How to buy CIALIS

Buy CIALIS safely

You’ve decided to take action. You’ve talked to your partner about your condition. Now you’re ready to talk to your doctor.

If you and your doctor decide CIALIS is right for you, your doctor will give you a prescription. Check with your health insurance provider to see if CIALIS is covered. If it isn’t covered today, check again soon—coverage is expanding. CIALIS is not covered by Medicare insurance for the treatment of erectile dysfunction.

To be sure your prescription is filled with real CIALIS, take it to an accredited US-based pharmacy. And remember to check if your pharmacy fills prescriptions online.

Buying CIALIS safely online

Here are some legitimate online pharmacies where you can order CIALIS

The list of online pharmacies above is not exhaustive and is current as of November 5, 2015. This list is not an endorsement of any online pharmacy or the quality of support it may provide. For specific information regarding the availability and pricing of CIALIS, please contact the pharmacy directly. Eli Lilly and Company, the maker of CIALIS, does not set or control the actual retail price at pharmacies.

If you have a CIALIS $200 Savings Card, contact your pharmacy of choice to find out if
you can redeem the offer online, as the ability to do so may vary by pharmacy. Or, you
can redeem your Savings Card in person at your local pharmacy. If your local or mail order pharmacy cannot redeem the Savings Card with your prescription, you are eligible for reimbursement by going to www.opushealth.com to download then mail in a reimbursement form with your prescription receipt.

If you prefer an online pharmacy not listed here, you can verify its legitimacy at LegitScript.com .

Beware of counterfeit (fake) CIALIS

Counterfeit medication has been known to contain dangerous ingredients, such as pesticides, lead, and mercury Often, counterfeit medication contains little to no active ingredient, and that means you won’t get the results you expect

Only use online pharmacies that are accredited by the National Association of Boards of Pharmacy В® (NABP)

Here are some ways to help make sure you’re getting the real thing when buying online. Beware of sites that: Offer CIALIS at a price that’s much lower than your local pharmacy or at a price that seems “too good to be true” Don’t list a street address or contact information, especially if they’re not located in the
United States More than 50% of drugs bought online from sites that conceal their physical address are counterfeit Sell prescription medications without a prescription, or after a short online survey or review by a remotely located physician Offer generic, “soft tab,” or “fast dissolve” CIALIS There is no generic for CIALIS, and CIALIS only comes as an almond-shaped tablet that is swallowed whole

It’s difficult to tell whether or not drugs purchased online are dangerous because counterfeiters are very good at copying the packaging and appearance of legitimate drugs. Even the makers of legitimate drugs often can’t confirm whether or not a product bought online is real without chemical analyses.

Look for online pharmacies with Verified Internet Pharmacy Practice Sitesв„ў (VIPPS) accreditation. Only online pharmacies with VIPPS accreditation have had their facilities
inspected and their practices reviewed by the NABP.

The trademarks listed above are the property of their respective owners and are not trademarks of Eli Lilly and Company. The owners of these trademarks are not affiliated with and do not endorse Eli Lilly and Company or its products.

Cost of CIALIS

Please check local pharmacies for actual retail prices, which may vary. Be sure to contact your health plan's member services to find out if you're covered for a full month's prescription of CIALIS. Member services information is typically found on your insurance card.

Indications: CIALIS is approved to treat erectile dysfunction (ED), the signs and symptoms of benign prostatic hyperplasia (BPH), and both ED and the signs and symptoms of BPH. Taking CIALIS with finasteride when starting BPH treatment has been studied for 26 weeks. CIALIS is not for women or children.

IMPORTANT SAFETY INFORMATION FOR CIALIS

What Is The Most Important Information I Should Know About CIALIS?

