Buy Cialis 20mg Tablets online

Cialis 20mg Tablets (4 tablets)

Order before 4pm for delivery from Wed. 13 Dec.

Description for Cialis 20mg Tablets

Cialis 20mg tablets are a popular, long-acting treatment for erectile dysfunction. Containing tadalafil, they are the highest strength of Cialis available and are suitable for men who have tried lower strengths and not achieved the desired results. Cialis opens the blood vessels to the penis and helps to produce and maintain an erection. You can buy Cialis 20mg tablets from our Online Doctor to treat ED today, all you need to do is fill in a short medical questionnaire and they will be delivered quickly and discreetly.

Product Information

  • Age: 18 years +

    Maximum per order: 8

  • Pregnancy: N/A

    Breastfeeding: N/A

Cialis 20mg tablets are available to buy from The Independent Pharmacy Online Doctor service, following a free consultation, to help to treat erectile dysfunction in men. To find out more about erectile dysfunction and see all the available treatments, see our Online Doctor Erectile Dysfunction page.

Cialis 20mg tablets are an ‘as required’ treatment for erectile dysfunction in men. Cialis is a branded treatment made by Lilly, containing the active ingredient tadalafil, a loner-lasting version of sildenafil contained in Viagra. Cialis (tadalafil), like Viagra, is known as a PDE-5 inhibitor and helps to relax the blood vessels that flow into the penis, allowing greater blood flow and a satisfactory erection to be achieved.

Cialis 20mg tablets are the highest strength of Cialis/tadalafil available and are used if a man has not achieved satisfactory results from the starting dose of Cialis 10mg tablets after a number of attempts. Cialis can have an effect in as little as 30 minutes in some men and the effects can last for up to 36 hours, allowing it to be used just before sex or taken discreetly well in advance. This flexibility in dosing makes it a popular choice with men looking for an ED treatment that fits into their life.

Cialis 20mg is not normally affected by food and should be taken with plenty of water. It is not affected by alcohol, however alcohol can be a contributor to ED so it is best avoided or consumed in moderation. Like all ED tablets, it may take a few attempts at taking Cialis before it becomes effective. If you have tried Cialis 20mg on 8 separate occasions and not achieved satisfactory results, you may wish to consider trying a different erectile dysfunction treatment such as Sildenafil, Spedra or Levitra.

Cialis 20mg tablets help to resolve the physical symptoms of erectile dysfunction. However, some cases of ED can be caused by psychological issues such as anxiety. Even if the cause of your ED is psychological, Cialis can help to break the cycle of anxiety associated with being unable achieve and maintain a satisfactory erection. If you think the cause of is psychological and you have tried Cialis with no effect you should see your GP as counselling may be more appropriate for you.

There are a number of Non-Prescription Alternatives for the treatment of Erectile Dysfunction such as;

  • Changes to diet (cutting down alcohol and fat consumption)
  • Stopping Smoking
  • Reducing Stress
  • Counselling
  • Vaccum Devices (Penis Pumps)
*Prescription medicines are supplied subject to a medical consultation at the discretion of a doctor.

Cialis tablets should be swallowed with a glass of cold water.

Typically Cialis 10 and 20mg tablets will be used on an as and when needed basis. One dose should be taken approximately 30 minutes before desired effect. One dose will last for approximately 36 hours, allowing you to have multiple different erections during this time. These doses should not be taken more than once a day, and should not be used daily for prolonged periods of time.

If you plan on having sexual activity at least twice a week then it is recommended that you use Cialis once a day tablets. There daily tablets offer a lower dose of tadalafil but mean that you will be able to have sex whenever you wish. These lower doses should not be used more than once per day.

As with all medicines Cialis 20mg tablets can potentially cause side-effects. Fortunately, the few people who suffer side-effects will usually find them to be brief and mild. The most common side-effects for those taking Cialis 20mg tablets are:

  • Headache
  • Facial flushing
  • Indigestion
  • Nasal congestion
  • Dizziness

Other medicines can interact with Cialis 20mg tablets. You should not take Cialis if you are taking medicines called ‘nitrates’, which are often prescribed for chest pain. You should not use other erectile dysfunction medicines while taking Cialis. It is not recommended to drink excessive amounts of alcohol when taking Cialis 20mg Tablets. Drinking too much alcohol can increase the likelihood of experiencing side-effects, such as headaches and dizziness. It is important to seek medical advice immediately if you experiencing an erection that lasts more than four hours.

Cialis contains one active ingredient:

  • Tadalafil

Cialis also contains several inactive ingredients, including:

Lactose monohydrate, Croscarmellose sodium, Hydroxypropylcellulose, Microcrystalline cellulose, Sodium laurilsulfate, Magnesium stearate.

