Cialis - Anyone using the once a day tablets (smaller doze)

[rico1999]

I have been talking with my doctor about getting an alternative to Viagra, I have a very active sex life and i would rather feel ready all the time, not just when i think im going to have sex and then take a pill. I also get a red face with viagra. The doctor suggested taking the Cialis pills everyday. Is anyone taking the smaller doze on a daily basis and does it work well on this daily low doze? I was also told its not available on the NHS so im looking to try a months worth and see how it goes. So onto my next question, where is the cheapest place to buy it? I could get a prescription if required or get an online one.

[bigmanbigman]

Nhs £64 for 4 pills 20mgs freely available copies due to come off of patent  copyright soon
2017 but may be wrong

[tantric talents]

Nhs £64 for 4 pills 20mgs freely available copies due to come off of patent  copyright soon
2017 but may be wrong

Yes patent expires towards end of this year. ( Nov? ) Price will then drop considerably and nhs may make it available to certain eligible ED patients.

[rico1999]

If your taking it daily the tablets are 2.5mg or 5mg.

Superdrug is £75 for 28 tablets but i would like to think you can get them cheaper, there is so many online chemists these days so i need to know of a reliable supplier.

External Link/Members Only

If they become available later this year ill go back to the doctor, thanks for the info, for the mean time i still want to buy these and try them out.

[tantric talents]

You can also get Generic Tadalafil from Kamagra Direct
External Link/Members Only

[crfc]

Check to see if there is a 'Mens health clinic' in your srea, if there is ask the GP to refer you as they can issue cialis om prescription! How is your blood pressure? As these drugs will lower it,also you need to be taking cialis for a few days before it begins to weave its magic unlike the within an hour viagra!

[tantric talents]

External Link/Members Only
Seem to be even better value at around a pound a pill if you buy 60

[Marmalade]

The once a day tabs are unduly expensive as it costs the same in production, packaging and marketing as regular ones. More economical to take a nibble of a regular 20mg one. Same for regular users if you have access to 40 or 60 mg ones.

[Marmalade]

External Link/Members Only
Seem to be even better value at around a pound a pill if you buy 60

A reasonable price if it's a good supplier. But I thought the question was about daily (5 or 10) mg tabs of cialis, not viagra...

Oops sorry... didn't read it properly. Answering quickly on iPhone while having a shite. 

[cmspunk]

Has anyone used this site?

You can also get Generic Tadalafil from Kamagra Direct
External Link/Members Only

[tantric talents]

Has anyone used this site?

Yes, a while back. They were reliable.

[Sattob]

For the past two years I have been on an NHS prescription of Cialis 5mg daily. However I found it better to take a weekly supply in one dose when I expect to be with a girl. Sadly I'm now off the prescription.

[Dr Watson 60]

Try drfox.co.uk. UK based. You will get the genuine article.  Prices are on the website. Best not to endanger your health with products from abroad.

[hungrypunt]

I uses cialis, get the full size tabs and us a pill splitter, far cheaper.

I also agree with dr fox online..

[Hertsgent]

For the past two years I have been on an NHS prescription of Cialis 5mg daily. However I found it better to take a weekly supply in one dose when I expect to be with a girl. Sadly I'm now off the prescription.

That's interesting.....do you do the same with paracetamol too when you need that (take 7x the dose)?

[Sattob]

That's interesting.....do you do the same with paracetamol too when you need that (take 7x the dose)?

Clearly I'm not taking 35mg daily!

Cialis can be taken as a daily dose or a one-off shot, their website says so. I find that a 20mg dose (4x5mg) is good. So, that's my preferred way. My doctor is aware I'm doing (or was doing) this. However, I sometimes up the dose slightly, and have found that my best is slightly more than 20, so, 25 or 30, however, 40 doesn't seem to do more any extra. As Cialis comes in 40mg single shots, it's obviously seen as safe in this dosage.

[bigmanbigman]

I understood that 20mg was the biggest pill size ?

[Marmalade]

I understood that 20mg was the biggest pill size ?

60mg is the biggest I've seen.

[Marmalade]

I understand that cialis/tadalafil is pretty safe. One of the dangers of taking too much is not being able to get rid of a hard on: not a problem if you're doing lots of shagging but if you fall asleep with a hard on for more than four hours with a woody the texts say there could be a possibility of damage. 

[Hertsgent]

It is safe (providing no dodgy ticker and associated meds) - is used for pulmonary hypertension at 40mg daily doses.

