Tadalafil Tablets

Tadalafil may not be suitable for everyone. Before starting treatment, it’s important to tell your prescriber about your medical history and any medicines you are currently taking.

Do not take tadalafil if you:

• Are taking nitrate medicines for chest pain or heart problems
• Are using riociguat (used to treat pulmonary hypertension)
• Have been advised to avoid sexual activity for medical reasons

Speak to your prescriber before taking tadalafil if you:

• Have heart disease, irregular heartbeat, or have recently had a heart attack or stroke
• Have low or high blood pressure
• Have liver or kidney problems
• Have a condition affecting the shape of the penis
• Have a blood disorder such as sickle cell anaemia, leukaemia, or multiple myeloma

Medicine interactions

Tadalafil can interact with certain medications, including:

• Nitrates and nitric oxide donors
• Alpha-blockers (used for blood pressure or prostate conditions)
• Some antifungal and antibiotic medicines
• HIV protease inhibitors
• Other erectile dysfunction treatments

Combining tadalafil with these medicines can increase the risk of side effects or cause dangerous drops in blood pressure.

Alcohol and tadalafil

Drinking large amounts of alcohol while taking tadalafil may increase the risk of side effects such as dizziness, headache, or low blood pressure. Moderate alcohol intake is generally tolerated, but it’s best to limit consumption.

Your suitability for tadalafil will be fully assessed during the free online consultation.

Tadalafil tablets are taken by mouth and should be used exactly as prescribed by your healthcare provider. The way you take tadalafil depends on the dose you have been prescribed.

How to take tadalafil

• Swallow the tablet whole with water
• Tadalafil can be taken with or without food
• Avoid taking more than one dose in a 24-hour period unless prescribed as a daily treatment

Using tadalafil 10mg or 20mg (when needed)

• Take one tablet around 30–60 minutes before sexual activity
• Effects can last for up to 36 hours
• Do not take more than one tablet per day
• These doses are not intended for continuous daily use

Using tadalafil 5mg (daily use)

• Take one 5mg tablet once a day, ideally at the same time each day
• Daily tadalafil allows for ongoing erectile dysfunction support without planning around sexual activity
• Do not combine daily tadalafil with higher-dose tablets

Always follow the dosage instructions provided by your prescriber. If tadalafil does not work as expected or causes side effects, speak to a healthcare professional before adjusting your dose.

Dosage options

Tadalafil tablets are available in the following strengths:

• Tadalafil 5mg
• Tadalafil 10mg
• Tadalafil 20mg

Your prescriber will determine the most appropriate dose based on your symptoms, medical history, and treatment goals.

Ingredients

Active ingredient
●       Tadalafil

Each tablet contains one of the following strengths:

• Tadalafil 5mg
• Tadalafil 10mg
• Tadalafil 20mg

Other ingredients
Tadalafil tablets also contain inactive ingredients that help form the tablet, including fillers, binding agents, and coating materials. These may vary slightly depending on the manufacturer.

If you have any known allergies or intolerances, particularly to lactose, speak to a pharmacist before starting treatment.

For full ingredient and allergen information, always read the Patient Information Leaflet supplied with your medication.

Alternatives

If tadalafil is not suitable for you, or you’d like to explore other erectile dysfunction treatments, there are both prescription and over-the-counter options available. Your prescriber will help determine the most appropriate choice during your free online consultation.

Prescription alternatives

These treatments require approval from a UK-registered prescriber:

• Sildenafil (Viagra) – A fast-acting ED treatment that typically works for 4–6 hours
• Vardenafil – Similar to sildenafil, with a slightly different side-effect profile
• Avanafil (Spedra) – A newer ED medication that may work more quickly for some men
• Cialis – The branded version of tadalafil, available in the same strengths

Over-the-counter options

Some ED treatments are available without a prescription but still require a suitability assessment:

• Viagra Connect (50mg) – An over-the-counter version of sildenafil
• Cialis Together (10mg) – A pharmacy-only tadalafil-based option
• Eroxon Stimgel – A topical gel designed for mild erectile difficulties

Over-the-counter options may be suitable for mild erectile dysfunction, but prescription treatments like tadalafil often provide more consistent and longer-lasting results.

If you’re unsure which option is right for you, your prescriber can explain the differences and help you choose the safest and most effective treatment.

Like all medicines, tadalafil can cause side effects, although not everyone experiences them. Side effects are usually mild to moderate and often improve as your body adjusts to the treatment.

Common side effects
These may affect up to 1 in 10 people:

• Headache
• Flushing (warmth or redness in the face)
• Indigestion or heartburn
• Stuffy or runny nose
• Back pain or muscle aches

Less common but serious side effects

Stop taking tadalafil and seek urgent medical help if you experience:

• Chest pain or severe dizziness during sexual activity
• Sudden vision loss or changes in eyesight
• Sudden hearing loss or ringing in the ears
• An erection lasting longer than 4 hours (priapism)

These reactions are rare but require immediate medical attention.

If side effects persist, become bothersome, or worsen over time, speak to a healthcare professional. A full list of possible side effects is available in the Patient Information Leaflet provided with your medication.