Lilly and Erectile Dysfunction

Cialis Tablets (10mg,20mg,2.5mg,5mg) for erectile dysfunction can now be purchased through us using our online doctor service.

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Cialis (Tadalafil) is a prescription medication for the treatment of erectile dysfunction (ED) in men. This is when a man cannot get, or keep a hard, erect penis suitable for sexual activity. It is available in 10mg and 20mg tablets and is taken about 1 hour prior to sexual activity.

Once a day dosing of Cialis (2.5mg and 5mg tablets) may be useful to men who anticipate having sexual activity two or more times per week. The recommended dose is one 5 mg tablet taken once a day at approximately the same time of the day. Your doctor may adjust the dose to 2.5 mg based on your response to Cialis.

When taken once a day Cialis allows you to obtain an erection, when sexually stimulated, at any time point during the 24 hours of the day.

Cialis helps increase blood flow to the penis, so it can help men with ED get and keep an erection that lasts long enough for sexual activity. Once a man has completed sexual activity, blood flow to his penis should decrease and his erection should go away.

Cialis is a proven, effective treatment that works for many men. If you benefit then your partner will benefit too.

Cialis (Tadalafil) belongs to a class of drugs called "PDE5 inhibitors." It works by increasing blood flow to the penis to help improve erectile function. The active ingredient in Cialis works specifically on the chain of events that occurs in the penis during arousal, when two large chambers in a man's penis fill with blood.

Taking Cialis 10mg or 20mg:

Take it about an hour before sex (at least 30 minutes before).
Cialis may be taken with or without food.

It starts working within about 30 minutes and can last for up to 36 hours. Take Cialis no more than once in 48 hours.

Always take Cialis exactly as your doctor has told you. You should check with your doctor or pharmacist if you are not sure.

The recommended starting dose is one 10 mg tablet before sexual activity. If the effect of this dose is too weak your doctor may increase the dose to 20 mg. Cialis tablets are for oral use. Swallow the tablet whole with some water

Drinking alcohol may affect your ability to get an erection. Drinking alcohol may temporarily lower your blood pressure. If you have taken or are planning to take Cialis, avoid excessive drinking (blood alcohol level of 0.08% or greater), since this may increase the risk of dizziness when standing up.


If you take more Cialis than you should:

Tell your doctor.

If you have any further questions on the use of this product, ask your doctor or pharmacist.

General Information:

It is important to note that Cialis does not work if there is no sexual stimulation. You and your partner will need to engage in foreplay, just as you would if you were not taking a medicine for erectile dysfunction. Cialis is not a magic pill or an aphrodisiac (a substance such as a food or drug that arouses or is believed to arouse sexual desire); it will not increase sexual desire.
It should not give you an instant erection; you will need to be sexually stimulated for it to work.

It should not leave you erect for hours. If an erection lasts more than 4 hours, get medical help right away.

Cialis works for many men with ED, but if it doesn't work the first couple of times, ask your doctor about adjusting the dosage.
Cialis works for many men with ED who also have a general range of conditions, including diabetes, high cholesterol, or high blood pressure.

Need a prescription ?

Totalpharmacy.co.uk have teamed up with PharmaDoctor to provide a private prescription service for people wishing to buy 'prescription only medicines' online. The service is secure, private, discreet and at a convenient price. The online aspect prevents the embarrassment of a face-to-face consultation. The consultation is a set of questions to asses your suitability for treatment.
PharmaDoctor can provide you with an online prescription following an online consultation with their UK registered doctor. Registration is FREE. There is no obligation to buy after you have been approved for treatment and no credit card details are required in order to register. No webcams are involved.

Although PharmaDoctor charge a small fee for their service, (don't forget you are also getting a great deal on our prices) we are confident you will not find a cheaper or more efficient service in the UK. All prescriptions issued by PharmaDoctor (with your consent) will be dispensed by Totalpharmacy.co.uk and if you need your item quickly there is a next day service available.


If you do not have a prescription and would like to try this service click :  

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You will still be able to take advantage of our great prices but all purchases must be made on the PharmaDoctor site.

Please note: Cialis 10mg and 20mg are the same price per tablet. If you are considering buying the 10mg it is much cheaper to buy the 20mg and split them in half.

Alternative treatments:

viagra information

levitra information

Do not take CIALIS:

* if you are allergic (hypersensitive) to tadalafil or any of the other ingredients of Cialis.
* if you are taking any form of organic nitrate or nitric oxide donors such as amyl nitrite. This is a group of medicines ("nitrates") used in the treatment of angina pectoris ("chest pain"). CIALIS has been shown to increase the effects of these medicines. If you are taking any form of nitrate or are unsure tell your doctor.
* if you have serious heart disease or have had a recent heart attack.
* if you have had a recent stroke
* if you have low blood pressure or uncontrolled high blood pressure.
* if you have ever had loss of vision because of non-arteritic anterior ischemic optic neuropathy (NAION), a condition sometimes described as "stroke of the eye".