[Northerndave666]

You can also get Generic Tadalafil from Kamagra Direct
External Link/Members Only

As the patent for Tadalafil expires on 21st Nov 2017, then I would doubt the validity of these tablets. These can't be Tadalafil

[Northerndave666]

60mg is the biggest I've seen.

Rubbish, 20mg is the largest Eli Lily produce: External Link/Members Only

[Sattob]

As the patent for Tadalafil expires on 21st Nov 2017, then I would doubt the validity of these tablets. These can't be Tadalafil

Indian copies? Or grey market? (cheaper drugs specifically made for the third world then slipped back in to the west at much cheaper prices)

[Sattob]

Oh, I found that taking too much Cialis gives me a nose bleed, so I stick to the lower single dosages. It does the trick, lasts for 2 days, and doesn't eat into my supply.

[Marmalade]

Rubbish, 20mg is the largest Eli Lily produce: External Link/Members Only

Well no it's not rubbish because I've got some. 
Eli Lily are not the only producers of tadalafil, you twat.

[Marmalade]

Indian copies? Or grey market? (cheaper drugs specifically made for the third world then slipped back in to the west at much cheaper prices)

Several large pharmas do not recognise the American patent restrictions. If they did, a lot more people in the world would be dead. What's more, the NHS often buys up generics from them.

[Sattob]

Well no it's not rubbish because I've got some. 
Eli Lily are not the only producers of tadalafil, you twat.

Chaps, you're both right. Cialis is to 20mg, but generic producers of Tadalafil do produce it in larger sizes (legally or otherwise)

[Marmalade]

Chaps, you're both right. Cialis is to 20mg, but generic producers of Tadalafil do produce it in larger sizes (legally or otherwise)

Indeed. It's not really that hard to understand.
External Link/Members Only

It gets a bit boring contributing technical info on this and similar threads though when so many people don't even accept (for instance) that Viagra and kamagra are chemically the same. 

[the gardener]

I have been talking with my doctor about getting an alternative to Viagra, I have a very active sex life and i would rather feel ready all the time, not just when i think im going to have sex and then take a pill. I also get a red face with viagra. The doctor suggested taking the Cialis pills everyday. Is anyone taking the smaller doze on a daily basis and does it work well on this daily low doze? I was also told its not available on the NHS so im looking to try a months worth and see how it goes. So onto my next question, where is the cheapest place to buy it? I could get a prescription if required or get an online one.

I've been prescribed 5mg Cialis daily for BPH. However I stopped taking them because they caused acid reflux. Even a small beer would cause excruciating heartburn, and my teeth started to go black!. I was then prescribed an antacid, one of the side effects of which is ED  . So naturally I stopped taking them. They also caused a loss of libido. Why the fuck is the body so complicated.

Now I take a larger dose a day before I need them. I take 10mg as and when, it makes it harder (intentional pun) to ejaculate but then trying to cum is where the fun is.  I've got a couple of 28 x 5 mg packs in excess of my requirements. PM me if you want to buy a pack or two.

[tantric talents]

As the patent for Tadalafil expires on 21st Nov 2017, then I would doubt the validity of these tablets. These can't be Tadalafil

Cialis is the brand and the parent company Eli Lilly holds the patent.
Tadalafil is the name of the drug and Indian pharmacies and others are perfectly capable of copying it following the patent formula. They just can't sell it "legally" in those countries who recognise the patent such as the UK. It doesn't mean you can't "obtain" it online.

[tantric talents]

I've been prescribed 5mg Cialis daily for BPH. However I stopped taking them because they caused acid reflux. Even a small beer would cause excruciating heartburn, and my teeth started to go black!. I was then prescribed an antacid, one of the side effects of which is ED  . So naturally I stopped taking them.

I hope the script medicine was not Omeprazole, sold under the brand names Prilosec and Losec among others? It has many truly horrendous side effects.
If so I would stop it and consider alkalising alternatives such as Rayobase and an alteration to your diet. 

[the gardener]

Thanks for the info. I only took a couple of the omeprazole and stopped after I looked up the side effects some of which I noticed more or less immediately. I'll look into the medication you've suggested. Don't need to change my diet as its loosely based on a mediteranean diet with lots of vegetables, pasta, fish, lean meat and plenty of olive oil.  Also I'm a fairly fit, active, non smoker, and not overweight. Despite looking after my body as best I can age is taking its toll where I most don't want it to.

