Cialis

How Cialis works - Who can take it ?  Where to buy it?

cialis onlineCialis is one of the popular erectile dysfunction treating drugs, and like the better known Viagra/sildenafil, improves erections. It works by helping to open up blood vessels in the penis at times of arousal. The medication is known to work for much longer than other erectile dysfunction (ED) drugs and works for up to a day and half generally and sometimes even longer.

The extended half cycle and time period of action is what sets it apart from other medicines used to treat ED. Men like this aspect as it frees them up from the small 4 hour window that other medications provide.  Cialis can be effective for upto 2 days sometimes, but only works in the presence of arousal or stimulation and it works just when you want it.


Regulated services supplying Cialis

Below are UK regulated online clinics that are both GPhC and CQC regulated.


Online DoctorGMCCQCGPHC5mg x 2810mg x 810mg x 1620mg x 820mg x 16Website
doctorfox£72.30£69.40£132.30£72.10£138.40doctorfox.co.uk *
lloydspharmacy-£85.00 £158.00 £90.00 £160.00lloydspharmacy.com
pharmacy2u£87.00£90.00£171.00£90.00£171.00pharmacy2u.co.uk
chemistdirect£87.00£80.29 £153.71£80.29 £153.71chemistdirect.co.uk
expresspharmacy.co.uk£89.99£89.99£169.99£89.99£169.99expresspharmacy.co.uk
theonlineclinic.co.uk-£119.95£199.95£129.95£219.95theonlineclinic.co.uk
medexpress-£79.99£159.99£79.99£159.99medexpress.co.uk
myonlinedoctor.co.uk£109.00£94.00£180.00£94.00£180.00myonlinedoctor.co.uk
healthexpress.co.uk£199.95£134.95£224.95£144.95£259.95healthexpress.co.uk

If you have any questions about cialis or sexual health, you may ask in the Cialis Forum;

Taking Cialis for the first time

Before taking any erectile dysfunction drug for the first time, men should tell their regular doctors. The doctor may want to do tests and even suggest counseling. ED, also known as impotence, can be distressing and can be associated with depression. It is better to talk to a doctor than suffer in silence.

Advantages

It works for longer than other ED drugs. Viagra/sildenafil works for about 4 hours and Levitra for about 12 hours, Cialis for 36 hours.

Cialis comes in ultra low, medium and high strengths. Different men need different strengths. The lowest strengths of 2.5mg and 5mg are intended for men who take ED tablets 2 or more time weekly. The low strength tablet can be taken every day as a regular tablet. Very few men need to take the low strength every day.

Most men taking this tablet take it now and then as they need it. The usual starting does is 10mg. This can be increased up to 20mg or decreased down to 5mg as required. There is no point in taking a higher strength of tablet than is needed.

Reliability

Cialis has been around for nearly a decade. Millions of tablets are taken every year by hundreds of thousands of men throughout the world. It may not be as well known as other erectile dysfunction drugs, but doctors often prescribe it.

The effects of a repeat dose are quite predictable over time. If the tablet works well for a man once, it is likely to be just as effective the next time.

There onset of action before the tablet starts to work will be increased if the tablet is taken on a full stomach, however, because tadalafil(active ingredient) stays in the system for up to 36 hours this is usually not an issue. Men can take the tablet many hours before they need its effects.

Beware of Fakes

As long as men are obtaining safe supplies of Cialis online made by the only company licensed to produce it, then it has a good safety record. Eli Lilly is the company holding the patent. Hence, if this drug is marketed as generic it is a substandard fake with all the possibilities of damage these fakes can do.

How to buy Cialis online safely?

Most men who need Cialis buy it online. It is the lowest cost way to obtain the tablet, but take care in finding a safe source.

This drug is a prescription medicine. In the UK it can be supplied only from registered pharmacies. It follows that to get genuine medication online you need to go to an online clinic which employs doctors and supplies from a UK pharmacy.

There are a few of these reputable clinics. We have listed some of them above. They charge widely varying prices for very similar services and identical tablets. There is no advantage in paying more than you need.

Can all men take it?

Cialis is safe in the vast majority of men. Men up to the age of 90 and above use it. There are some drugs which if taken regularly preclude the use of this tablet. There is a list of these interacting drugs below.

  • If the man is already taking another ED drug like Viagra/sildenafil or Levitra.
  • Angina sufferers who are on a dose of nitrates. These medications usually include isosorbide mononitrate, glyceryl trinitrate, and isosorbide dinitrate
  • Medicines used to treat HIV such as Indinavir and Ritonavir.
  • Anti-fungal medications such as itraconazole and Ketoconazole.
  • Recreational drugs such as poppers (amyl nitrate).
  • Alpha-blockers that are often used to treat prostate enlargement and high BP such as doxazosin, alfuzosin, prazosin, indoramin, terazosin, tamsulosin etc

If the interacting drugs are not being taken there are still some other medical conditions which preclude the use of Cialis, or indeed any of the commonly taken ED drugs. Men who have low exercise tolerance and are not fit enough for active sex should not take the tablet. A list of medical conditions can be found below.

It should also be said that men who have satisfying erections without needing to take tablets should not take it. It will not improve on good erection and, on some very rare occasions, can do harm to those who take it and do not need it.

Side Effects

Patient information leaflets in which side effects are listed are supplied with genuine Cialis.

Some men experience a temporary bluish or yellowish tinge to their vision after taking the tablet and this golds true for other ED drugs too. This is not dangerous, but it is worth knowing about.

Very rarely the these type of ED drugs, also known as PDE5 drugs, produce an over strong erection, which if painful and prolonged for many hours, can cause damage to the penis. This is a very rare side effect, but requires immediate medical help.

Further Reading

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Erectile Dysfunction Forum
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