Do not take CIALIS if you:take medicines called “nitrates” such as nitroglycerin or other medications like isosorbide dinitrate or isosorbide mononitrate, which are often prescribed for chest pain as the combination may cause an unsafe drop in blood pressure; or use recreational drugs called “poppers” like amyl nitrite and butyl nitrite. take medicines called guanylate cyclase stimulators such as riociguat (Adempas ® ),* a medicine used to treat pulmonary hypertension as the combination may cause an unsafe drop in blood pressure. are allergic to CIALIS or ADCIRCA ® (tadalafil), or any of its ingredients. Call your healthcare provider or get help right away if you experience any symptoms of an allergic reaction, such as rash, hives, swelling of the lips, tongue or throat, or difficulty breathing or swallowing.

After taking a single tablet, some of the active ingredient of CIALIS remains in your body for more than 2 days. The active ingredient can remain longer if you have problems with your kidneys or liver, or you are taking certain other medications.

Stop sexual activity and get medical help right away if you get symptoms such as chest pain, dizziness, or nausea during sex. Sexual activity can put an extra strain on your heart, especially if it is already weak from a heart attack or heart disease.

What Should I Tell My Healthcare Provider Before Taking CIALIS?

CIALIS is not right for everyone. Only your healthcare provider and you can decide if CIALIS is right for you. Ask your healthcare provider if your heart is healthy enough for you to have sexual activity. Do not take CIALIS if your healthcare provider has told you not to have sexual activity because of your health problems. Before taking CIALIS, tell your healthcare provider about all your medical problems, particularly if you have or ever had: heart problems such as chest pain (angina), heart failure, irregular heartbeats, or heart attack pulmonary hypertensionlow blood pressure or high blood pressure that is not controlled strokeliver or kidney problems or require dialysisretinitis pigmentosa. a rare genetic (runs in families) eye disease severe vision loss, including a condition called NAIONstomach ulcers or a bleeding problema deformed penis shape or Peyronie’s disease an erection that lasted more than 4 hoursblood cell problems such as sickle cell anemia, multiple myeloma, or leukemia

Can Other Medicines Affect CIALIS?

Tell your healthcare provider about all the medicines you take, especially: medicines called "nitrates" which are often prescribed for chest pain medicines called guanylate cyclase stimulators, such as riociguat (Adempas ® ), used to treat pulmonary arterial hypertension and chronic-thromboembolic hypertension alpha-blockers often prescribed for prostate problems blood pressure medications medicines for HIV or some types of oral antifungal medications some types of antibiotics such as clarithromycin, telithromycin, erythromycin (several brand names exist, please contact your healthcare provider to determine if you are taking this medicine) other medicines or treatments for erectile dysfunction (ED) CIALIS is also marketed as ADCIRCA for the treatment of pulmonary arterial hypertension. Do not take both CIALIS and ADCIRCA. Do not take sildenafil citrate (Revatio ® )* with CIALIS.

How Should I Take CIALIS?

CIALIS should not be taken more than one time each day. If you miss a dose, you may take it when you remember but do not take more than one dose per day. Take CIALIS exactly as your healthcare provider prescribes it.

What Should I Avoid While Taking CIALIS?

Do not use other ED medicines or ED treatments. Do not drink too much alcohol (for example, 5 glasses of wine or 5 shots of whiskey). Drinking too much alcohol can increase your chances of getting a headache or getting dizzy, increasing your heart rate, or lowering your blood pressure.

What Are The Possible Side Effects Of CIALIS?

The most common side effects with CIALIS are: headache, indigestion, back pain, muscle aches, flushing, and stuffy or runny nose. These side effects usually go away after a few hours. Men who get back pain and muscle aches usually get it 12 to 24 hours after taking CIALIS. Back pain and muscle aches usually go away within 2 days. Call your healthcare provider if you get any side effect that bothers you or one that does not go away.

Uncommon but serious side effects include:
An erection that won’t go away: If you get an erection lasting more than 4 hours, seek immediate medical help to avoid long-term injury.

In rare instances, men taking prescription ED tablets, including CIALIS, reported a sudden decrease or loss of vision or hearing (sometimes with ringing in the ears and dizziness). It’s not possible to determine if these events are related directly to the ED tablets or to other factors. If you have a sudden decrease or loss of vision or hearing, stop taking any ED tablet, including CIALIS and call a healthcare provider right away.