I'm now experimenting with dietary supplements suggested on trawls through the internet, most successful of which for my prostate issue is Saw Palmetto. I've found I get the same relief as Cialis enabling me to save the Cialis for when I need it for its intended purpose. In conjunction with the Coolidge effect it works wonders most times.

[Northerndave666]

Well no it's not rubbish because I've got some. 
Eli Lily are not the only producers of tadalafil, you twat.

Twat? Bit over the top isn't it you Cunt.

You enjoy your Indian knock-offs of drugs that took years to develop and test, drugs that directly interfere with blood flow, from an country with one of the lowest hygiene standards in the world (just google Indian baby milk disaster for example).

Licenced Tadalafil is 20mg max. We're not talking about dodgy unlicenced copies.

Oh, and while you're saving a few pounds, bear this in mind...

External Link/Members Only

[bigmanbigman]

What is not understood is each drug has a product name viagra and a chemical name silnerfil
The price is like viagra £8 a tab and silderfil 20p a tab
Both have the same active ingredients  nhs will not prescribe viagra because of cost .but now patent expired cost has dropped .

[Hertsgent]

Worth bearing in mind (as alluded to above) that kamagra (sildenafil/viagra) and the tadalafil version (tadalafil/cialis) from that Indian supplier are unlicensed in the UK. You take greater risks with them, as licensing not only ensures the product conforms to Western quality standards ( quite important when you are taking potent drugs), but also has safeguards in the supply chain to ensure you get the bona fide product.

Clearly one can see why tadalafil is unlicensed (because it breaks the patent law), but not sure why kamagra (sildenafil) is unlicensed - presumably they can't guarantee either the product quality or the integrity of the supply chain.....

Then I can see why someone would get tadalafil this way (much cheaper because it breaks patent law), but mystified on sildenafil, as you can buy it so cheap anyway from a licensed and regulated source now it is generic (Dr Fox for example).

[Marmalade]

Here's the stuff on cialis/tadalafil patents.
External Link/Members Only
The American patent does not apply in India. Ajanta Pharma is a major Indian drugs pharmaceutical company manufacturing to strict standards.

Omeprazole was developed as a replacement for drugs like ranitidine. If you get unwanted effects from omeprazole, just ask your doctor for ranitidine (300mg). You can get low dosage over the counter but 300mg is a safer bet. It has a slight effect of increasing the effect of ED drugs so no worries there.

I'll leave it to members who do their proper research or who also have some training in these areas to work out if I talk rubbish in these areas. You'll find I don't. If I make a mistake I'm always happy to correct it.

[bigmanbigman]

sildenafil/Viagra
My docter prescribed sildenafil
But Lloyd s give me Viagra ?
Work that out.

[Marmalade]

sildenafil/Viagra
My docter prescribed sildenafil
But Lloyd s give me Viagra ?
Work that out.

Well no, you work it out. The doctor prescribes the medicine by its medical name. Lloyds gave you the most well known brand of that medicine. If you examine the packaging or inside of your Lloyds Viagra you'll find something like "Viagra is sildenafil." A doctor often leaves it to the dispensing pharmacy to give you whatever brand they have. Lloyds give you the popular brand that you specifically ordered. As for Northerntwatguy I see he enjoys being a professional scaremonger, from don't punt in America to avoid prossies in case they're trafficked. Use common sense, preferable with information that doesn't just come from scaremongers. Fwiw, I just post to try and help other punters.

[Northerndave666]

Well no, you work it out. The doctor prescribes the medicine by its medical name. Lloyds gave you the most well known brand of that medicine. If you examine the packaging or inside of your Lloyds Viagra you'll find something like "Viagra is sildenafil." A doctor often leaves it to the dispensing pharmacy to give you whatever brand they have. Lloyds give you the popular brand that you specifically ordered. As for Northerntwatguy I see he enjoys being a professional scaremonger, from don't punt in America to avoid prossies in case they're trafficked. Use common sense, preferable with information that doesn't just come from scaremongers. Fwiw, I just post to try and help other punters.

Good to see you take such a keen interest in my posting history, I don't care that much about you to do the same.

God forbid you'd be wrong eh? Yep, I wouldn't punt in the USA, as many others also agree on, yes there are trafficked girls, we all know that. I'd call it common sense, you call it scaremongering, so fair enough, I'll call you a cunt for reacting the way you did when called out as offering shite info, and you can call me what you fucking well want, as quite frankly, I couldn't give a shit what the fuck you think.