There are also several ingredients contained within the film-coat:

Triacetin, Hypromellose, Lactose monohydrate, Titanium dioxide (E171), Iron oxide yellow (E172), Talc

In order to ensure that Cialis is the right product for you it is important to read the following warnings.

Cialis should not be taken if:

  • You have ever had an allergic reaction to any of the ingredients listed above.
  • You are taking any organic nitrate or nitric oxide donors as Cialis will increase the effects of these medications.
  • You have recently had a heart attack.
  • You have serious heart disease.
  • You have recently had a stroke (the last 6 months).
  • You have low blood pressure.
  • You have uncontrolled high blood pressure.
  • You have ever suffered from a “stroke of the eye”, a loss of vision due to non-arteritic anterior ischemic optic neuropathy (NAION).
  • You are currently taking riociguat, a medication for high blood pressure in the lungs.

It is important to bear in mind that any sexual activity will increase the possible risk for individuals with heart disease because of the extra strain placed on the heart. Make sure to tell your doctor if you have any heart problems.

You should also tell your doctor if you currently suffer from:

  • Sickle cell anaemia (a red blood cell abnormality).
  • Multiple myeloma (bone marrow cancer).
  • Leukaemia (blood cell cancer).
  • A deformation of the penis.
  • Liver problems.
  • Kidney problems.

It is still not fully know if using Cialis is effective in patients who have had pelvic surgery, or those who have had all or part of the prostate removed or cut.

If you experience any side effects related to vision then cease using Cialis and contact your doctor.

Cialis should not be used by women.

It is possible that grapefruit juice might affect the efficacy of Cialis and should be avoided.

Always read all available packaging information before using any medication. If you have any further questions or concerns then do not hesitate to speak to your doctor or pharmacist.

UK ORDERS

We offer FREE standard tracked delivery on orders over £40.

The following delivery options are available:

  • Standard Tracked Delivery - 2/3 day delivery - £2.95
  • Express Tracked Delivery - 1/2 day delivery - £4.45
  • Special Delivery (Guaranteed before 1pm) - £8.95
  • Saturday Guaranteed before 1pm - £10.45

All our orders are sent out using Royal Mail. We always aim to dispatch all orders received before 4pm the same working day. Any orders received after 4pm or over the weekend will be dispatched the next working day. Orders will not be dispatched on weekends or bank holidays.

All orders can be fully tracked in your account.

We ensure all parcels are in plain packaging for discreet delivery of your medicines and pharmacy goods.

Deliveries containing pharmacy-only or prescription medicines may require a signature on receipt. 

Delivery is free for all NHS prescriptions.

Please note: Royal Mail do not deliver on Sundays or Bank Holidays - this should be taken into account when ordering. 

If you are not home to accept your delivery, a card should be left by the Royal Mail representative. This card will provide details of where you can collect the order or how to arrange re-delivery.

Should you be unable to collect your missed delivery or arrange for your medication to be redelivered by Royal Mail, the pharmacy can resend your medication to the same, or a different address provided it has been returned to us and this happens within a 30 day window.

Once a package has been shipped with Royal Mail we advise that you are bound to the terms and conditions of their use together with the terms and conditions contained herein.

You have the right to cancel your order up to the point when your treatment is dispatched. The pharmacist must destroy any medication within 30 days of it being returned, even un-opened boxes, so we are not able to offer refunds once your treatment has been dispatched.

 

REMOTE AREAS

Please be aware that Royal Mail Guaranteed services are not available to all customers in the UK, especially those that live in remote postcodes. Royal Mail advise customers of the following:

We deliver by 5.30pm the next working day in the following postcode areas:
AB30 - 39, 41 - 45, 51 - 56
GY9 Alderney (Channel Islands)
HS1, 3 - 9
IV21 - 28, 40 - 49, 51 - 56
KA27, 28
KW1 - 3, 5 - 15
KW16 Stromness Town only
PA20 (0&9)
PA28 - 38, 41 - 49, 76, 77
PH15, 17 - 26, 31 - 40, 49, 50
ZE1

 

We deliver within two working days by 5.30pm to the following postcodes areas:
GY1 Herm (Channel Islands)
GY9 Sark (Channel Islands)
GY10
HS2
PA60 - 75, 78
ZE2, 3

 

We deliver within three working days by 5.30pm to the following postcode areas:
KW16 - non-Town
KW17
PH30, 41 - 44

 

Please note: This applies to our 'Special Delivery' and 'Saturday Guaranteed' services.

 

INTERNATIONAL ORDERS

We are currently unable to ship orders outside of the UK.

