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

Already taking Tadalafil? Choose a repeat review whether prescribed by us or another provider. Starting treatment, changing dose or experiencing new symptoms? Choose “Discuss treatment”.
This page focuses on tadalafil for erectile dysfunction. Other indications and specialist regimens need their own assessment.A brand change can make an established medicine look unfamiliar. Bring the original label and prescription so the doctor can match the ingredient, strength and schedule instead of relying on tablet colour or packaging.
Cialis contains tadalafil. An authorised generic must meet the relevant quality and equivalence requirements; appearance can differ.
Read the relevant guideThe reason for treatment matters. A prescription used for another condition should not simply be copied into an ED request.
Read the relevant guideRecord every brand and strength you use. Two differently named boxes can contain the same active medicine.
Read the relevant guideClinical references: EMA: Tadalafil Mylan and generic equivalence · NHS: tadalafil · Cialis official product information
| Field | Why it matters |
|---|---|
| Ingredient | Look for tadalafil, even if the brand on the box has changed. |
| Strength | Do not identify a dose from tablet colour or shape alone. |
| Schedule | Daily and as-needed use are distinct prescribed plans. |
| Other medicines | Nitrates, riociguat and other ED medicines are particularly important to declare. |
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 and generic tadalafil contain the same active ingredient. Packaging can look different. Ask the pharmacist to confirm the exact product and directions, and do not take a generic and Cialis as two separate ED treatments.
Cialis brand guide ↗Tadalafil is used in more than one clinical setting, including erectile dysfunction and some prostate or pulmonary-pressure conditions. This service page focuses on ED; another diagnosis may need a different or specialist pathway.
Read the official medicine guide ↗
An authorised generic is assessed against the reference medicine’s quality and equivalence requirements. Discuss the particular licensed product with the pharmacist.
No—not as an additional ED medicine. Cialis already contains tadalafil, so doing so can duplicate treatment.
No. The indication matters, and other treatment contexts may need a different or specialist review.
Check the ingredient, strength and directions with the pharmacist. Do not rely on packaging or colour to identify treatment.
You can request a repeat review with named evidence. New symptoms, side effects or dose changes need a fuller consultation.
The dispensing pharmacy. Consultation fees do not include medication and do not guarantee supply.
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 tadalafil with nitrates or riociguat. An erection lasting four hours or sudden loss of vision or hearing needs immediate care. Call 112 for chest pain or collapse, and tell the emergency team what you took.
Every page includes local pharmacy guidance and links back to this national guide.