Tadalafil 5 mg to 80 mg tablets, chewables and capsules

A single as-needed dose was shown in trials to improve erectile function compared with placebo for up to 36 hours, which is longer than the other PDE5 inhibitors and the reason for its nickname. That does not mean 36 hours of continuous effect — it means the window in which the tablet can still work is that long, given sexual stimulation. It also means interactions last that long: nitrates remain dangerous throughout, and the label asks for at least 48 hours between a tadalafil dose and any emergency nitrate.

Both patterns are on the label and both are legitimate; which suits you is a decision for your prescriber. As-needed dosing means a 10 mg tablet (adjustable to 5 or 20 mg) taken before anticipated sexual activity, no more than once in 24 hours. Daily dosing means a smaller tablet — 2.5 or 5 mg for erectile dysfunction, 5 mg where an enlarged prostate is also being treated — taken at about the same time each day. If you are being treated for prostate symptoms, daily dosing is what the label specifies.

Food does not. You can take tadalafil with or without a meal, and unlike sildenafil a fatty meal does not delay its onset. Alcohol is a different matter: the label notes that substantial amounts, around five units or more, add to tadalafil's blood-pressure-lowering effect and can cause dizziness, a racing heartbeat, headache or fainting. Alcohol is also a common cause of erectile difficulty in its own right. If you take blood pressure medicines or an alpha-blocker, ask your prescriber how much is reasonable for you.

Sometimes, with care, and only if your prescriber has planned it. Alpha-blockers such as tamsulosin, doxazosin and alfuzosin lower blood pressure, and so does tadalafil; together the fall can be enough to cause dizziness or fainting. The label asks that the alpha-blocker be on a stable dose first, and that tadalafil then be started at the lowest dose. Do not start, stop or change either one on your own, and give our pharmacist the full list of what you take so the check can be done properly.

No. Tadalafil is a prescription-only medicine and we dispense it only against a valid prescription from your licensed prescriber. It is absolutely contraindicated with nitrates, interacts with alpha-blockers and several common antibiotics and antifungals, and both erectile dysfunction and prostate symptoms can be early signs of something that needs investigating. A licensed pharmacist reviews every order here and will contact you or your prescriber if anything needs clarifying. Any site offering it without a prescription is not operating lawfully.

We dispense tadalafil as 5 mg (10 tabs), 10 mg (10 tabs), 20 mg (10 tabs), 40 mg (10 tabs), 60 mg (10 tabs), 80 mg (10 tabs), 20 mg chewable (10 tabs), 20 mg sublingual (10 tabs) and 20 mg soft gel (10 capsules). The current price for each pack is shown on this page and again in your cart before you pay, with no membership fee and no tiers. Stock may be branded or generic on any given day, depending on what is in supply; the active ingredient, the strength and the pack size are what the label says either way. What we dispense is set by your prescription rather than by what you select, so if the quantity on your prescription differs from the pack you picked, our pharmacist will contact you before anything is sent.

We dispense only where we are licensed to dispense, and the checkout tells you whether we can ship to your address before you pay. If we cannot, you will not be charged. Orders go out in plain outer packaging that gives no indication of the contents; the pharmacy details appear only where the law requires them on the dispensing label inside. Delivery timing depends on your address and on how quickly the prescription can be verified. Current carriers and windows are on our shipping page.

Go to an emergency department. An erection lasting more than four hours, or any painful erection, is priapism, and it is treated as an emergency because prolonged priapism can permanently damage the tissue of the penis and cause lasting loss of function. Do not wait to see whether it resolves, and do not take another dose of anything. Tell the medical team exactly what you took and when. Men with sickle cell disease, myeloma, leukaemia or an anatomical deformity of the penis are at higher risk and should discuss this with their prescriber before starting.