetin, iron oxide yellow (E172), croscarmellose sodium, hydroxypropylcellulose, microcrystalline cellulose, sodium laurilsulfate, titanium dioxide (E171), talc and hypromellose.

Common Cialis Side Effects

  • headache
  • indigestion or heartburn
  • dizziness
  • flushing
  • nasal congestion
  • back pain
  • muscle pain (myalgia)

Uncommon Cialis Side Effects

  • blurred vision/ eye pain
  • abdominal pain
  • increased heart rate or palpitations
  • increase in blood pressure (hypertension)
  • decrease in blood pressure (hypotension)
  • rash
  • sweating
  • chest pain
  • prolonged erections

Rare Cialis Side Effects

  • swelling of the face or eyelids
  • nosebleeds
  • temporary loss of memory
  • hives
  • seizures
  • sudden decrease or loss of hearing
  • heart attack, stroke or mini stroke (mostly in men with pre-existing risk factors)

For more detailed information, consult a healthcare professional.

Drug Interactions

It is important that you make your doctor or pharmacist aware of any other medicines you are currently taking (including non-prescription and herbal medicines) before you start taking Cialis tablets. Cialis must not be taken with any form of nitrate medication as it can create a severe, even deadly drop in blood pressure. This includes:

  • glyceryl trinitrate, isosorbide mononitrate/ dinitrate. This is used specifically or angina or heart failure
  • nicorandil
  • amyl nitrates (‘poppers’)

It is also not advised to take Tadalafil if you are using any of the following medication:

  • antibiotics such as erythromycin, clarithromycin or rifampicin
  • antifungals such as ketoconazole or itraconazole
  • antivirals such as amprenavir, ritonavir or saquinavir

This list is not exhaustive. Please read the patient leaflet and speak to you doctor if you have any questions.

If you have a question about this service, please email info@dred.com with the question, and one of our doctors will get back to you within 24 hours.

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Cialis

Order Cialis Online

What is Cialis?

Cialis was developed to treat erectile dysfunction. Just like Viagra and Sildenafil, Cialis contains a PDE5-inhibitor as the only active ingredient. PDE5 is a chemical which reduces your ability to gain an erection. PDE5-inhibitors block this particular chemical, which means that the arteries in your penis are more relaxed and the blood flow is increased. As a result, you will find it easier to get an erection and enjoy sexual intercourse. The PDE5-inhibitor in Cialis is called Tadalafil. You will notice an increased responsivity to sexual stimulation within about 30 minutes of taking the tablet, as Tadalafil will begin to work within this time frame.

Can I buy Cialis online?

Superdrug Online Doctor provides a safe and reliable service if you would like to order Cialis online. We employ experienced doctors, who are licensed to practise in the UK. Our service has been approved by the General Medical Council as well as the Care Quality Commission. In order to obtain a prescription you need to fill in a simple, easy to use questionnaire and select your preferred treatment. One of our doctors will review your details and issue a prescription for an appropriate treatment. You can receive your treatment via post (we offer free delivery) or pick up your order at your local Superdrug pharmacy. 

Can you get Cialis over the counter?

You can’t buy Cialis over the counter. As Cialis is a prescription-only drug, it is necessary that a doctor or nurse checks whether it is suitable for you before you take it. 

Whether Cialis is the right medication for you depends on your general health, medical history and whether you are currently being treated for other conditions.

While Cialis isn’t available over the counter, you can order online from Superdrug Online Doctor. You can use our click and collect service to collect your medication from a Superdrug pharmacy of your choice.

Cialis vs. Viagra

Men frequently ask us what the difference between Viagra and Cialis is. Both medications essentially work in the same way. The main difference is that Cialis works for up to 36 hours, whereas the effect of Viagra will subside within four hours of swallowing the tablet. Once you have taken Cialis, you will find it easier to gain an erection for up to 36 hours without having to take any additional pills. Some men prefer Cialis on the basis that it gives them more flexibility. It eliminates the necessity to “plan ahead” and allows spontaneous sex from 30 minutes after you have taken the tablet.

Can I take Cialis every day?

Cialis is not meant for everyday use. The 10mg and 20mg tablets should not be taken daily. If you would like to take Cialis on a daily basis, you can discuss this option with a doctor. Depending on your general health, you may be able to take a daily dose of 5mg to aid your erections.

Is Cialis safe to take?

Cialis is licensed in the UK and as all other medications, it has been tested to establish that it is clinically safe to take. However, it is important that you buy from a reputable source to avoid potentially dangerous counterfeit medication. It is also vital that you consult your GP or an online doctor before you start your treatment to ensure that Cialis is suitable for you.

