Cialis

Listed below are questions and answers designed to provide first time guidance regarding the treatments currently available with Firstmed. This is not a substitute for going to see your doctor in person but it is essentially the advice you would get if you were to do so. If there is a question you would like to put to our doctor that is not covered below, please feel free to email him at consultations@firstmed.co.uk and we will add it to the list.

Cialis – what is it?
Cialis – what are the alternatives?
Cialis – is there a generic alternative?
Cialis – how does it work?
Cialis – when should I take it?
Cialis – how well does it work?
Cialis – what is the correct dosage?
Cialis – what are the side effects?
Cialis – is there any reason why I shouldn’t take it?
Cialis – Where can I buy it?

Cialis – what is it?

Cialis is one of three oral treatments for impotence (male erectile dysfunction) currently available by prescription in the UK. It is an almond-shaped yellow pill containing the active ingredient tadalafil. On average, it is effective for 80% of men.

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Cialis – what are the alternatives?

The other prescription treatments available in tablet form are Viagra and Levitra. The general feedback from our patients is that Levitra has the least side effects and those who try it, like it and seem to stick with it. Cialis is often the first choice for new patients because its “window” of effectiveness is up to 36 hours, considerably longer than the other two treatments. This can mean that there is less pressure to “time” your sexual activity and therefore can lead to a more relaxed and “natural” experience. Although very popular, some patients have expressed that they do not like feeling under the influence for so long. Viagra is said to produce the strongest erections but again there can sometimes be side-effects.

For an overview of the different treatments, take a look at our comparison table.

In terms of market share, Levitra accounts for about 15%, Cialis about 35% and Viagra 50%. If your first choice of treatment does not work, it is quite possible one of the others may prove more suitable.

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Cialis – is there a generic alternative?

No. In fact, generic Cialis is totally illegal and those pushing it are breaking the law. Our advice is to avoid buying treatments such as “Cialis Soft Tabs” for the simple reason you have no idea whether they will work. Like generic Viagra and Levitra, generic Cialis is manufactured by backstreet operations mainly in India and Mexico where there are no controls as to content. On testing, most batches seized by the authorities usually reveal little or no active ingredient in the product.

All the treatments that we supply are genuine branded medicines carrying the manufacturer’s hallmark and production batch code. We supply you with the name of our prescribing doctor and pharmacy when the treatments are despatched.

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Cialis – how does it work?

Cialis works in the same way as Viagra and Levitra by blocking an enzyme called phosphodiesterase (PDE5) which is found primarily in the penis. By inhibiting PDE5, the blood vessels in the penis remain relaxed for a longer period allowing for increased blood flow. It also has the effect of “trapping” the blood in the penis helping to produce longer-lasting erections. Cialis and the other treatments Viagra and Levitra only work in response to sexual stimulation.

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Cialis – when should I take it?

Between 30 minutes and one hour prior to sexual activity. Cialis should not be taken more than once in any 24-hour period. The half-life of Cialis i.e. the time the drug remains effective after ingestion, is approximately twenty four hours though some of our patients have reported it working for up to 36 hours.

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Cialis – how well does it work?

Official trials show that Cialis works extremely well – up to 80% of men reported an improvement in their erections. For people with diabetes, the treatments are effective in about 60% of men. Anecdotal feedback from our patients backs this up.

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Cialis – what is the correct dosage?

Patients should start with the standard dose of 10mg. Only if this proves ineffective, should you try the stronger dose of 20mg.

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Cialis – what are the side effects?

Generally mild and short-lived, some of the following side effects have been reported:

• Indigestion
• Congestion
• Facial Flushing
• Headaches
• Dizziness

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Cialis – is there any reason why I shouldn’t take it?

Men taking medicines containing nitrates in any form should not take Cialis as this can cause a large and sudden drop in blood pressure. Nitrates include the heart medicine nitroglycerine (GTN) and the long acting nitrates used to treat angina (chest pain). Cialis can adversely interact with some medications. For further advice, before buying cialis, please email our doctor at consultations@firstmed.co.uk.

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Cialis – where can I buy it?

Unless you suffer from a small range of conditions, you are unlikely to find free treatment on the NHS. Although most GPs are sympathetic, they are bound by NHS dispensing rules designed to protect the NHS drugs budget. One option is to ask your GP for a private prescription to buy cialis. Many will be happy to do so but expect to pay a doctor’s consultation fee on top of the cost of the (unsubsidised) treatment.

With Firstmed, our service is different: you get all the benefits of a private doctor including free postage and packing, next day delivery from our NHS pharmacy (in plain, discreet packaging) and no consultation fee. Our online business model means we can work out considerably cheaper than a “bricks and mortar” equivalent without the inconvenience or potential embarrassment of having to see a doctor in person.

To register for a free and no obligation consultation with our doctor today, please click here and discover why over 20,000 UK men now trust us with their healthcare needs.

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If you prefer to talk to someone directly please phone us on +44 (0)870 199 5287 and our customer service people will be happy to help

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