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Tadalafil: When To Take It

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Written by: Clara Hanson-Smith

Reviewed by: Sunny Dhain MPharmRS PgDip IndP

Date reviewed: 06/03/2024

Navigating the world of ED treatments can often be overwhelming. Among the choices, tadalafil stands out due to its unique characteristics and adaptability. But a common question arises: when is the best time to take tadalafil? This blog aims to offer a clear and concise guide to dosages and frequency for those seeking to reap its benefits.

 When to take Tadalafil for ED

Tadalafil, used for treating erectile dysfunction (ED), can be taken in two ways depending on the individual’s needs and the doctor’s advice. For ED, there are two main approaches:

  1. As needed: Tadalafil should be taken about 30 to 45 minutes before sexual activity. This is ideal for those who don’t engage in sexual activities frequently. The effects can last up to 36 hours, offering a large window for spontaneity. The typical dose is 10 or 20 mg.
  2. Daily use: For those preferring readiness at any time, a lower dose (usually 2.5 or 5 mg) can be taken every day at the same time.

It’s important to note that tadalafil can be taken with or without food, and alcohol intake should be limited as it can increase side effects. Always follow The Family Chemist’s pharmacist’s instructions regarding dosage and timing to ensure the medication’s effectiveness and safety.

What is Tadalafil?

Tadalafil, a treatment primarily used for ED, works by increasing blood flow to the penis, aiding in achieving and maintaining an erection. It’s standout feature is its long-lasting effect, remaining active for up to 36 hours, which offers flexibility and spontaneity for sexual activities.

It can be taken either as needed (typically 10 or 20 mg) or as a daily lower dose (2.5 or 5 mg), depending on individual needs and lifestyle. It’s effective within 30 to 45 minutes of intake.

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Can anyone take Tadalafil?

Whilst tadalafil can be effective for many individuals experiencing ED, it may not suit everyone. Here are some considerations regarding who can take tadalafil:

  1. Prescription requirement: It is a prescription medication, meaning it should only be taken under the guidance of The Family Chemist’s pharmacist. Our pharmacist will assess your medical history, current medications, and overall health to determine if tadalafil is appropriate for you.
  2. Medical conditions: Certain medical conditions may increase the risk of complications or interactions with tadalafil. For example, individuals with cardiovascular issues, liver or kidney problems, or a history of stroke should use tadalafil with caution or may be advised against it altogether.
  3. Medication interactions: Tadalafil can interact with other medications, including nitrates used to treat chest pain (angina) and alpha-blockers used to manage high blood pressure and prostate enlargement. These interactions can lead to potentially serious side effects such as a sudden drop in blood pressure. Therefore, it’s essential to inform The Family Chemist about all medications you are currently taking before starting tadalafil.
  4. Allergies: Individuals with known allergies or hypersensitivity to tadalafil or any of its ingredients should avoid taking this medication.
  5. Age: Tadalafil is generally considered safe for adult men, but it is not suitable for individuals under the age of 18 or older adults with specific health concerns. Our pharmacist will consider factors such as age and overall health when prescribing tadalafil.
  6. Men only: Tadalafil is not indicated for use in women. It is classified as Pregnancy Category B, meaning there is no evidence of risk to the fetus based on animal studies, but there are no adequate studies in pregnant women. It is not known whether tadalafil passes into breast milk.

You should stop taking Tadalafil if…

You should stop taking tadalafil and contact our pharmacist immediately if you experience severe side effects or allergic reactions. Some signs that may indicate the need to discontinue tadalafil include:

  1. Allergic reactions: If you develop symptoms of an allergic reaction, such as rash, itching, swelling (especially of the face, tongue, or throat), severe dizziness, or difficulty breathing, you should stop taking tadalafil immediately.
  2. Vision changes: Tadalafil may rarely cause sudden vision loss or changes in vision, such as blurred vision or decreased vision in one or both eyes. If you experience any changes in vision while taking the treatment, stop using the medication.
  3. Priapism: Priapism is a prolonged and painful erection that lasts for more than four hours and can damage the penis. It is a rare but serious side effect of tadalafil. If you have an erection that persists for more than four hours, you should seek immediate medical attention to prevent permanent damage to the penis.
  4. Sudden hearing loss: Some individuals may experience sudden hearing loss or ringing in the ears (tinnitus) while taking the ED treatment. If you notice any changes in your hearing, stop taking tadalafil.
  5. Severe cardiovascular symptoms: Stop taking tadalafil and seek medical help if you experience symptoms of a heart attack (such as chest pain, nausea, sweating) or a sudden decrease or loss of vision or hearing.
  6. Other severe side effects: Additionally, if you develop severe side effects such as chest pain, fainting, irregular heartbeat, difficulty breathing, or swelling of the ankles, feet, or hands, you should discontinue the treatment and seek medical attention promptly.

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Tips for taking tadalafil

  • With food: This can be taken with or without food; however, heavy meals may delay its onset.
  • Alcohol consumption: Limit or avoid alcohol as it can increase side effects and impair the ability to achieve an erection.
  • Avoid grapefruit: Grapefruit and grapefruit juice may interact with Tadalafil and lead to unwanted side effects.

Conclusion

The timing for taking tadalafil varies based on its intended use and preferences. Whether wanting to use it for daily use or as needed, it offers a convenience and flexibility to managing ED.

Tadalafil FAQs

Is it better to take Tadalafil in the morning or at night?

The best time to take Tadalafil depends on individual lifestyle and sexual habits. Since it can remain effective for up to 36 hours, the time of day is less crucial. Some may prefer taking it in the morning to maintain readiness throughout the day and night, while others might choose evening administration if sexual activity is anticipated at night or the following day. It ultimately depends on personal preference and daily routine.

A 40mg dose of Tadalafil is generally considered higher than the standard recommended dose. The usual starting dose for as-needed use is 10mg, which may be increased to 20mg based on efficacy and tolerability. For daily use, the dose is typically lower. High doses like 40mg might increase the risk of side effects and are not usually recommended.

Both Cialis (Tadalafil) and Viagra (Sildenafil) are effective in treating ED. Whether one makes you “harder” than the other varies from person to person. Their effectiveness can depend on various factors, including the underlying cause of ED, individual response, and other health considerations.

There is no clear evidence that Cialis directly prevents ejaculation. However, some men might experience changes in ejaculation, such as delayed ejaculation, as a side effect. It’s more commonly used to treat erection issues rather than ejaculation problems. Visit our premature ejaculation page here.

It’s advisable to limit or avoid alcohol while taking Cialis. Drinking too much alcohol can increase your chances of getting a headache or getting dizzy, increasing your heart rate, or lowering your blood pressure, which can interfere with the effectiveness of the medication and increase the risk of side effects.

Common downsides or side effects of Cialis include headaches, indigestion, back pain, muscle aches, flushing, and stuffy or runny nose. Because of its long duration in the body, some side effects may last longer compared to medications like Viagra. It’s also important to be cautious of interactions with other medications, such as nitrates.

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