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch or call
1-800-FDA-1088 .

CIALIS does not:
Cure ED, increase a man's sexual desire, protect a man or his partner from sexually transmitted diseases, including HIV or serve as a male form of birth control.

CIALIS is available by prescription only.

*The brand listed is a trademark of its respective owner and is not a trademark of Eli Lilly and Company. The maker of this brand is not affiliated with and does not endorse Eli Lilly and Company or its products.

TD CON ISI 16SEP2015

Cialis

Prices of Cialis tablets from UK online clinics (19 July 2010) - qualifying notes
*Dr Fox adds a small prescription fee not included in table above.

1. The prices shown are listed by the online clinics named after a customer first enters consultation information and is offered prescriptions. It is possible these clinics may have special offers or lower prices for repeat supplies.
2. Prices may change and are, to the best of our knowledge, accurate on the date stated.
3. Dr Fox does NOT claim to provide a superior service to any of the online clinics listed. All the clinics listed, as far as we can tell, comply with all regulation and, as far as we can tell, operate to high ethical standards.
4. Dr Fox adds a small prescription fee not included in the table (between £1 and £10 depending on value of the order).
5. To amend the information in this table please contact us
6. The prices listed in the table do not identify the cost of prescription medicine as online clinics charge a single fee to cover services which includes advice, consultations, prescriptions and dispensing and supply of treatments.
7. Viagra lost its exclusive UK patent 21 June 2013 allowing generic versions of sildenafil to be supplied legally in the UK .

The Online Clinic

My Online Doctor

Cialis 2.5mg x 28

Cialis 2.5mg x 56

Cialis 5mg x 28

Cialis 5mg x 56

Cialis 10mg x 4

Cialis 10mg x 8

Cialis 10mg x 16

Cialis 20mg x 4

Cialis 20mg x 8

Cialis 20mg x 16

Cialis 20mg x 24

Delivery charges

• UK delivery £2.90 per consultation via Royal Mail 24 Signed For (1-4 working days).
• Standard international delivery £5.90 flat rate via Royal Mail International Tracked & Signed (2-5 working days).
• Express international delivery £32.00 flat rate via DHL Express (2-8 days depending on destination, with tracking in transit).

• More details
• Discreet
• Returns

About Cialis

The weekend pill

Cialis from Lilly pharmaceutical company is sometimes known as The Weekend Pill .

Cialis has been licensed in the UK for over a decade. It was the third erectile dysfunction (ED ) prescription medication of its type to receive a UK license, after Viagra /sildenafil. Levitra and Spedra. Its prolonged duration of action and the option to take a low dose daily tablet have led to Cialis becoming increasingly popular and being more widely prescribed.

What does it do?

Cialis contains tadalafil which is known medically as a PDE5 inhibitor. Tadalafil inhibits the PDE5 enzyme which is involved in regulating blood flow in the penis during erections. Sexual stimulation is required before the medication will work and without it Cialis will have no effect. Cialis augments and support sexual performance and relationships.

Cialis can also used to treat benign prostatic hyperplasia (enlarged prostate) symptoms.

Why do men get erectile dysfunction?

A range of factors contribute to erectile dysfunction, including lifestyle choices, mental state, chronic disease, and injuries and operations. Emotional problems, such as stress and performance anxiety. can have an impact on both erectile performance and sexual desire. Occasional treatment with a PDE5 inhibitor such as Cialis can be effective in breaking a cycle of anxiety and failure. Lifestyle factors, such as smoking, non-prescription drug use, excessive drinking and even obesity can have an effect. Erectile dysfunction is sometimes a symptom of underlying health problems such as diabetes, atherosclerosis and heart disease, amongst others.

Men suffering from erectile dysfunction should inform their GP who will undertake an assessment, possibly perform tests, and provide advice.