Take special care with Cialis:

Be aware that sexual activity carries a possible risk to patients with heart disease because it puts an extra strain on your heart. If you have a heart problem you should tell your doctor.

The following are reasons why Cialis may also not be suitable for you. If any of them apply to you, talk to your doctor before you take the medicine:

* You have sickle cell anaemia (an abnormality of red blood cells), multiple myeloma (cancer of the bone marrow), leukaemia (cancer of the blood cells) or any deformation of your penis.
* You have a serious liver problem.
* You have a severe kidney problem.

It is not known if Cialis is effective in patients who have undergone pelvic surgery or radical non-nerve-sparing prostatectomy.

If you experience sudden decrease or loss of vision, stop taking Cialis and contact your doctor immediately.

Cialis is not intended for use by women or by adolescents under the age of 18.

Using other medicines:

Please tell your doctor if you are taking or have recently taken any other medicine, including medicines obtained without prescription, because they might interact.

This is particularly important if you are treated with nitrates as you should not take Cialis if you are taking these medicines.

A type of medicine called an alpha blocker is sometimes used to treat high blood pressure and enlarged prostate. Tell your doctor if you are being treated for either of these conditions or if you take other medicines to treat high blood pressure.

If you are taking medicines that can inhibit an enzyme called CYP3A4 (for example ketoconazole or protease inhibitors for treatment of HIV) the frequency of side effects might increase.

Do not take Cialis with other medicines if your doctor tells you that you may not.

You should not use Cialis together with any other treatments for erectile dysfunction.

Driving and using machines:

Some men taking Cialis in clinical studies have reported dizziness. Check carefully how you react to the medicines before driving or using any machinery.
Important information about some of the ingredients of Cialis:

Cialis contains lactose. If you have been told by your doctor that you have an intolerance to some sugars, contact your doctor before taking this medicinal product.

Possible side effects:

Like all medicines, Cialis can cause side effects, although not everybody gets them. These effects are normally mild to moderate in nature.

In this leaflet, when a side effect is described as "very common" this means that it has been reported in at least 1 in 10 patients taking the medicine. When a side effect is described as "common" this means that it has been reported in more than 1 in every 100 patients but less than 1 in every 10 patients. When a side effect is described as "uncommon", this means it has been reported in more than 1 in every 1,000 patients, but less than 1 in every 100 patients. When a side effect is described as "rare", this means it has been reported in more than 1 in every 10,000 patients, but less than 1 in every 1,000 patients.

Very commonly reported side effect in patients taking Cialis were headache and indigestion.

Commonly reported side effects in patients taking Cialis include back pain, muscle aches, facial flushing, nasal congestion, dizziness, pounding heartbeat sensation, abdominal pain and reflux.

Uncommon side effects are allergic reactions including rashes and hives, blurred vision, swelling of the eyelids, eye pain, red eyes, increased sweating, nose bleeds, a fast heart rate, high blood pressure, low blood pressure and chest pain. In case of chest pain occurring during or after sexual activity you should NOT use nitrates but you should seek immediate medical assistance.

Rare side effects in patients taking Cialis include fainting, migraine and swelling of the face.

In rare instances it is possible that a prolonged and possibly painful erection may occur after taking Cialis. If you have such an erection, which lasts continuously for more than 4 hours, you should contact a doctor immediately.

Heart attack and stroke have also been reported rarely in men taking Cialis. Most, but not all of these men had known heart problems before taking this medicine. It is not possible to determine whether these events were directly related to Cialis.

Partial, sudden, temporary, or permanent decrease or loss of vision in one or both eyes has been rarely reported.

Some additional side effects have been reported in men taking Cialis that were not seen in clinical trials and their incidence is unknown. These include seizures and passing memory loss, some disorders affecting blood flow to the eyes, irregular heartbeats and angina, serious skin rashes and sudden cardiac death. Sudden decrease or loss of hearing has been reported.

Effects were seen in one animal species that might indicate impairment of fertility. Subsequent studies in man suggest that this effect is unlikely in humans, although a decrease in sperm concentration was seen in some men.

If any of the side effects gets serious, or if you notice any side effects not listed in this leaflet, please tell your doctor or pharmacist.

This page was last updated: Monday 25 September, 2017