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Your Online Medical Consultation

ABOUT YOU AND YOUR SYMPTOMS

Are you male?

Have you seen a doctor or nurse about your erectile dysfunction?

Do you persistently have problems getting or keeping an erection when sexually aroused?

Are you currently experiencing any emotional or psychological problems?

Have you ever experienced any of the following?

  • Dizziness or light-headedness immediately after standing
  • Severe breathlessness, clamminess/sweatiness whilst exercising or doing a strenuous activity
  • Pain, heaviness or tightness in your chest that may have spread into your left shoulder/arm or into your neck

Have you ever been advised by a doctor or health care professional to avoid strenuous exercise or do you experiences shortness of breath and/or chest pain when walking for more than 5 minutes at a fast pace?

ABOUT YOUR HEALTH

Have you had your blood pressure checked in the last 6 months?

This can often be done in your GP waiting room or at the local pharmacy

Was your last blood pressure reading between 100/60-140/90?

If you are unsure, you can often check your blood pressure in a GP waiting room or at your local pharmacy.

Do you have any allergies to any medication or substances?

Answer ‘no’ if this does not apply to you

Are you taking any medication, or have you recently finished a course of medication?

Such as:

  • GTN Glyceryl tri-nitrate
  • Nitrate spray, tablet, patches, gels, or creams
  • Nicorandil
  • Riociguat for pulmonary hypertension

This includes medication prescribed by your doctor, bought in the pharmacy or online, herbal supplements, recreations drugs

This includes tablets, patches, inhalers, injections, contraception and all other forms of medication

Answer ‘no’ if this does not apply to you

Do you suffer from any medical problems?

Such as:

  • An erection that has lasted more than 4 hours
  • A physical condition affecting the shape of the penis (e.g. angulation, Peyronie’s disease, cavernosal fibrosis)
  • Diabetes
  • Eye problems such as degenerative retinal disorders or macular degeneration?
  • Heart problems such as angina, cardiomyopathy, uncontrolled blood pressure, irregular heart rhythm, heart attack, heart operation
  • Kidney disease
  • Liver disease
  • Stroke

 

This also includes previous admissions to the hospital or any surgeries

Answer ‘no’ if this does not apply to you

IMPORTANT INFORMATION TO KNOW

I am NOT taking any nitrate medication.

Nitrate medication is often taken for chest pain/angina. It an be administered as a spray, tablet or patch. Included glycerol-tri-nitrate, GTN, isosorbide mononitrate, isosorbide dinitrate, nicorandil etc.
This medication can cause a fatal interaction with treatment for erectile disfunction medication.

I am aware that I should not take any combination of erectile dysfunction medication at the same time

I understand that I should seek immediate medical advice of I have a continuous erection for 4 hours or more

AGREEMENT

We strongly recommend that you inform your GP of any treatment you receive. Would you like e-Surgery to do this in your behalf?

Please write the name of your GP surgery below if you want us to let them know.

This will ensure that any new medication started by your GP will not interact with this treatment.

Answer ‘no’ if you do not want us to inform your GP

I agree to the following

  • I am 18 years of age or older
  • This treatment is for my use only
  • I confirm that I have understood all the questions asked and have answered all questions to the best of my knowledge.
  • I have read the patient information leaflet supplied with this medication
  • I will contact e-Surgery and inform my GP if I experience any side effects from this treatment or if there are any changes to my health
  • I have answered all questions truthfully and accurately.

I have read, understood and agree to abide by terms and conditions and privacy policy and cookie policy of e-Surgery

What is this?

Your answers form the basis of your medical consultation. It is important you are open and honest, so our doctors can ensure this medication safe and effective for you

Tadalafil (Cialis)

 

Cialis (Generic name Tadalafil) is used in the treatment of erectile dysfunction in men. It is much longer lasting than Viagra, with each dose being effective for up to 36 hours.

Onset of Action: 30min
Duration of Action: 24-36 Hours
Please read our Expert Insight article for more information on how Tadalafil compares to other ED medication: The Hard Truth About ED Medication

Choose your treatment below then fill out a short questionnaire to help our GPs make sure this medication is safe for you to take. All prices include the cost of a private prescription from one of our doctors.

Clear

Important Facts About Tadalafil (Cialis)

Most frequent questions and answers about Tadalafil for erectile dysfunction treatment

Tadalafil is the active ingredient within Cialis. Tadalafil is a type of PDE5 inhibitor, commonly used to treat erectile dysfunction. It is the longest acting drug in it’s class, lasting up to 36 hours. 

Tadalafil is used to treat erectile dysfunction in men. Tadalafil has been shown to improve the ability of obtaining and keeping a hard erect penis for sexual activity. It works by relaxing blood vessels in your penis. 