Why Cialis?

Cialis benefits from having a long duration of action. Viagra remains active for about 4 hours, Levitra for 12 hours and Cialis for 36 hours – hence its familiar name 'The Weekend Pill'. Erections will not be continuous during 36 hours after taking Cialis, occurring only at times of arousal during those 36 hours.

Alternative treatment

Viagra. Sildenafil. Levitra. and Spedra are alternative tablet treatments for erectile dysfunction and are also available to buy in various strengths and pack sizes after completing the same medical consultation .

Dr Fox also supplies Vitaros cream, a non-tablet treatment for ED .

Taking Cialis for the first time

There are four strengths of Cialis – 2.5mg, 5mg, 10mg and 20mg. The lower doses of 2.5mg and 5mg are primarily for regular daily use, although Cialis 5mg strength can be taken on an as required basis by men who respond well to one-off lower doses.

The usual starting dose is 10mg taken an hour or more before needed. If this does is highly effective, subsequent doses could be reduced to 5mg on a trial basis. If repeated trials of a 10mg dose prove ineffective, the dose can be increased to 20mg.

There is no benefit in taking a higher dose than is needed. Repeated trials of treatment at one dose are recommended before changing to higher or lower strength tablets.

Cialis dosage

Daily Cialis

2.5mg or 5mg daily tablet for continuous erectile dysfunction treatment.

Cialis 10mg

Recommended starting dose for most men taking Cialis for first time.

Cialis 20mg

High strength dose as required for when 10mg is insufficient.

Does it work every time?

Response to treatment is usually predictable and consistent. On most occasions, if Cialis has worked before, it will work again.

Some causes of erectile dysfunction, such as physical injuries or nerve damage, are more resistant to tablet treatments and may require other therapies, such as injections or penile implants.

Erectile dysfunction may require specialist treatment apart from tablets. Some men, whose erectile dysfunction has psychological causes, may benefit from counselling.

All men who are troubled by erectile dysfunction, which can be a distressing problem, should consult a doctor for a full assessment and advice.

Side effects of Cialis

Most men taking Cialis do not experience significant side effects. A full list of the most frequent side effects can be found in the manufacturer's patient information leaflet supplied with Cialis tablets (see link below).

Some men experience a bluish or yellowish tinge to their vision after taking Cialis. This is not dangerous and fades after a few hours time. This is a possible side effect of all ED drugs (PDE5 inhibitors).

On very rare occasions ED treatment produces prolonged and painful erection, in a condition known as priapism. Priapism is a medical emergency with the potential on rare occasion for irreversible injury to the penis. If an erection lasts for more than 4 hours, medical attention should be sought immediately .

When not to take Cialis

During an assessment on the Dr Fox web site, men are required to complete an erectile dysfunction questionnaire. This determines if Cialis is suitable. Men should not take Cialis without further assessment from their GP if any of the following apply:

• They are taking other erectile dysfunction drugs such as Viagra, Levitra or Spedra
• They are currently taking nitrates for angina, including isosorbide mononitrate, isosorbide dinitrate and glyceryl trinitrate
• They are taking medications to treat HIV. including Indinavir and Ritonavir
• They are using anti-fungal treatments like Itraconazole or Ketoconazole
• They are using recreational drugs such as amyl nitrate (poppers)
• They are taking alpha-blockers often used in the treatment of prostate enlargement and high blood pressure such as Doxazosin, Prazosin, Alfuzosin, Terazosin, Indoramin and Tamsulosin

Dr Fox cannot supply Cialis to men where the above are present.

Cialis should not be taken at the same time or within 36 hours of taking Viagra, Levitra, or Spedra.

Patient leaflet – Cialis

The 'Patient Information Leaflet' supplied with medication must be read before taking tablets.

Cialis FAQs

Why should I see a doctor face-to-face before starting ED treatment?

