Cialis (Tadalafil)

In the UK, you can indeed buy Cialis online. However, many online vendors of treatment for ED are not to be trusted. There are lots of stories of dodgy Cialis being sold on the internet. So, if it looks too good to be true, the chances are it is. Look for the MHRA Distance-Selling Logo, and don’t take the risk if you’re in any doubt.

You will need a prescription for Cialis or Tadalafil in the UK, and it can only be sold legally by licensed pharmacies. At Manual, we only work with accredited suppliers. You’ll receive your medication from the accredited Manual Pharmacy, and you will be given a consultation beforehand to see if it is appropriate for you. All our pharmacists are registered with the UK’s General Pharmaceutical Council – so you can be sure that you’re getting the real deal.

There are many causes of ED, generally split into psychological or organic/psychological causes (such as medications, hormonal, neurovascular, anatomical factors). In many patients it can be a combination of factors, and so we advise having a checkup by a doctor. We give comprehensive guidance about all things ED on the Guided section of our website, and more information is available on our prescription leaflets.

The vast majority of men get the results they want from Tadalafil – the ability to get a strong erection for up to 36 hours. Light some candles, put on some Barry White, game face on. You’ve got plenty of time.

Tadalafil is right for you if you’re looking for more spontaneity than Sildenafil can provide. There’s a reason they call Tadalafil the “weekend pill”. Lasting 36 hours, it’s very handy for a romantic trip away – and also for men who anticipate more regular sex without having to pop a pill every time they want to get it on.

And if you’ve experienced side effects from Sildenafil, Tadalafil might work better for you. A study has shown that it is more widely tolerated than other PDE5 inhibitors. It may also work better for those men who didn’t see the desired effects after taking Sildenafil.

If present, side effects from taking Tadalafil are usually mild and temporary. The most common side effects of Tadalafil are: headache, flushing, dyspepsia, nasal congestion, dizziness, nausea, hot flush, vision changes (such as having a blue color tinge or blurred vision). Please read the patient information leaflet carefully for a full list of side effects and advice.

As Tadalafil is designed to last 36 hours, you don’t need to take it daily – particularly in its higher doses. We recommend that you only take it when you need it. There are also lower-dose versions of the drug that can be taken daily, but this isn’t the typical approach for those who use Tadalafil.

The normal dosage of Tadalafil is 10mg. This has the desired effect in the vast majority of men who are experiencing erectile dysfunction. It can also be taken in 2.5mg, 5mg, and 20mg doses. However, lower doses are usually only recommended to those who are unable to tolerate 10mg – or special medical groups. In most cases, you’ll find that 10mg is appropriate for you.

The smaller doses are usually recommended for those who have adverse reactions to the 10mg dose. In most cases, you’ll find that 10mg is appropriate for you.

A drink may help get you in the mood, but it is counterproductive to mix Tadalafil with too much alcohol. Alcohol makes it more difficult for you to get an erection – due to the effect it has on your blood flow. Meanwhile, as both alcohol and Tadalafil lower your blood pressure, the side effects – such as headaches and dizziness – become more likely.

It is highly recommended to avoid Tadalafil if you are on medication containing nitrates. Nitrates are found in medications for high blood pressure and heart disease. They work by widening your blood vessels so that your blood pressure decreases. However, Tadalafil does the same thing – and their combination can result in serious – potentially fatal – drops in blood pressure.

In the UK, branded Cialis usually comes at a price of around £38 for four tablets of 10mg. That equates to about £9.50 per tablet. Tadalafil is much cheaper – as you are not paying for the brand. At Manual, we sell Tadalafil starting from £3 per tablet for the same dosage. Remember, Tadalafil and Cialis are identical.

Whilst Tadalafil is available in the UK through the NHS, doctors would prefer to prescribe you Sildenafil. Meanwhile, Cialis is not currently available to buy over the counter – unlike the famous Viagra Connect.

Rather, the UK law states that you must have a prescription, which can be gained from a doctor either in person or online. At Manual, our registered clinicians can provide you with a prescription after a consultation.

• Women or anyone under the age of 18.
• Men without erectile dysfunction
• Men under 18 years of age
• Men for whom sexual activity may be inadvisable. These men should be referred to their doctor. This includes men: whose doctor has advised that they are not fit enough for any physical and/or sexual activity; who feel very breathless or experience chest pain with light or moderate physical activity, such as walking briskly for 20 minutes or climbing two flights of stairs; who have had a recent (6 months) acute myocardial infarction (AMI) or stroke.
• Men who have any other heart problems or are under a doctor’s care for any of the following: low blood pressure or uncontrolled high blood pressure; unstable angina (chest pain), irregular heartbeat or palpitations (arrhythmia); a problem with one of the valves in the heart (valvular heart disease); a problem where the heart muscle becomes inflamed and does not work as well as it should (cardiomyopathy); heart problems causing blood flow issues (e.g. left ventricular outflow obstruction, aortic narrowing) or severe cardiac failure.
• Men taking any of the following: nitrates (nicorandil or other nitric oxide donors e.g. glyceryl trinitrate, isosorbide mononitrate or isosorbide dinitrate) for chest pain; ‘poppers’ for recreational purposes (e.g. amyl nitrite); riociguat or other guanylate cyclase stimulators for lung problems; ritonavir (for HIV infection); CYP3A4 inhibitors, e.g. saquinavir (to treat HIV infection), cimetidine (a heartburn treatment), itraconazole or ketoconazole (to treat fungal infections), erythromycin or rifampicin (antibiotics) or diltiazem (for high blood pressure); alpha-blockers, such as alfuzosin, doxazosin or tamsulosin, which are medicines to treat urinary problems due to enlarged prostate (benign prostatic hyperplasia) or occasionally to treat high blood pressure
• Men with: hypersensitivity to the active substance or to any of the excipients; anatomical deformation of the penis (such as angulation, cavernosal fibrosis or Peyronie's disease); loss of vision in one eye because of non-arteritic anterior ischaemic optic neuropathy (NAION) or known hereditary degenerative retinal disorders such as retinitis pigmentosa; galactose intolerance, Lapp lactase deficiency or glucose-galactose malabsorption; previously diagnosed hepatic disease or severe renal impairment; any of the following: sickle cell anaemia, multiple myeloma or leukaemia men with any bleeding issues (e.g. haemophilia) or that have active stomach ulcers.

Tadalafil is one of a number of PDE5 inhibitors that can be used to treat ED. Sildenafil, the active agent in Viagra, is a popular alternative to Tadalafil that isn’t as long-lasting. Talk to one of the clinicians at Manual, who can provide expert advice and treatment solutions.

Please read the 'Patient Information Leaflet' supplied with your medication. This provides important information. And don’t forget – if your medical or drug history changes during the course of treatment, get in touch with one of our clinicians through your Manual account.