Tadalafil is also used for pulmonary arterial hypertension, where it helps the blood vessels around your lungs relax, increasing the ability of physical exercise.

Tadalafil is the active ingredient of the branded medication Cialis. The two work exactly the same but Cialis is much more expensive because it is branded. Since Cialis has come off patent, it has become possible for other manufacturers to produce generic versions of the active ingredient Tadalafil, which are much more affordable. 

An example of this can be seen with over-the-counter pain killers such as Paracetamol. The brands are much more expensive but function in exactly the same way. 

Tolerance between people can vary due to various factors like genetics and body weight. If it is your first time trying Tadalafil, you should use the 10mg strength. If this is not strong enough (and you don’t experience any side effects) you can move up to 20mg. 

You can NOT take Tadalafil if you:

  • Are allergic to any of the ingredients
  • Are taking organic nitrate or nitric oxide donors
  • Have serious heart disease or recently had a heart attack within the last 90 days
  • Have had a stroke within the last 6 months
  • Have low blood pressure
  • Had  loss of vision from non-arteritic anterior ischemic optic neuropathy (NAION)
  • Are taking riociguat

Tell your doctor or pharmacist if you are taking, or have recently taken any other medication. Below is a list of medications that you should be aware of, as they may interfere with Tadalafil:

  • Bosentan (another treatment for pulmonary aterial hypertension)
  • Nitrates (for chest pain)
  • An alpha blocker (used to treat high blood pressure or urinary symptoms associated with benign prostatic hyperplasia).
  • Other medicines to treat high blood pressure.
  • Riociguat.
  • A 5- alpha reductase inhibitor (used to treat benign prostatic hyperplasia).
  • Medicines such as ketoconazole tablets (to treat fungal infections) and protease inhibitors for treatment of AIDS or HIV infection.
  • Phenobarbital, phenytoin and carbamazepine (anticonvulsant medicines).
  • Rifampicin, erythromycin , clarithromycin or itraconazole.
  • Other treatments for erectile dysfunction.

 

You should always talk to your doctor or pharmacist before taking Tadalafil. If you have any of the following problems, then discuss these with your doctor before taking Tadalafil tablets:

  • Any heart problems other than your pulmonary hypertension
    ­ problems with your blood pressure
  • Any hereditary eye disease
  • Sickle cell anaemia (an abnormality of red blood cells).
  • Multiple myeloma (cancer of the bone marrow)
  • Leukaemia (cancer of the blood cells)
  • Any deformation of your penis
  • A serious liver problem.
  • A severe kidney problem
  • Had pelvic surgery
  • Had removal of the prostate gland, where nerves are cut

 

 

As with any form of medication, Tadalafil tablets have side effects. For a full list of side effects, please read the Patient Information Leaflet of Tadalafil.  Below are a few of the common side effects of taking Tadalafil tablets:

  • Headache
  • Back pain
  • Muscle aches
  • Facial flushing
  • Nasal congestion
  • Indigestion

For a full list of side effects, please read the Patient Information Leaflet of Tadalafil. 

You should always take Tadalafil medicines exactly as your doctor has prescribed. Check with your doctor or pharmacist if you are not sure.

Tadalafil tablets should be swallowed whole with some water, and are able to be taken with or without food.

You should always take the exact dose that your doctor or pharmacist recommends. 

The recommended starting dose is one 10mg Tadalafil tablet before sexual activity, but you may have been prescribed 20mg Tadalafil if your doctor thinks 10mg Tadalafil is too weak.

You may take one Tadalafil tablet 30 minutes before sexual activity, which can last up to 36 hours.

Do not take more than one Tadalafil tablet a day. In addition to this, Tadalafil is not recommended for continuous daily use.

Drinking alcohol may affect your ability to get an erection – Therefore it is advised that if you are planning on taking Tadalafil tablets, you do not drink excessively (blood alcohol level of 0.08 % or greater). 

If you take more Tadalafil than stated in the dosage information, you should tell your doctor and go to a hospital immediately, taking the Tadalafil packet with you. 

Tadaladfil tablets are intended to be taken by males older than 18.

Keep Tadalafil tablets out of the sight and reach of children.

Do not use Tadalafil tablets after the expiry date, which is stated on the packaet after EXP. 

Tadalafil tablets do not require any special temperature storage conditions.

Tadalafil should not be disposed of via wastewater or household waste. Ask your pharmacist how to dispose of Tadalafil tablets no longer required. These measures will help to protect the environment.

Tadalafil is often taken in an effort to improve sexual performance. However, due to the risk of side effects it should only be used to treat erectile dysfunction. 

Click here for a PDF copy of the patient information leaflet

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