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| What is it? | Effective treatment for Erectile Dysfunction |
| How does it work? | Tadalafil is part of the group of pde5 inhibitors, which work by improving and increasing the flow of blood into your penis. This results in a firmer and longer-lasting erection. |
| How effective is it? | Over 80% of men will notice a firmer and longer-lasting erection. If Tadalafil doesn’t work for you the first time around, it could nevertheless be more effective next time. Doctors often advise trying all erectile dysfunction medicines eight times before giving up. |
| What’s the dose? | 10mg / 20mg: Take ONE tablet 30 minutes before sex. Never take more than ONE tablet within 36 hours 2.5mg / 5mg: You should take ONE tablet DAILY Although Tadalafil can be taken with food, this may slow down the time it takes for the drug to work. |
| Side effects | Can include nausea, vomiting, and diarrhoea. Tadalafil can also cause nasal congestion, headaches, facial flushing, slight vertigo, a pounding heartbeat, and blurred vision. |
It is available in 4 strengths, ranging from 2.5mg to 20mg. Tadalafil 20mg is the most commonly used dosage, and is also the strongest. It is taken as required (when needed for sex). The lower doses are taken daily to maintain levels of Tadalafil in your system, so you can be ready for sex at anytime.
Tadalafil is the active ingredient in the well known erectile dysfunction drug Cialis. As of 2017, Cialis no longer has an exclusive patent on this drug, and this means that other companies are able to manufacture Tadalafil.
While medically the same, the competition means prices for generic medicines are cheaper than the original versions.
Tadalafil generic is also the version prescribed by the NHS for eligible patients.
How it works
Tadalafil, like other ED treatments such as sildenafil (Viagra), vardenafil (Levitra), and avanafil (Spedra), works by increasing the blood flow into your penis by relaxing the which flow into them.
It achieves this effect by blocking an enzyme called PDE5. As a group, these drugs are called ‘PDE5 inhibitors’. Because have very little effect on other parts of the body, there are generally well tolerated and safe medications. As a result, some forms of these drugs have been made available over the counter in the Canda, such as Viagra Connect.
Why Tadalafil?
With a number of ED drugs available, many men are unsure which medication is right for them. The main advantage of Tadalafil over Sildenafil, Viagra, Levitra, and Spedra, is the length of action.
What does this mean? Basically, the effects of Tadalafil can last for up to 72 hours after taking a dose. It should be noted, this does not mean that your erection will last this long! In fact, any erection which is painful or lasts more than 4 hours should be brought to the attention of your doctor immediately. The 72-hour effect simply means that you should be able to achieve an erection when sexually stimulated, in the 3 days after taking the pill
Tadalafil Dosage
Tadalafil 20mg
Both Tadalafil 20mg and 10mg are ‘when required’ doses, so should be taken around 30 minutes before sexual activity. 20mg is the maximum allowable dose. If you have found that this dose is not effective for you, it may be that this medicine is not for you. Speak to your GP for further options. If you have liver problems, speak to your GP before taking this because the dose may need to be reduced.
Tadalafil 5mg
Tadalafil 2.5mg and 5mg are known as Tadalafil Daily dose tablets. These are designed as daily dosages. You should take one tablet daily to help maintain the levels of Tadalafil in the bloodstream.
Adjustments
If you notice your erections are lasting too long, or you are not achieving an erection for long enough, you can adjust your dosage as appropriate. Remember; if taking Tadalafil daily, the maximum dosage is 5mg. If taking Tadalafil when required, the maximum dosage in a 72 hour period is 20mg as a single dose. You may find that to solve your ED issues you only need to take a 5mg tablet every 2-3 days.
Every patient is different, so you should adjust your dose according to the results. It is better to take as little medicine as possible, as this reduces the chances of potential side effects. If you are able to configure your dosage effectively, this will also save you money!
 | Tadalafil 2.5mg The daily dosage used when 5mg is too strong |
 | Tadalafil 5mg Tablet preferred if Tadalafil is established to be effective and the patient prefers daily rather than when required dosing |
 | Tadalafil 10mg Common starting dose. Used only just prior to sexual activity. |
 | Tadalafil 20mg Also used just prior to sexual activity. Usually used when 10mg is ineffective. |
If a 10mg or 20mg dosage is successful in treating your ED, you may wish to consider using the 2.5mg or 5mg daily dose. The reason men may use this daily dose is that it maintains levels of Tadalafil in the blood all the time. This means you do not need to remember to take it each time you wish to have sex. Simply take the daily tablet each day, and this should mean you can achieve an erection, whenever you come to engage in sexual activity.
