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Do I Need A Prescription For Cialis – Medical reviews by Joseph Brito III, MD — By Malini Ghoshal, RPh, MS and James Roland — Updated May 26, 2022
Cialis is a brand name version of tadalafil, a common medication for treating erectile dysfunction (ED). The medication helps you get the maximum effect while avoiding side effects.
Do I Need A Prescription For Cialis
Reasons not to take 40 milligrams (mg) of Cialis include how the drug works and how long it lasts. Increasing the dose may cause side effects.
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If you feel that your current dose is not working, there may be alternatives to consider. We look at Cialis, why we shouldn’t take too much, and more.
Taking 40 mg of Cialis could be dangerous and increase the risk of side effects, such as a sudden drop in blood pressure and priapism. The typical dose is 10 mg for occasional use and 2.5 or 5 mg for daily use. The typical maximum dose of Cialis for ED is 20 mg once a day.
If a doctor has prescribed Cialis for Pulmonary Arterial Hypertension, you may be told to take two 20-mg doses per day. But that part of the medication should only be taken under the guidance of the doctor.
Although Cialis works for ED by affecting the PDE5 enzyme in the penis, it also affects other PDE enzymes in tissues and cells in other areas of the body. For example, PDE5 is found in tissues in the lungs, kidneys, liver, brain and platelets.
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Cialis also affects PDE11, which is found in tissues in the heart, pancreas, pituitary, skeletal muscles, testes, and corpus cavernosum.
Doubling the maximum dose of Cialis to 40 mg can increase the chance of side effects, including:
It can also cause priapism, an erection that lasts longer than 4 hours, damaging the penile tissue. Urgent medical evaluation is needed to prevent long-term damage if this occurs.
The effects of Cialis last much longer (up to 36 hours) than other PDE5 inhibitors like Viagra (4 to 5 hours). Therefore, Cialis stays in your body and clears slowly. This can increase the risk of side effects if you add doses on top of what is already in your system.
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Cialis is a phosphodiesterase type 5 (PDE5) inhibitor. It limits the effect of the PDE5 enzyme on the penis, allowing the blood vessels in your penis to relax so that blood can flow into the penis, helping to get or maintain an erection. Keep in mind that Cialis will not work if you are not stimulated or aroused.
The Cialis dosage for ED depends on your age and if you are taking it once a day (lower dose) or as needed (higher dose).
According to the Food and Drug Administration (FDA) dosing guidelines for ED symptoms, the recommended dose for Cialis is 2.5 mg once a day to start and may be increased to 5 mg if needed.
The recommended dose for Cialis is 10 mg as needed and may be adjusted up or down to a maximum of 20 mg.
How To Get Maximum Effect From Cialis (tadalafil)
Tadalafil is the generic name for Cialis. It is part of a class of drugs called phosphodiesterase (PDE) inhibitors and is prescribed for the following conditions:
Tadalafil is unique compared to other PDE5 inhibitors because it can be taken once a day at a lower dose or as needed at least 30 minutes before sexual activity.
On average, Cialis starts working in about 30 minutes and can take up to 2 hours to take effect.

Do not be discouraged if Cialis does not work immediately. If you are nervous or anxious, this affects your motivation and ability to get or keep an erection.
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Talk to a doctor about your experience with Cialis to see if a dose increase or switching to another ED medication would work better.
Cialis can last up to 36 hours in the body but can last up to 72 hours in some cases. How long it lasts can vary.
Your age, genetics, and if you have heart, liver or kidney disease affect how the drug works and how long Cialis stays in your body. You may need dose adjustments to avoid side effects.
If you have heart, kidney or liver disease, it is important to discuss your ED treatment options with a doctor. You may need a lower dose of Cialis to avoid side effects.
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Warning Do not take Cialis with nitrate class angina medications or alpha blocker medications. They can cause a dangerous drop in your blood pressure.
Call your doctor if you experience serious side effects. Get medical help immediately if you experience an erection that lasts longer than 4 hours.
Allergic reaction If you feel you are having an allergic reaction to Cialis (swelling of the face or tongue, rash, difficulty breathing or swallowing) or a medical emergency, seek immediate medical attention or call 911.
Cialis is one of the most popular ED medications sold worldwide. Unfortunately, it is also very common to obtain Cialis and other ED medications sold online without a prescription through fake pharmacies and other dubious online portals.
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Buying prescription medications online through fake sites may not only put your health at risk but also your data and privacy.
Counterfeit products are designed to look exactly like the real recipe but may be contaminated, contain more or less than the listed strength or dosage, expire, contain harmful ingredients, and that they will harm your health.
The best way to learn more about ED is to make an appointment with a doctor. They can diagnose the problem and offer a prescription if needed.
Telehealth options, (sometimes covered by insurance, including Medicare plans) such as over the phone, online services, and telemedicine apps are available to connect you with a doctor.
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Occasional episodes of ED are usually typical and may be due to reasons such as work stress, relationship troubles, or excessive alcohol consumption. But if you have ED at least 25 percent of the time, you should talk to a doctor. You should also discuss any minor changes in your erection or libido. Addressing signs of trouble early may help avoid frustrating sexual encounters in the short term or lead to an early diagnosis of a condition such as cardiovascular disease or diabetes – two common causes of ED, that especially in young people.
Although you may not experience any side effects or complications from taking 40 mg of Cialis, there is a risk of problems such as a sudden drop in blood pressure, which may cause fainting and possible injury from a fall.
If too much Cialis is taken, any side effects you experience, such as headaches, priapism, and leg or back pain, are more likely to last longer than those associated with a standard dose.
Cialis is a prescription medication, and you should only take the prescribed amount. The dose may be 10 or 20 mg for occasional use before sexual activity or 2.5 or 5 mg for continuous daily use. If you find that the prescribed dose is not effective or you have unwanted side effects, talk to your doctor about changing the dose or trying a different type of ED treatment.
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Like any medication, tadalafil can be problematic or even dangerous if you take too much. The medication is designed to significantly affect your circulation, so taking too much can cause serious reactions that negatively affect your sexual health and blood flow throughout the body.
If the dose of Cialis prescribed by your doctor does not seem to be helping you, do not double your dose to 40 mg on your own. This may increase the risks of serious adverse reactions or side effects.
Make an appointment to talk to a doctor about possible causes and other treatment options, including other PDE5 inhibitors, medications, and lifestyle changes that may help.
It is important to discuss your sexual history, the medications you are taking, and your overall health and concerns about ED with a doctor.
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If you have made your way to this article, you are probably looking for the medication Cialis, or its generic form, Tadalafil.
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However, when looking to find medications, especially online, you need to be careful about the sources you choose, and also whether they are trying to sell you medication without a legitimate doctor’s prescription.
Below, we’ll cover if you need a prescription for Cialis, how to choose your Cialis sources wisely, and how to find generic Cialis (Tadalafil).
Read Related: How Long Can You Take Cialis? What We Know So Far About Long-Term Use of Cialis (Tadalafil).
Whether you are getting your medication from a local pharmacy, or you are a good candidate for a Cialis prescription from a telemedicine service, all of these will be dispensed via a prescription issued by a doctor.
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Even if you never have a paper prescription for Cialis or