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Is Cialis Over the Counter?

Is Cialis Over the Counter?

Approved by the FDA in 2003, Cialis (tadalafil) is one of the most popular medications available for treating erectile dysfunction, or ED.

Cialis is a prescription medication that you’ll need to talk to your doctor about. It is not available over the counter in the United States.

If you have erectile dysfunction, getting a prescription for Cialis, Viagra and other ED medication is an easy process. Our online medical consultation and tadalafil (the active ingredient in Cialis) subscription simplifies the process because you don’t physically need to see a doctor—you can receive tadalafil easy and discreetly without ever having to walk into a doctor’s office.

Below, we’ve explained how you can get a prescription for Cialis and other medications used to treat erectile dysfunction. We’ve also looked at some common over-the-counter Cialis substitute pills and why they’re generally not worth using.

How to Get a Cialis Prescription

If you have erectile dysfunction, Cialis is one of several drugs that can help improve your sexual performance and help you maintain stronger, more reliable erections.

Cialis is a long-lasting erectile dysfunction drug. While drugs like Viagra and Levitra usually last for four to six after you take them, Cialis can provide relief from erectile dysfunction for as long as two days.

Our Cialis vs. Viagra guide goes into more detail on the advantages of Cialis compared to other ED medications.

Like Viagra, there are multiple ways to get a Cialis prescription if you have erectile dysfunction or other sexual performance issues.

Visit Your Doctor

If you have erectile dysfunction, your local doctor will be able to prescribe you Cialis as one of several treatment options.

To get a Cialis prescription from your doctor, schedule an appointment. Be frank and honest with your doctor and explain your symptoms. If your doctor thinks you’re a good candidate for Cialis, they’ll usually be happy to write you a prescription.

Since talking about your sex life isn’t always the most comfortable experience, this method has its downsides, especially if you’ve been going to the same doctor for years and have a friendly, easygoing relationship.

Luckily, if you’d prefer not to talk about ED with your doctor, there are other ways to get a Cialis prescription.

Have an Online Medical Consultation

If you don’t want to talk about your sex life with your doctor, or you just prefer the convenience of doing things from home, you can also get a Cialis prescription online.

We offer tadalafil (the active ingredient in Cialis) as a convenient monthly subscription, letting you access the ED medication you need for a fulfilling sex life without having to make any trips to your local pharmacy.

Since tadalafil is only available on prescription, you’ll need to complete an online consultation with an independent physician before your order is shipped. If you’re a good candidate, you’ll receive a valid prescription for Cialis online.

“Am I Too Young for a Cialis Prescription?”

For the most part, erectile dysfunction is a condition that’s mostly associated with middle-aged and older men.

The reality of erectile dysfunction is that any man, of any age, can experience problems getting and maintaining an erection. According to data from the Cleveland Clinic, 40% of men will face some issues with erectile dysfunction by the age of 40.

Erectile dysfunction and other sexual performance issues are also common in younger men—an issue that’s often described as porn-induced ED.

If you’re in your 20s or 30s and have erectile dysfunction, performance anxiety or other issues, you’re not too young to use Cialis. Cialis is completely safe for younger men, meaning there’s no reason not to consider it as a treatment if you have ED.

Over-the-Counter Cialis Substitutes and Sellers

Like Viagra, Cialis has a well-deserved reputation as a safe and effective treatment for erectile dysfunction. Because of this, there are countless over-the-counter “Cialis substitute” available online, in convenience stores, sex stores and gas stations.

These products usually fit into one of two categories. The first are herbal over-the-counter Cialis substitutes that use ingredients like L-arginine and ginseng. While there’s limited evidence that these ingredients might improve sexual performance, none are approved by the FDA.

And let us be clear: You cannot get Cialis over the counter.

On the whole, these products usually aren’t effective as treatments for erectile dysfunction, and not one of them is a Cialis substitute. The majority of studies into herbal, natural Cialis substitutes show that they perform about as well as non-therapeutic placebos.

The second category of products claim to be safe, “100% natural” over-the-counter Cialis substitutes. These products often contain hidden, undeclared pharmaceutical ingredients, such as tadalafil (the active ingredient in Cialis) and sildenafil (the active ingredient in Viagra).

Information on these products is available from the FDA, which maintains a list of tainted sexual enhancement products. The active ingredients in these pills are often dosed in excess, making them dangerous if you have a heart condition or use nitrates to treat hypertension.

Some of these tainted over-the-counter Cialis knock-off supplements contain multiple ingredients, meaning you might take more than one ED drug without realizing it.

As you’ve probably guessed, these over-the-counter Cialis substitutes are best avoided. While there might be some sexual benefits to supplements like ginseng and L-arginine, the massive number of spiked, dangerous products in this category make it a minefield for customers.

Instead, if you need to treat ED and improve your sexual performance, stick to FDA-approved medications such as Cialis (tadalafil), Viagra (sildenafil) and Levitra (vardenafil).