Of course when you look in the mirror, I have a feeling you think you see God staring back, in which case I await your reply

[Marmalade]

Good to see you take such a keen interest in my posting history, I don't care that much about you to do the same.

God forbid you'd be wrong eh? Yep, I wouldn't punt in the USA, as many others also agree on, yes there are trafficked girls, we all know that. I'd call it common sense, you call it scaremongering, so fair enough, I'll call you a cunt for reacting the way you did when called out as offering shite info, and you can call me what you fucking well want, as quite frankly, I couldn't give a shit what the fuck you think.

Of course when you look in the mirror, I have a feeling you think you see God staring back, in which case I await your reply

This is the last time I'll bother replying to your gobshite. You are clearly a pussy even if you have a big gob. Not all punters are as afraid to examine things they don't know as you. Very sad that you've been all over America and tell others not to as it is too dangerous for you. Some punters have insight, wider experience, and able to make good decisions on such things. They by and large manage to avoid trafficked girls, the adventurous can and do have great punting experiences in the punting desert of the USA, and take enough care to distinguish between good and bad quality drugs. Not everyone's a fucking pussy. Stay in your comfort zone and when all you have to offer is newspaper scare stories or your pathetic so-called experience in other countries, know that some discerning posters will be able to read posts from people who can post medical info or experience to help others negotiate difficult punting places instead of just running a fucking mile. Now go and wipe your back passage when you mouth off. Your food might just taste better. 

[Northerndave666]

This is the last time I'll bother replying to your gobshite. You are clearly a pussy even if you have a big gob. Not all punters are as afraid to examine things they don't know as you. Very sad that you've been all over America and tell others not to as it is too dangerous for you. Some punters have insight, wider experience, and able to make good decisions on such things. They by and large manage to avoid trafficked girls, the adventurous can and do have great punting experiences in the punting desert of the USA, and take enough care to distinguish between good and bad quality drugs. Not everyone's a fucking pussy. Stay in your comfort zone and when all you have to offer is newspaper scare stories or your pathetic so-called experience in other countries, know that some discerning posters will be able to read posts from people who can post medical info or experience to help others negotiate difficult punting places instead of just running a fucking mile. Now go and wipe your back passage when you mouth off. Your food might just taste better. 

Zzzzzzzzzzzzz whatever Cunt

[tantric talents]

I'm now experimenting with dietary supplements suggested on trawls through the internet, most successful of which for my prostate issue is Saw Palmetto.

Well of course that and pumpkin seeds are the goto for some prostate problems. It depends what you have.
Other recommended supplements many of which have been tested or clinically reported on include;

Curcumin (3000)
Broccomax
Boron
Soy isoflavones
Vitamin d3
Green tea extract
Epa and dha
Flaxseed
Coenzyme q10g
Vitamin e
Lycopene
Selenium
Zinc
Silymarin
Gla
Pomegranate
Saw palmetto
Resveratrol
Phytosterol
Vitamin K
Apigenin nb
Ginger
IP6
NAC
Quercetin
Reishi
5-loxin
Watercress extract
Grapeseed  extract
Licorice
Modified citrus pectin
Pancreatic enzymes

[Hertsgent]

I'd be interested to know which of these have been clinically reported on in a controlled clinical trial (that all pharmaceuticals have to pass) - just because Holland & Barrett and the like write whatever bollocks comes into their head on the label does not mean it is true 

I think Indian PDE5 inhibitors might work better and be safer than some of these - and that is from someone that on this thread has suggested care with those suppliers 

[tantric talents]

I'd be interested to know which of these have been clinically reported on in a controlled clinical trial (that all pharmaceuticals have to pass) - just because Holland & Barrett and the like write whatever bollocks comes into their head on the label does not mean it is true 

I think you should be aware that supplement manufacturers by law cannot put any claims on their labelling. I think you must also be aware that drug companies don't undertake clinical trials for things they can't patent as there is no mega money in it for them.Vitamin D3, Boron and Selenium are classic examples of mega useful supplements you will never get "on prescription" it doesn't mean they have no efficacy.
Many pharmaceutical drugs are derived from natural sources in the first place
If you are interested then be my guest and do your own research.
But here's a starter. Take the second one as an example, broccomax containing sulforaphane as well as indole-3-carbinol, 3,3’-diindolylmethane, and phenethyl isothiocyanate
External Link/Members Only
 "There is increasing evidence that isothiocyanates such as sulforaphane play an important role in human health and the prevention of diseases such as cancer, ischemia reperfusion damage and others [5,28,29]. The current study further characterizes the bioavailability and kinetics of ITCs from a whole food source versus a dietary supplement, and have implications regarding consumer choices of how to best incorporate the chemopreventive effects of sulforaphane into their diets."

