You may attempt sexual activity at any time between your doses. If you are taking tadalafil once daily for BPH, or for ED, or for both, take it regularly to get the most benefit from it.
To help you remember, take it at the same time each day. Tell your doctor if your condition does not get better or if it gets worse. Headache, stomach upset, back pain, muscle pain, stuffy nose, flushing, or dizziness may occur. If any of these effects last or get worse, tell your doctor or pharmacist promptly. To reduce the risk of dizziness and lightheadedness, get up slowly when rising from a sitting or lying position. Remember that this medication has been prescribed because your doctor has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.
The first way is to take it as needed, usually at least 30 minutes before sexual activity. Tadalafil's effect on sexual ability may last up to 36 hours. The second way to treat ED is to take tadalafil regularly, once a day every day. If you take it this way, you may attempt sexual activity at any time between your doses. If you are taking tadalafil to treat both ED and BPH, take it as directed by your doctor, usually once a day. Sexual activity may put extra strain on your heart, especially if you have heart problems.
| Product | Dosage | Quantity + Bonus | Price | |
|---|---|---|---|---|
| Tadalista Super Active | 20mg | 30 + 6 Pills | 128.09€ 121.99€ | |
| Cialis Generic | 5mg | 360 + 10 Pills | 268.08€ 255.31€ | |
| Cialis Generic | 10mg | 30 + 4 Pills | 63.32€ 60.30€ | |
| Tadalista Super Active | 20mg | 20 + 4 Pills | 92.35€ 87.95€ | |
| Cialis Generic | 10mg | 180 + 8 Pills | 236.88€ 225.60€ | |
| Cialis Generic | 5mg | 30 + 4 Pills | 53.56€ 51.01€ | |
| Cialis Generic | 2.5mg | 360 + 10 Pills | 260.03€ 247.65€ | |
| Cialis Generic | 2.5mg | 270 + 10 Pills | 199.64€ 190.13€ | |
| Cialis Generic | 40mg | 270 + 10 Pills | 382.19€ 363.99€ | |
| Cialis Generic | 2.5mg | 10 Pills | 28.51€ 27.15€ | |
| Cialis Generic | 60mg | 360 + 10 Pills | 570.52€ 543.35€ | |
| Cialis Generic | 20mg | 180 + 10 Pills | 254.09€ 241.99€ | |
| Cialis Generic | 20mg | 90 + 6 Pills | 154.71€ 147.34€ | |
| Cialis Generic | 5mg | 10 Pills | 29.39€ 27.99€ | |
| Cialis Generic | 2.5mg | 90 + 6 Pills | 112.43€ 107.08€ | |
| Cialis Generic | 60mg | 120 + 8 Pills | 240.18€ 228.74€ | |
| Cialis Generic | 2.5mg | 120 + 6 Pills | 128.93€ 122.79€ |
If you have heart problems and experience any of these serious side effects while having sex, stop and get medical help right away: Rarely, sudden decreased vision, including permanent blindness, in one or both eyes (NAION) may occur. If this serious problem occurs, stop taking tadalafil and get medical help right away. You have a slightly greater chance of developing NAION if you have heart disease, diabetes, high cholesterol, certain other eye problems ("crowded disk"), high blood pressure, if you are over 50, or if you smoke.
To learn about some of the conditions tadalafil is approved to treat, see this list of ED articles. Disclaimer: Medical News Today has made every effort to make certain that all information is factually correct, comprehensive, and up to date. However, this article should not be used as a substitute for the knowledge and expertise of a licensed healthcare professional. You should always consult your doctor or another healthcare professional before taking any medication. The drug information contained herein is subject to change and is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects.
The absence of warnings or other information for a given drug does not indicate that the drug or drug combination is safe, effective, or appropriate for all patients or all specific uses. Tadalafil is used to treat male sexual function problems (impotence or erectile dysfunction-ED). In combination with sexual stimulation, tadalafil works by increasing blood flow to the penis to help a man get and keep an erection. Tadalafil is also used to treat the symptoms of an enlarged prostate (benign prostatic hyperplasia-BPH). It helps to relieve symptoms of BPH such as difficulty in beginning the flow of urine, weak stream, and the need to urinate often or urgently (including during the middle of the night).
Tadalafil is thought to work by relaxing the smooth muscle in the prostate and bladder. This drug does not protect against sexually transmitted diseases (such as HIV, hepatitis B, gonorrhea, syphilis). Using an effective barrier method (latex or polyurethane condom/dental dams) during sexual activity will help to decrease your risk of infection. This section contains uses of this drug that are not listed in the approved professional labeling for the drug but that may be prescribed by your health care professional. Use this drug for a condition that is listed in this section only if it has been so prescribed by your health care professional. Rarely, a sudden decrease or loss of hearing, sometimes with ringing in the ears and dizziness, may occur.
| Country | Legal Status | Prescription Required | Notes |
|---|---|---|---|
| USA | Prescription-only | Yes | Approved for ED and BPH |
| UK | Prescription-only | Yes | Controlled medication |
| Canada | Prescription-only | Yes | Available via pharmacy |
| Australia | Prescription-only | Yes | Schedule 4 drug |
| India | Prescription required | Yes | Widely available |
Stop taking tadalafil and get medical help right away if these effects occur.
