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.
When requesting continuing treatment in Málaga, show both the strength and schedule to the doctor and pharmacist. If a pharmacy discusses another presentation, clarify that it matches the prescription rather than adding it to your Cialis supply. Ask about availability before travelling from your accommodation to a duty pharmacy.
Appointments are provided remotely. Our physical clinic is in Nerja; this page does not claim a Málaga city branch. Local examination or tests may be recommended when needed.

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.
Use the official provincial duty-pharmacy finder. Choose Málaga and the appropriate district or municipality and date; it does not guarantee medicine stock.
Open the official Málaga pharmacy finder ↗Read the national treatment guide or find a general doctor service near where you are staying.
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.