The convenience of not needing to take your medication with you everywhere, and simply taking it with your breakfast each morning, is a change in how traditional ED medications have worked.
Side Effects of Tadalafil
The most commons side effects of Tadalafil are
- Headaches
- Flushing
- Runny/stuffy nose
- Upset stomach
- Nausea
- Red and/or warm skin
- Dizziness
Those listed below are more serious, and you should stop taking Tadalafil, and report these to your doctor immediately.
- An erection that will not go away (priapism). If you have an erection that lasts more than 4 hours, seek medical help immediately. Priapism can permanently damage your penis.
- Sudden vision loss in one or both eyes. Sudden vision loss in one or both eyes can be a sign of a serious eye problem called non-arteritic anterior ischemic optic neuropathy (NAION).
- Sudden hearing decrease or hearing loss. Some people may also have ringing in their ears (tinnitus) or dizziness.
Alternatives
Tadalafil is not the only treatment option for sufferers of erectile dysfunction. You may wish to choose other drugs to treat your ED, or even try a drug-free approach.
Depending on the cause of your erectile dysfunction, it is possible that you could resolve your symptoms without taking any medication. For example, alcohol can be a cause of ED, and if your intake is high, you can try reducing your weekly intake to see if this helps. If you are overweight, you may also find trouble getting and maintaining an erection. Losing weight can improve erectile dysfunction.
Counselling can also be helpful if anxiety and stress play a role in your symptoms.
In terms of other ED medicines available, the branded version of Tadalafil, Cialis is an option. Viagra and Sildenafil are also alternatives, and while they do not provide as long lasting an effect, they are very effective ED treatments. Levitra and Spedra are the other ED treatments available in the Canada, which also have some advantages depending on the patient. Whether you choose a branded drug or one of the generic medicines, check you are ordering from a trusted source.
FAQ
How do you take Tadalafil?
If taking a 10 or 20mg dose, take one tablet about half an hour before sex. The 2.5mg and 5mg strength are a daily tablet and should be taken at the same time each day.
How effective is Tadalafil?
The majority of men who take it (around 85%), will notice a firmer and longer-lasting erection.
How does Tadalafil work?
It enhances the erectile response in men by relaxing smooth muscle and increasing blood flow. It is one of a class of drugs known as PDE-5 inhibitors.
How long does Tadalafil last?
The effects generally last between 24-36 hours. You will only notice an erection however if you are sexually stimulated. Erections which are painful or last longer than 4 hours require medical attention.
How long does Tadalafil take to work?
It can work as soon as 15 minutes after taking. However, you should take it about 30 minutes before sexual activity.
What are the side effects of Tadalafil?
Although uncommon, side effects can include nausea, vomiting, and diarrhoea. It may also result in nasal congestion, headaches, a pounding heartbeat, facial flushing, slight vertigo and blurred vision.
Can I take Tadalafil with Nitrates?
No. A dangerous reaction exists between all ED medication and Nitrates. Tadalafil cannot 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. It can also be dangerous if taken with certain recreational drugs such as ‘poppers’.
Can I take Tadalafil with Alpha-Blockers?
If you are taking alpha-blocking medicines, such as tamsulosin or trazodone, you are advised to wait for at least six hours between taking Tadalafil.
Where can I buy Tadalafil?
You can buy Tadalafil from our online pharmacy after completing an online assessment for your suitability for this medication. It is a prescription-only medicine and requires a doctor to issue a prescription if deemed suitable.
Can I take 20mg of Tadalafil?
Yes. While the starting dose of Tadalafil is generally 10mg, in men who do not get a response to this dosage, the 20mg strength can be prescribed.
What is the price of Tadalafil?
Tadalafil starts from £11.25 per box but can become as cheap as 80p per tablet depending on the strength.
Is Tadalafil legal in the Canada?
Yes. Tadalafil is a legal drug, prescribable by GMC registered doctors.
Can I buy Tadalafil over the counter?
Yes. Tadalafil is now available in the Canada
Can I buy Tadalafil online?
Yes. You can use a UK registered online pharmacy and doctor service, to buy Tadalafil online in the Canada.
What is the difference between Sildenafil and Tadalafil?
While both drugs are from the same class of drug, the main difference is that Tadalafil is longer acting. However, Sildenafil is still slightly cheaper.
Is Tadalafil available on the NHS?
Yes, for patients with certain conditions. You should speak to your GP for further information if you think you may be eligible for NHS treatment.
What is the difference between Cialis and Tadalafil?
Cialis is the original branded version of the drug. There is no medical difference between the two medications.
You will likely notice that their appearances differ in terms of pill type and packaging, however, this is as far as the differences go. When you take the tablet, there should be no difference in effect.