Cialis Dosage

How do I take Cialis?

You need to take Cialis 30 minutes before sex in order to allow time for the active ingredient to take effect. You can take Cialis with or without food and you should drink a glass of water when you swallow the tablet. Normally, you will take one 10mg or 20mg tablet when you know that you will be having sexual intercourse. If you expect to be having sex every day, please consult your doctor to discuss dosage options.

Taking Cialis for the first time

When you take Cialis for the first time, we recommend beginning with a 10mg dose. If you have never used Cialis before, you may wish to allow an hour for it to work – just to be on the safe side. After the first time, you will know how quickly it works for you. If you find that the 10mg dosage is too strong or too weak, you can adjust the dosage the next time you use Cialis. Make sure you do not exceed the maximum recommended dosage of 20mg, as this could result in side effects.

Does Cialis need to be taken on an empty stomach?

You can take Cialis with or without food but the tablets work quicker if taken on an empty stomach. If you take Cialis after a fatty meal, it can take longer for it to take effect. 

Each Cialis tablet contains the active ingredient tadalafil. Tablets are available in 5mg, 10mg and 20mg dosage. Additional ingredients are magnesium stearate, lactose monohydrate, triacetin, hydroxypropylcellulose, iron oxide yellow (E172), titanium dioxide (E171), croscarmellose sodium, microcrystalline cellulose, sodium laurilsulfate, talc and hypromellose.

Cialis Side Effects

Common Cialis Side Effects

  • headache
  • indigestion or heartburn
  • dizziness
  • flushing
  • nasal congestion
  • back pain
  • muscle pain (myalgia)


Uncommon Cialis Side Effects

  • blurred vision/ eye pain
  • abdominal pain
  • increased heart rate or palpitations
  • increase in blood pressure (hypertension)
  • decrease in blood pressure (hypotension)
  • rash
  • sweating
  • chest pain
  • prolonged erections


Rare Cialis Side Effects

  • swelling of the face or eyelids
  • nosebleeds
  • temporary loss of memory
  • hives
  • seizures
  • sudden decrease or loss of hearing
  • heart attack, stroke or mini stroke (mostly in men with pre-existing risk factors)


Who can not take Cialis?

Cialis is not to be taken by:

  • women
  • men under the age of 18
  • anyone who has been advised not to have sexual intercourse
  • anyone taking any form of nitrate medication


Tell your doctor if you suffer from:

  • heart problems or a cardiovascular condition
  • angina
  • hypotension or hypertension
  • galactose intolerance, the Lapp lactase deficiency or glucose-glucose malabsorption
  • an eye condition, for example NAION
  • you have suffered kidney failure or have problems with kidney function
  • leukemia
  • a history of prolonged erections
  • liver disease
  • Peyronie’s disease
  • sickle cell anaemia
  • multiple myeloma

Cialis and other medicines

Does Cialis interact with other medications?

Make sure you mention any medication you are currently taking to your doctor when requesting a prescription for Cialis. Cialis interacts with some types of medication, which could result in serious side effects. Particular caution is required, if you are already taking some form of nitrate medication, such as glyceryl trinitrate or isosorbide mononitrate dinitrate (which is used to treat heart failure). The same applies, if you are taking nicorandil or amyl nitrates. You must also refrain from taking Cialis if you are taking a course of the antibiotics erythromycin, clarithromycin or rifampicin. The antifungal drugs ketoconazole and itraconazole are also known to interact with Cialis, as are the antivirals amprenavir, ritonavir and saquinavir. You cannot take Cialis if you are taking alpha-blockers.

Alcohol and grapefruit juice can increase the level of the active ingredient tadalafil in your blood, which means you are more likely to experience serious side effects. Avoid consuming grapefruit, grapefruit juice or alcohol during your treatment with Cialis.

Can I drive and operate machinery while taking Cialis?

Some men experience spells of dizziness and find, that taking Cialis impairs their spacial awareness. Before driving, operating machinery or engaging in any similar activity you need to make sure that Cialis does not affect your concentration. Do not drive if you feel dizzy after taking Cialis. 

Can you combine Cialis with other medications for erectile dysfunction?

You can’t take more than one erectile dysfunction medication at the same time, as this could lead to serious side effects. 

Make sure you avoid using similar medications such as Viagra, Levitra or Spedra after taking Cialis. If you would like to try a different medication, wait until the time frame within which Cialis is effective has passed.

If your erection lasts for more than four hours you must seek medical help immediately. Visit your doctor or local A&E department for immediate attention. A sudden partial or total loss of vision also requires immediate treatment – do not hesitate to see a doctor of you experience this side effect.

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