Start with a review
Choose a consultation for new concerns, or a repeat review for suitable established treatment.

Already taking Cialis? Choose a repeat review whether prescribed by us or another provider. Starting treatment, changing dose or experiencing new symptoms? Choose “Discuss treatment”.
Cialis and generic tadalafil contain the same active ingredient. Do not take them together as separate treatments.A useful review makes the intended schedule clear. Bring your prescription so the doctor can see whether you are on a regular daily plan or an as-needed regimen.
Cialis contains tadalafil. Generic tadalafil is discussed separately, with attention to the exact product and presentation.
Read the relevant guideThese use different prescribed regimens. The doctor chooses the approach; they are not extra doses to combine.
Read the relevant guideDiscuss benefit, tolerability and whether the plan still fits your circumstances before another prescription.
Read the relevant guideClinical references: EMA: Cialis · Cialis official product information
| Treatment question | What needs to be agreed |
|---|---|
| As-needed treatment | A prescribed dose before anticipated sexual activity, following its instructions. |
| Daily treatment | A separate low-dose regimen for selected patients, reviewed periodically. |
| What does “up to 36 hours” mean? | A possible response window with sexual stimulation—not an erection lasting 36 hours. |
| Is Cialis different from tadalafil? | Cialis is a branded tadalafil medicine; do not duplicate treatment under two names. |
Choose a consultation for new concerns, or a repeat review for suitable established treatment.
Discuss your history, medicines and the evidence needed to make a safe plan.
Receive advice, any onward-care recommendation and an e-prescription only if appropriate.
Use a participating pharmacy and follow the agreed review plan. Medicine cost is separate.
Cialis contains tadalafil. A clinician may discuss an as-needed or a lower-dose daily regimen, depending on your needs and suitability. Do not turn an as-needed prescription into daily use yourself.
Tadalafil guide ↗Tadalafil may remain effective for up to 36 hours, but sexual stimulation is still needed. This is not a promise of an erection for that period. An erection lasting four hours needs immediate medical care.
Read the official patient information ↗
Yes. Cialis is a brand containing tadalafil; they are not two medicines to take together.
That needs a doctor’s plan. Do not turn an as-needed prescription into daily treatment yourself.
No. The possible response window still requires sexual stimulation. An erection lasting four hours requires immediate care.
Yes, with evidence of established treatment. The clinician checks the regimen, response and any new safety issues.
Tell the clinician the exact names. Nitrates and riociguat must not be used with tadalafil.
Only the pharmacy can confirm stock and lawful dispensing options for your prescription.
English-speaking appointments are available to residents and visitors in mainland Spain, the Balearic Islands and the Canary Islands. The clinician may recommend local examination or tests when needed.
If treatment is prescribed, the QR prescription is sent by email for use at a participating Spanish pharmacy. The consultation fee does not include medicine; confirm the product, price and stock with the pharmacy.
Use a local guide for practical area information, or read how to prepare for an online appointment.
Do not combine Cialis with nitrates, riociguat or another ED medicine. Seek immediate care for an erection lasting four hours or sudden vision or hearing loss. Call 112 for chest pain or collapse.
Every page includes local pharmacy guidance and links back to this national guide.