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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.

Alternative Treatments

What is Cialis (tadalafil)?

Cialis (tadalafil) relaxes muscles and increases blood flow to particular areas of the body.
Cialis (tadalafil) is used to treat erectile dysfunction (impotence).
Cialis (tadalafil) may also be used for purposes other than those listed in this medication guide.

What should I discuss with my doctor before taking Cialis (tadalafil)?

Do not take Cialis (tadalafil) if you are also using a nitrate drug for chest pain or heart problems. This includes nitroglycerin (Nitrostat, Nitrolingual, Nitro-Dur, Nitro-Bid, and others), isosorbide dinitrate (Dilatrate-SR, Isordil, Sorbitrate), and isosorbide mononitrate (Imdur, ISMO, Monoket). Nitrates are also found in some recreational drugs such as amyl nitrate or nitrite (“poppers”). Taking tadalafil with a nitrate medicine can cause a serious decrease in blood pressure, leading to fainting, stroke, or heart attack.

A small number of patients have had a sudden loss of eyesight after taking tadalafil. This type of vision loss is caused by decreased blood flow to the optic nerve of the eye. It is not clear whether tadalafil is the actual cause of such vision loss. Sudden vision loss with tadalafil use has occurred most often in people with heart disease, diabetes, high blood pressure, high cholesterol, or certain pre-existing eye problems, and in those who smoke or are over 50 years old.

Before taking Cialis (tadalafil), tell your doctor if you have:
heart disease or heart rhythm problems;
a recent history of heart attack (within the past 90 days);
a recent history of stroke or congestive heart failure (within the past 6 months);
angina (chest pain);
high or low blood pressure;
liver disease;
kidney disease (or if you are on dialysis);
a blood cell disorder such as sickle cell anemia, multiple myeloma, or leukemia;
a bleeding disorder such as hemophilia;
a stomach ulcer;
retinitis pigmentosa (an inherited condition of the eye);
a physical deformity of the penis (such as Peyronie’s disease); or
if you have been told you should not have sexual intercourse for health reasons.

If you have any of these conditions, you may not be able to use tadalafil or you may need a dosage adjustment or special tests during treatment.

FDA pregnancy category B: Although tadalafil is not for use in women, this medication is not expected to be harmful to an unborn baby. Do not use tadalafil without telling your doctor if you are pregnant or plan to become pregnant during treatment.
Although Cialis (tadalafil) is not for use in women, it is not known if tadalafil passes into breast milk or if it could harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.
You may need a lower dose of this medication if you are older than 65. Follow your doctor’s instructions.

How should I take Cialis (tadalafil)?

Take each dose with a full glass of water.
Avoid taking High-fat food before taking Viagra as it may cause the medicine to take more time to start working.
Tadalafil is usually taken only when needed, 30 – 60 minutes before sexual activity. The medication can help achieve an erection when sexual stimulation occurs. An erection will not occur just by taking a pill.
Do not take tadalafil more than once a day. Allow 24 hours to pass between doses.
Store this medication at room temperature away from moisture and heat.

What happens if I miss a dose?

Since tadalafil is used as needed, you are not likely to be on a dosing schedule.

What happens if I overdose?

Seek emergency medical attention if you think you have used too much of this medicine.
Symptoms of a tadalafil overdose may include chest pain, nausea, irregular heartbeat, and feeling light-headed or fainting.

What should I avoid while taking tadalafil?

Avoid drinking alcohol, which can increase some of the side effects of tadalafil.
Grapefruit and grapefruit juice may interact with tadalafil. Discuss the use of grapefruit products with your doctor. Do not increase or decrease the amount of grapefruit products in your diet without first talking to your doctor.
Do not use any other drug to treat impotence, such as alprostadil (Caverject, Muse, Edex) or yohimbine (Yocon, Yodoxin, others), unless your doctor tells you to.

What are the possible side effects of tadalafil?

If you become dizzy or nauseated, or have pain, numbness, or tingling in your chest, arms, neck, or jaw during sexual activity, stop and call your doctor right away. You could be having a serious side effect of tadalafil.
Stop using tadalafil and get emergency medical help if you have sudden vision loss.
Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.
Stop using tadalafil and call your doctor at once if you have any of these serious side effects:
chest pain or heavy feeling, pain spreading to the arm or shoulder, nausea, sweating, general ill feeling;
irregular heartbeat;
swelling in your hands, ankles, or feet;
shortness of breath;
vision changes;
feeling light-headed, fainting; or
penis erection that is painful or lasts 4 hours or longer.
Continue taking tadalafil and talk with your doctor if you have any of these less serious side effects:
warmth or redness in your face, neck, or chest;
stuffy nose;
headache;
upset stomach; or
back pain.
Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.
What drug(s) may interact with Cialis (tadalafil)?

Do not take tadalafil if you are taking the following medications:
nitroglycerin-type drugs for the heart or chest pain such as amyl nitrite, isosorbide dinitrate, isosorbide mononitrate, nitroglycerin, even if these are only taken occasionally

Cialis (tadalafil) may also interact with the following medications:
alpha blockers, such as alfuzosin (UroXatral), doxazosin (Cardura), prazosin (Minipress), or terazosin (Hytrin), used to treat high blood pressure or an enlarged prostate.
bosentan
certain antibiotics such as clarithromycin, erythromycin, troleandomycin
certain drugs used for seizures such as carbamazepine, phenytoin, and phenobarbital
cimetidine
cisapride
diltiazem
grapefruit juice
medicines for fungal infections (fluconazole, itraconazole, ketoconazole, voriconazole)
mibefradil
nicardipine
certain medicines for the treatment of HIV infection or AIDS
quinidine
rifabutin, rifampin or rifapentine
some drugs for treating depression, anxiety or other mood problems (examples: fluoxetine, fluvoxamine, nefazodone)
verapamil

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