We are unable to ship orders to mailing or forwarding houses for onwards shipping to locations outside of the UK.

Need to know more about Erectile Dysfunction (ED)?

Visit our advice area or chat online to our support team

Unsure about a treatment?
Take a free online assessment with our medical team for impartial help and advice on your condition.

Frequently Asked Questions

  • I have never used Cialis before, where do I start?

    As a new user, you may be wondering what Cialis dose is best. If this is your first time using Cialis then you will usually be starting with the 10mg version. If this level of medication works then you will stay on this course. If not you will normally try a few more times. If this fails you can then move up to the higher strength version which is 20 mg.

  • I have taken Cialis tablets but they didn’t work, what should I do?

    If you have tried Cialis 10mg and it was unsuccessful it is important to try it again a few more times in order to make sure. If this still isn’t successful then it is recommended to take a higher dosage. You should speak to your doctor about this but the higher dosage will usually be 20mg.

  • What to do if the Cialis tablets are not effective?

    Alternatively you could try taking a higher dosage of Viagra (100mg) or Levitra (20mg). These medications should also be tried at least four, but up to eight individual times.

  • I have tried Cialis, Viagra, and Levitra, and none of them worked – what should I do?

    Approximately 25% of men will be unsuccessful when using Cialis, Viagra, and Levitra or unable to use them due to their side effects and other associated adverse health conditions.

    If you fall into this category do not give up – there are other options available to try.

    It might be an idea to try a treatment that can be applied directly to the penis. Vitaros, for example, is a cream containing the active ingredient alprostadil and can be applied directly to the tip of the penis.

    These methods work properly in around 65% of men, providing an erection within 5 to 30 minutes and lasting for up to 2 hours.

    If these treatments don’t work, then you can consider medications which are directly injected into the penis. This method is effective in around 80% of men. This kind of treatment will usually be undertaken in a hospital so you can be shown how to use them safely and effectively. Some of the most common types include Caverject and Viridal which make use of the ingredient alprostadil as well as Invicorp which makes use of the ingredients aviptadil and phentolamine.

  • Should I be taking Cialis daily, or only when required?

    For most men, Cialis can be taken as and when needed. If you need regular treatment for erectile dysfunction (more than two or three times a week) then the low-dose daily Cialis might be a better option. Cialis daily tablets of 2.5mg or 5mg can be taken every day to provide a continuous treatment for your erectile dysfunction - without peaks and troughs.

  • What are the ingredients in Cialis and how does it work?

    Cialis makes use of an active ingredient known as tadalafil, which is a PDE5 inhibitor. This means that tadalafil will inhibit your body’s PDE5 enzyme which is responsible for regulating the way that blood flows into the penis. When using Cialis it is important to bear in mind that sexual stimulation is also required in order for it to work. In this way Cialis will support your relationships and sexual performance.

    Cialis is also an effective treatment for symptoms associated with benign prostatic hyperplasia, also known as an enlarged prostate.

  • Why am I suffering from erectile dysfunction?

    There are a wide range of factors which can contribute to erectile dysfunction. Some of these include:

    • Lifestyle choices such as diet, exercise, and smoking
    • Your mental state
    • Certain chronic diseases
    • Certain injuries or operations
    • Emotional stress of anxiety

    In some cases, erectile dysfunction is an indicator of other underlying health problems, including:

    • Diabetes
    • Atherosclerosis
    • Heart disease

    You should speak to your doctor if you suffer from erectile dysfunction as they will want to assess your situation and perform tests.

  • How does Cialis compare to other ED treatments? Is it the best option?

    People often ask: is Cialis better than Viagra? When you compare one vs. the other, Cialis is often a popular choice, as its effects last for a relatively long duration. The effects of Viagra, for example, last around four hours while Levitra lasts for twelve. On the other hand, Cialis lasts for 36 hours which is why it is known as the ‘weekend pill’. It is important to note that you will not have a continuous erection for 36 hours, they will only occur during regular sexual arousal.

    There are other alternative tablet based medications for treating erectile dysfunction which can be purchased in a wide range of sizes and strengths. Some of these include:

    • Viagra
    • Sildenafil
    • Levitra
    • Spedra

    Vitaros cream is also an available treatment for those who cannot use oral medication.

  • Taking Cialis for the first time

    It is important to familiarise yourself with the various strengths that Cialis is available in:

    Generally, most men will start using a 10 mg dosage roughly an hour before required. If this dose seems to work very effectively then following doses may be lowered to 5mg for a trial period. Likewise if the 10 mg dose is not effective, you will be able to increase the dose to 20 mg.

    No benefit will be gained by using a higher dose than is necessary. It is important to trial each strength multiple times before switching in order to fully make sure that it doesn’t work.