Learn More About Treating Erectile Dysfunction

Tadalafil, the active ingredient in Cialis, is one of several FDA-approved treatments available for erectile dysfunction.

Interested in treating ED but don’t know where to get started? Our guide to what to expect from erectile dysfunction medication covers the essentials of using Cialis, Viagra and other ED drugs, while our Cialis vs. Viagra guide compares Cialis to its shorter-acting counterpart, sildenafil.

Want more ED tips from the people who know best? Check out the hims blog

Important Safety Information

IMPORTANT SAFETY INFORMATION

Do not take Sildenafil (sildenafil citrate) if you:

  • take any medicines called nitrates, often prescribed for chest pain, or guanylate cyclase stimulators like Adempas (riociguat) for pulmonary hypertension. Your blood pressure could drop to an unsafe level
  • are allergic to sildenafil, as contained in Sildenafil and REVATIO, or any of the ingredients in Sildenafil

    Discuss your health with your doctor to ensure that you are healthy enough for sex. If you experience chest pain, dizziness, or
nausea during sex, seek immediate medical help

    Sildenafil can cause serious side effects. Rarely reported side effects include:

  • an erection that will not go away (priapism). If you have an erection that lasts more than 4 hours, get medical help right away.
If it is not treated right away, priapism can permanently damage your penis
  • sudden vision loss in one or both eyes. Sudden vision loss in one or both eyes can be a sign of a serious eye problem called
non-arteritic anterior ischemic optic neuropathy (NAION). Stop taking Sildenafil and call your healthcare provider right away if you
have any sudden vision loss
  • sudden hearing decrease or hearing loss. Some people may also have ringing in their ears (tinnitus) or dizziness. If you have
these symptoms, stop taking Sildenafil and contact a doctor right away

    Before you take Sildenafil, tell your healthcare provider if you:

  • have or have had heart problems such as a heart attack,
irregular heartbeat, angina, chest pain, narrowing of the aortic valve, or heart failure
  • have had heart surgery within the last 6 months
  • have pulmonary hypertension
  • have had a stroke
  • have low blood pressure, or high blood pressure that
is not controlled
  • have a deformed penis shape
  • have had an erection that lasted for more than 4 hours
  • have problems with your blood cells such as sickle cell
anemia, multiple myeloma, or leukemia
  • have retinitis pigmentosa, a rare genetic (runs in families)
eye disease
  • have ever had severe vision loss, including an eye problem
called NAION
  • have bleeding problems
  • have or have had stomach ulcers
  • have liver problems
  • have kidney problems or are having kidney dialysis have any other medical conditions

    Tell your healthcare provider about all the medicines you take, including prescription and over-the-counter medicines, vitamins,
and herbal supplements.

    Sildenafil may affect the way other medicines work, and other medicines may affect the way Sildenafil works, causing side effects.
Especially tell your healthcare provider if you take any of the following:

  • medicines called nitrates
  • medicines called guanylate cyclase stimulators such as Adempas (riociguat)
  • medicines called alpha-blockers such as Hytrin (terazosin
HCl), Flomax (tamsulosin HCl), Cardura (doxazosin
mesylate), Minipress (prazosin HCl), Uroxatral (alfuzosin HCl),
 Jalyn (dutasteride and tamsulosin HCl), or Rapaflo (silodosin).
Alpha-blockers are sometimes prescribed for prostate
problems or high blood pressure. In some patients, the use
of Sildenafil with alpha-blockers can lead to a drop in blood pressure or to fainting
  • medicines called HIV protease inhibitors, such as ritonavir (Norvir), indinavir sulfate (Crixivan), saquinavir (Fortovase or Invirase), or atazanavir sulfate (Reyataz)
  • some types of oral antifungal medicines, such as
 ketoconazole (Nizoral) and itraconazole (Sporanox)
  • some types of antibiotics, such as clarithromycin (Biaxin),
telithromycin (Ketek), or erythromycin
  • other medicines that treat high blood pressure
  • other medicines or treatments for ED
  • Sildenafil contains sildenafil, which is the same medicine found
in another drug called REVATIO. REVATIO is used to treat a
rare disease called pulmonary arterial hypertension (PAH).
 Sildenafil should not be used with REVATIO or with other PAH
treatments containing sildenafil or any other PDE5 inhibitors
(such as Adcirca tadalafil)

    Sildenafil does not protect against sexually transmitted diseases, including HIV.

    The most common side effects of Sildenafil: headache; flushing; upset stomach; abnormal vision, such as changes in color vision
(such as having a blue color tinge) and blurred vision; stuffy or runny nose; back pain; muscle pain; nausea; dizziness; rash.

    Sildenafil (sildenafil citrate) is prescription medicine used to treat erectile dysfunction (ED).

    Sildenafil is not for women or children.