It depends on the condition you’re taking the drug to treat and your treatment plan. If you take tadalafil for BPH or PAH, it may be a long-term treatment. However, if you start BPH treatment with tadalafil and finasteride, you may only take tadalafil for up to 26 weeks. Learn more about treatments for BPH (enlarged prostate) and PAH. For ED, tadalafil may be a short-term treatment if your doctor is able to treat the underlying cause.
Tadalafil may also be a long-term treatment for ED. Before you start tadalafil, your doctor will discuss your treatment plan with you. They can help answer any questions you may have about how long you can expect to take tadalafil. For more information, see this article about tadalafil treatment. If you miss a dose of tadalafil, take it as soon as you remember.
If it’s almost time for your next dose (the following day), skip the missed dose and take your next scheduled dose. Do not take two doses to make up for the missed one. Also, do not take more than one dose of tadalafil in a 24-hour period. To help make sure you don’t miss a dose, try using a medication reminder. This can include setting an alarm or putting a note where you’ll see it, such as on your bathroom mirror or bedside table. In the rare event you have a painful or prolonged erection lasting 4 or more hours, stop using this drug and get medical help right away, or permanent problems could occur.
| Country | Average Cost per Tablet | Brand Options | Over-the-counter Availability | Notes |
|---|---|---|---|---|
| USA | $10 - $20 | Cialis, generics | No | Prescription needed |
| UK | £8 - £15 | Cialis, generics | No | Prescription required |
| India | ₹50 - ₹150 | Tadalafil generics | Yes in some pharmacies | Lower cost, widely available |
| Australia | AU$20 - AU$35 | Cialis, generics | No | Prescription necessary |
| Canada | CAD 15 - CAD 25 | Cialis, generics | No | As per healthcare regulations |
A very serious allergic reaction to this drug is rare.
You could also download a reminder app on your phone. The FDA has not approved a 60-mg dose of tadalafil for any condition. The maximum doses of tadalafil for each of its approved uses are as follows: ED: 20 mg as needed before sexual activity For details about tadalafil’s recommended dosages, see the “Tadalafil dosage” section above. If you have questions or concerns about your tadalafil dosage, talk with your doctor or pharmacist. If it seems like you need a higher dosage, ask your doctor whether a dosage increase is right for you.
Do not increase your dosage unless your doctor recommends doing so. Some pharmacies offer labels with large print, braille, or a code you scan with a smartphone to convert text to speech. If your local pharmacy doesn’t have these options, your doctor or pharmacist might be able to recommend a pharmacy that does. If you’re having trouble opening medication bottles, ask your pharmacist about putting tadalafil tablets in an easy-open container. They also may recommend tools that can make it easier to open bottles.
It’s important that you do not take more tadalafil than your doctor prescribes. For some medications, taking more than the recommended amount may lead to harmful effects or overdose. Call your doctor right away if you believe you’ve taken too much tadalafil. Another option is to call America’s Poison Centers at 800-222-1222 or use its online tool. If you have severe symptoms, immediately call 911 or your local emergency number, or go to the nearest emergency room. However, get medical help right away if you notice any symptoms of a serious allergic reaction, including: itching/swelling (especially of the face/tongue/throat) This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist. You may report side effects to FDA at 1-800-FDA-1088 or at In Canada - Call your doctor for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345. Before taking tadalafil, tell your doctor or pharmacist if you are allergic to it; or if you have any other allergies.
Tadalafil is also available in another brand for high blood pressure in the lungs (pulmonary hypertension). Read the Patient Information Leaflet if available from your pharmacist before you start taking tadalafil and each time you get a refill. If you have any questions, ask your doctor or pharmacist. Take this medication by mouth, with or without food, as directed by your doctor. Do not take tadalafil more often than once daily.
The manufacturer directs to swallow this medication whole. However, many similar tadalafil 10mg daily drugs (immediate-release tablets) can be split/crushed. Follow your doctor's directions on how to take this medication. The dosage is based on your medical condition, response to treatment, and other medications you may be taking. Be sure to tell your doctor and pharmacist about all the products you use (including prescription drugs, nonprescription drugs, and herbal products).
To treat the symptoms of BPH, take this medication as directed by your doctor, usually once a day. If you are also taking finasteride with this medication to treat symptoms of BPH, talk with your doctor about how long you should keep taking this medication. To treat erectile dysfunction-ED, there are 2 ways that tadalafil may be prescribed. Your doctor will determine which is the best way for you to take tadalafil. Follow your doctor's directions exactly since your dosage depends on how you are taking it. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details. Before using this medication, tell your doctor or pharmacist your medical history, especially of: heart problems (such as heart attack or life-threatening irregular heartbeat in the past 6 months, chest pain/angina, heart failure) penis conditions (such as angulation, fibrosis/scarring, Peyronie's disease) conditions that may increase the risk of priapism (such as sickle cell anemia, leukemia, multiple myeloma) eye problems (such as retinitis pigmentosa, sudden decreased vision, NAION) Alcohol or marijuana (cannabis) can make you more dizzy. Do not drive, use machinery, or do anything that needs alertness until you can do it safely. Talk to your doctor if you are using marijuana (cannabis). Before having surgery, tell your doctor or dentist about all the products you use (including prescription drugs, nonprescription drugs, and herbal products).