ED can be a sign of an underlying medical condition such as diabetes, raised blood pressure, or high cholesterol. An examination is required and tests may be needed. These cannot be carried out online. It is fine to obtain repeat supplies of Cialis online, but only after an initial diagnosis and assessment.

Is Cialis suitable for all men?

Cialis, along with the other commonly used ED medicines Viagra/sildenafil and Levitra are usually effective and well tolerated treatments. Most men are able to take them and they usually work well. However, men taking some prescription medicines, most notably drugs called nitrates used to treat heart disease, but also some other prescription medicines, should not take Cialis. Men who have some medical conditions, particularly those effecting exercise tolerance should also not take Cialis. Always consult your regular doctor before starting ED treatment. Online doctors carry out checks through online questionnaires, but this does not replace and initial face-to-face assessments and regular medical check-ups are necessary.

What is the difference between Cialis and Viagra?

They are similar in that they treat ED in the same way by altering blood flow in the penis and are both classed medically as PDE5 inhibitors. They differ in their duration of action. Viagra remains active for about 4 hours after taking a tablet and Cialis for about 36 hours.

Why is Cialis sometimes called the 'weekend pill'?

A Cialis tablet taken on Friday evening will usually remain active through a whole weekend until Sunday evening, hence the name.

Why do some men take Cialis every day?

Most men take Cialis occasionally up to a maximum of 2 or 3 tablets per week. They take a tablet if they expect to be sexually active in the following 36 hours. Men who regularly require Cialis more than twice a week sometimes prefer to take a lower dose 2.5mg or 5mg tablet each day. These low dose tablets are specifically for daily use and provide a continuous level of treatment.

Is Cialis stronger than Viagra and Levitra?

No, the duration of action is longer, 36 hours for Cialis compared with 12 for Levitra and 4 hours for Viagra, however most men find that during this active period the treatments are equally effective when equivalent strength tablets are used. The lower strength of each is Cialis 10mg, Levitra 5mg, and Viagra 25mg and the upper doses 20mg, 20mg, and 100mg respectively. Some men find one type of tablet works better for them than another, but this is not usually the case.

Is there a lower cost generic version of Cialis?

No, not legally. Cialis is still under patent by the drug company which developed it, Eli Lilly until at least November 2017. You may come across suppliers who claim to supply cheap generic Cialis, but this will not be legally licensed in the UK nor will the manufacture be subject to the UK regulation. It could be entirely fake and quite possibly ineffective and/or dangerous.

Who can legally supply Cialis in the UK ?

Only registered pharmacies are allowed to supply Cialis. It is a prescription only medicine. In most cases doctors write the prescriptions and pharmacies dispense the tablets. Some specialist pharmacists can also prescribe Cialis or supply it using a 'patient group direction'. In all cases only registered pharmacies can supply it.

Why do the prices of Cialis vary?

The amount pharmacies pay for Cialis is the wholesale price set by the drug company Eli Lilly. The amount pharmacies charge patients will depend on their business models. Some supply Cialis with a small profit margin and others with bigger profit margins. It is usually worth shopping around for the lowest cost supplier, but always use a registered pharmacy to avoid fake medicines.

Can I get Cialis on the NHS ?

This depends, there are strict criteria in the NHS for the supply of Cialis and limits on the amounts which can be prescribed. NHS prescription fees apply.

Can I get Cialis on a private prescription from my doctor?

Some doctors, particularly private doctors, but also some GP s, will write private prescriptions for Cialis. NHS doctors usually charge in the region of £25.00 to write private prescriptions, and private doctors usually quite a lot more. A private prescription can be taken to or posted to a pharmacy for dispensing. The cost of the medicine is in addition to the prescription fee. When medicines are supplied online an electronic private prescription from a doctor is usually involved and costs are usually quite a lot lower.

Can Cialis tablets be divided and taken in parts?

No, Cialis tablets are film coated and are intended to be swallowed whole. Cutting up the tablets will reduce their effectiveness.

Why should Cialis not be taken with recreational or illegal drugs?