And some more light reading with references for anyone who is interested;
External Link/Members Only

[Marmalade]

I'd be interested to know which of these have been clinically reported on in a controlled clinical trial (that all pharmaceuticals have to pass) - just because Holland & Barrett and the like write whatever bollocks comes into their head on the label does not mean it is true 

I think Indian PDE5 inhibitors might work better and be safer than some of these - and that is from someone that on this thread has suggested care with those suppliers 

The 'food supplement' products don't go through the same extensive testing as medicinal products though every so often some law will come up on safety or labelling, or someone will do some trials that find their way into the medical journals. Unfortunately, just because something hasn't been tested beyond reasonable doubt doesn't mean it works or doesn't work. Many medicines were of course first derived from natural substances.

On some of them, there will be fairly good data. (Going through medical reports is good but even those you have to notice when the double blind studies are flawed or lacking, especially in non- peer-reviewed journals or elsewhere stuff published by manufacturers under a different name).

My first approach with things like vitamins is to look at two manuals. One tells me all the things that a vitamin is reputed to do, and the other is super-critical and says all the flaws in the studies and lack of proof. Occasionally one wins out; often the answer is somewhere between the two. Something in the body might be 'essential for normal sexual function' but if a supplement isn't absorbed in the stomach it may have no more than a placebo effect.

There's also multi-herbal formulas like VigRX Plus that have gathered some serious discussion in the medical community but I think there's a big 'guinea pig' factor if you want to try these sort of things compared to the extensively tested medical drugs.

[bigmanbigman]

Beaware of sample size in these tests sometimes tiny.

[Hertsgent]

I think you should be aware that supplement manufacturers by law cannot put any claims on their labelling. I think you must also be aware that drug companies don't undertake clinical trials for things they can't patent as there is no mega money in it for them.Vitamin D3, Boron and Selenium are classic examples of mega useful supplements you will never get "on prescription" it doesn't mean they have no efficacy.
Many pharmaceutical drugs are derived from natural sources in the first place
If you are interested then be my guest and do your own research.
But here's a starter. Take the second one as an example, broccomax containing sulforaphane as well as indole-3-carbinol, 3,3’-diindolylmethane, and phenethyl isothiocyanate
External Link/Members Only
 "There is increasing evidence that isothiocyanates such as sulforaphane play an important role in human health and the prevention of diseases such as cancer, ischemia reperfusion damage and others [5,28,29]. The current study further characterizes the bioavailability and kinetics of ITCs from a whole food source versus a dietary supplement, and have implications regarding consumer choices of how to best incorporate the chemopreventive effects of sulforaphane into their diets."

And some more light reading with references for anyone who is interested;
External Link/Members Only

Those aren't successful clinical trials that would get a prescription pharmaceutical registered - all they show is that you get biological marker changes in response to "drug". The prostate cancer one typifies the bollocks that gives patients false hope - to get any cancer drug approved now you need to show patients live longer. 90% of drugs fail in clinical trials, most of them show biomarker changes consistent with what the scientist was trying to achieve, but do not affect disease.

So, I'm not suggesting they are all ineffective, but the law of averages suggests 90% will be.

If it was so easy to prove, then a charity would do the trial - and there are many cancer trials run in this country by cancer charities.....almost always of pure classic drugs and not supplements.

[Marmalade]

Beaware of sample size in these tests sometimes tiny.

Another good point. A further one is studies that can't be replicated (a 'scandal' in psychology studies recently). Some of them will add to the big picture. Some won't.

[tantric talents]

So, I'm not suggesting they are all ineffective, but the law of averages suggests 90% will be.

Well here's one of the 10% that has worked on a close friend. See my first post on this thread
https://www.ukpunting.com/index.php?topic=134928.msg1505965#msg1505965
As far as what I think of most Cancer charities...
External Link/Members Only

[tantric talents]

sorry butterfingers hit quote instead of mod! Bloody smartphones!