  • Will Cialis work every time?

    The effectiveness of Cialis is usually consistent and predictable - if it works once then it will work again. Depending on the cause of your erectile dysfunction you may need to undergo other therapies such as injections or penile implants.

    It is possible that your erectile dysfunction might need a specialist treatment aside from a course of Cialis. If your erectile dysfunction is as a result of a psychological problem, for example, then counselling might be required.

    As erectile dysfunction can be a distressing time, it is recommended that all men visit their doctor for a full and thorough assessment.

  • How does Cialis help BPH?

    Cialis is the first ED drug that has been approved by the FDA for treating benign prostatic hyperplasia (BPH). BPH often causes uncomfortable urinary symptoms, such as a constant need to go, and usually affects men above the age of 50. Cialis is now prescribed to counteract the symptoms of BPH, which it does by relaxing the muscle cells in the bladder and prostate. Studies have shown that men who take just 5 mg of Cialis per day see improvements in both ED and BPH symptoms.

  • What should Cialis cost?

    For those prescribed the typical 10-20 mg dosage of Cialis, you should expect to pay around £45 for a pack of 4 tablets – or just over £11 per tablet. Viagra and Levitra both work out slightly cheaper, but since Cialis lasts for a longer period of time, some men may consider it worth the extra cost. The Independent Pharmacy offers free standard tracked delivery on orders over £40.

     

  • Can I buy generic Cialis?

    Generic Cialis is not available yet, but it could be within the year. Generic Cialis will become available under the name Tadalafil, and may be cheaper as a result of being generic rather than branded – in a similar way to branded Viagra vs. generic Sildenafil. However, users should always be wary about buying fake or generic medicines online, when not purchasing through a trusted and regulated supplier. If you are not asked for a prescription, or offered a secure means of getting one (such as through an online doctor service), then there is reason to be concerned about the product you are getting. It’s always better to be safe than sorry.

     

  • Should I be worried about Cialis interactions?

    Certain other drugs should not be taken in combination with Cialis. It should also not be combined with alcohol, as this can worsen the side effects. You should always consult a doctor (online or otherwise) before taking Cialis, especially if you suffer from any of the following:

    Pulmonary Disease
    Renal Dysfunction
    Cardiovascular Disease

    Your doctor or pharmacist will be able to go into detail about which medications and ingredients are known to interact with Cialis, and tell you what to avoid. They include (but are not limited to):

    Amyl nitrite
    Boceprevir
    Hydralazine
    Isosorbide
    Nitroglycerin
    Riociguat
    Telaprevir

  • How effective is Cialis?

    Cialis has been effective when used by most men. In clinical trials, after 36 hours, men who had used Cialis 10mg or 20mg were 88% more likely to have had successful intercourse at least once compared to men who did not take Cialis (source).

  • Can I take two Cialis tablets at once?

    20 mg is the maximum dosage of Cialis and should not be exceeded. Rather than taking more pills, it’s recommended you up your dosage.

  • How long does it take for Cialis to get out of your system?

    Tadalafil (the active ingredient) stays active in the body for up to 36 hours. Remember that Cialis only works to produce an erection when you are sufficiently sexually stimulated.

  • Can I buy Cialis safely online?

    Yes, but you will have to undertake a short medical consultation with an online doctor first, as Cialis is only available on prescription in the UK.

  • Is Cialis prescription-only?

    Yes, it is (at least in the UK). This means that you should have a short medical consultation before ordering your pills online, or see your local GP or doctor. You should not buy unlicensed ED treatments like Kamagra off websites.

  • How long does it take for Cialis to work?

    Whether you take Cialis 10mg, or Cialis 20mg, the treatment will start to work about half an hour after taking the pill. The effect wears off after about 36 hours.

We are a trusted pharmacy

We are regulated by a number of organisations in the UK including the MHRA, GPhC & CQC to ensure we offer the highest level of service to every one of our customers.

Why choose The Independent Pharmacy?

How does it work?

It's easy! Follow our simple process to get the treatment or advice you need in no time.

  • 1 Complete a simple health questionnaire
  • 2 A healthcare professional reviews your answers
  • 3 You receive the right treatment or advice
  • 4 Easily re-order in a few clicks

Can't find what you're looking for?

If you can't find what you are you looking for, please contact our support team on 0333 2200 519 or chat online for help and advice.

Your basket

Your basket is empty

Start shopping

Did you know you can search from anywhere on the site? Simply press 's' on your keyboard and our quick search tool will appear.

Alternatively you can view a list of all of our treatments and treated conditions.

If you can't find what you are looking for, please contact our support team on 0333 2200 519 or chat online.