People who take illegal drugs are likely to engage in risky sexual practices and this likelihood is increased when ED treatments are taken at the same time. There is also an increase in side effects, such as changes in vision and changes in blood pressure. The combination of Cialis and cocaine and other recreational drugs may lead to the rare but dangerous condition of priapism in which a prolonged erection of more than an hour or two can cause permanent damage to the erectile tissues. See Beware club drugs and Viagra .

Is ED counselling better than tablets?

This depends - ED increases with age, effecting up to 40% of men by the age of 50. In many men there is no significant psychological cause and counselling is likely to be ineffective. In other men stress, relationship difficulties, and psychosexual factors play a role and for these men counselling may be preferable. Sometimes a combination of tablet treatments and counselling works best.

See also erectile dysfunction FAQs page.

Cialis

Cialis Side Effects

Like all medications, Cialis has side effects that affect some men that take this medication. Some common side effects of Cialis are:

Notably, Cialis has fewer side effects than other medications used to treat erectile dysfunction. In fact, many men who experience nasal congestion, stomach pain, nausea and diarrhoea with other drugs find that Cialis doesn’t give them these symptoms.

What is Cialis?

Cialis contains the active ingredient tadalafil and is a medication used to treat erectile dysfunction. It offers particularly long lasting effects in comparison to the other treatment options available and can produce results for up to 36 hours after taking a single pill in helping you to get and keep an erection.

How to take Cialis?

Cialis 36-Hour and Cialis Daily both contain the same medication but have different purposes and are there for taken differently.

How to take Cialis 36 Hour :

Take 1 tablet whole with a glass of water 30 minutes to 1 hour before planning to be sexually active. You can take it with or without food, but keep in mind it may take longer to work if taken with a heavy meal. You only need to take Cialis when you are going to be sexually active.

How to take Cialis Daily :

Take 1 tablet whole with a glass of water at the same time each day. You may take it with or without food, as it will not affect how well it works. It is important that you take it regularly every day to ensure you get the full benefit of the medication, so it can be helpful to incorporate it into your daily routine (e.g. with coffee at breakfast).

What dose should you take?

Cialis 36-Hour comes in two doses, either 10 mg or 20 mg. It is recommended to begin with the 10 mg tablet and continue if this is effective, as lower doses have less chance of side effects. If you find it is not having the desired effect on your erection after several separate attempts, you can try increasing the dose to 20 mg. If you are still not satisfied with the results, talk to your doctor about other medication solutions for you.

Cialis Daily is available in two strengths of 2.5 mg and 5 mg. Usually men begin with the 5 mg dose and adjust as needed. If you find that you are experiencing side effects or the 5 mg seems to be too strong for you, you can try decreasing the dose to 2.5 mg.

How long does it take to work?

Cialis has a benefit over other erectile dysfunction medications because it is so quick to work, often effective enough to allow sexual intercourse just 20 minutes after taking the pill. This is because it is absorbed into the body more easily and goes into action sooner. While you can take Cialis with or without food, it may take slightly longer to work if you take it with or soon after a large meal.

For Cialis Daily, it can take up to 5 days for the full effect to come into effect, as the low dose builds up gradually. However, after this time it will work continuously.

How long will it last?

Cialis has an extremely long duration of action in comparison to other erectile dysfunction medications and has been noted to work up to 36 hours after taking the pill.

Cialis Daily goes one step further to provide you with a ceaseless solution to erectile dysfunction. As it is a daily medication, you will always be ready for sexual activity.

Alternatives to Cialis

Counselling

For many men suffering from erectile dysfunction the primary cause may be related to psychological issues and not physical ones.

In these cases, counselling can prove to be a very effective form of treatment. Talking with a mental health professional will help to address issues of stress, anxiety or depression, which can all contribute to erectile dysfunction. For further information contact your GP.

Other ED Medications

We offer a range of ED medications. Visit our full range here .

Patient Information Leaflet

Always read the patient information leaflet before commencing treatment. Patient information can be found here.