Taladafil info

[Denzel112]

I take 5mg of cialis 4-5 days a week (when i go to the gym) for blood flow and pump benefits.

I have no problems with ED, however on occasions when seeing SPs I have taken 10mg 30-60mins before hand, and i must say my dick never goes limp in the hour sessions, I've also had to re-adjust my cock into my boxers when I leave because it is still hard

[shagmore]

Not if you are fit and health and medication free, the small drop in BP, while measurable, is unnoticeable and of no real significance.

It may potentially be more problematic for those with pre-existing medical conditions, in particular anyone on BP medication, but even then will rarely result in 'dangerously' low levels.

I was just going on what was said on the label, but always seek medical advise, I am no doctor

[Doc Holliday]

I was just going on what was said on the label, but always seek medical advise, I am no doctor

In the Patient Information Leaflet the 'dangerous drop in blood pressure' is only a concern for anyone taking nitrate medication. This is commonly used to treat angina. The same applies to Amyl Nitrate more commonly known as 'poppers' and used recreationally by some people during sexual activity. Otherwise there is no real problem 

[Thephoenix]

In the Patient Information Leaflet the 'dangerous drop in blood pressure' is only a concern for anyone taking nitrate medication. This is commonly used to treat angina. The same applies to Amyl Nitrate more commonly known as 'poppers' and used recreationally by some people during sexual activity. Otherwise there is no real problem 

Never mind  tadalafil Doc!
Keep your comments going cos those tits of yours are working wonders for my ED.   



Hidden Image/Members Only

[Doc Holliday]

Never mind  tadalafil Doc!
Keep your comments going cos those tits of yours are working wonders for my ED.   

That's positive news and suggests that our therapy sessions have had a positive outcome with your Mr floppy Erectile Dysfunction problem.

I will advise my Secretary to forward you an up to date account of my professional fees. Early settlement would be appreciated.

If you wish to arrange any further treatment, please let her know and I will update my avatar picture accordingly. 

[londonroad]

Firstly, what is a 'sex professional'?

Secondly, may I ask is the 20mg Tadalafil being prescribed on NHS prescription, as you meet the eligibility criteria? Also why is your GP advising you to bite off a quarter of a 20mg tablet rather than use a pill splitter?

So that readers of this thread can grasp the issue here I take the liberty of repeating below a separate post from Doc Holliday about getting Tadalafil from your GP.

Doc Holliday posted the following in response to this post
‘ Ye, pretty much generally the case now I think. Private prescription option only’


When I first approached my GP practice for ED tablets earlier this year, I was called into the surgery for an appointment. It was with a trainee GP. I asked for Tadalafil 10mg but he said he would need to refer this to someone more senior. Eventually a prescription was issued for Sildenafil 50mg, but no clear explanation was given as to why they couldn’t prescribe Tadalafil 10mg.
Recently I made a specific online request to my GP practice for Tadalafil 10mg explaining again that I needed something as a ‘weekend pill’. I added that I had previously used Tadalafil 10mg via private prescription. Eventually this request was approved - but only for four tablets. Communication with the GP surgery is via an online platform and I had been hoping to understand why the GP practice is reluctant is prescribe Tadalafil as I’m keen to learn if there are health or other risks I need to be aware of.
I’m going to try and get a repeat prescription for Tadalafil 10mg and if that is successful, I then intend asking directly for Cialis 5mg. I have never tried using Cialis 5mg - even via private prescription. It will be interesting to see what response I get.
Incidentally, because I’m an older chap I don’t have to pay for my prescriptions - hence my efforts to now get all my ED tablets from my GP practice.

[Munter84]

may I ask is the 20mg Tadalafil being prescribed on NHS prescription, as you meet the eligibility criteria? Also why is your GP advising you to bite off a quarter of a 20mg tablet rather than use a pill splitter?

Yes, the Tadalafil was via NHS at the time (I now buy generic OTC). I can't tell you exactly what my GP's reasoning was 

[scutty brown]

Most GP groups refuse to allow prescriptions for tadalafil on cost grounds unless there are other issues making the case more complex such as MS or Parkinson's. Even then the most you're likely to get is 4x20mg / month.
Your chances of getting a 5mg daily prescription are probably between nil and zero. It's too expensive, and most GPs see it only as a secondary treatment for prostate enlargement - and even then it's often regarded as unnecessary or invalid as a treatment. I tried discussing it with my GP and he refused to accept it as a valid treatment, and that seems to be a common view

[Doc Holliday]

Doc Holliday posted the following in response to this post
‘ Ye, pretty much generally the case now I think. Private prescription option only’


When I first approached my GP practice for ED tablets earlier this year, I was called into the surgery for an appointment. It was with a trainee GP. I asked for Tadalafil 10mg but he said he would need to refer this to someone more senior. Eventually a prescription was issued for Sildenafil 50mg, but no clear explanation was given as to why they couldn’t prescribe Tadalafil 10mg.
Recently I made a specific online request to my GP practice for Tadalafil 10mg explaining again that I needed something as a ‘weekend pill’. I added that I had previously used Tadalafil 10mg via private prescription. Eventually this request was approved - but only for four tablets. Communication with the GP surgery is via an online platform and I had been hoping to understand why the GP practice is reluctant is prescribe Tadalafil as I’m keen to learn if there are health or other risks I need to be aware of.
I’m going to try and get a repeat prescription for Tadalafil 10mg and if that is successful, I then intend asking directly for Cialis 5mg. I have never tried using Cialis 5mg - even via private prescription. It will be interesting to see what response I get.
Incidentally, because I’m an older chap I don’t have to pay for my prescriptions - hence my efforts to now get all my ED tablets from my GP practice.

Thanks for that. Interesting. The situation regarding ED meds and the NHS  has been one of constant evolution and also post code differences. This has led to confusion for everyone including health professionals. The last time I posted about this in detail was a while ago and further changes in protocol were apparently in the pipeline at that time.

I am seeing my GP later this morning and as a starting point will enquire about the current situation 

[Doc Holliday]

So leading on from above I ended up down something of an NHS rabbit hole. What a shambles 

This will likely only be of interest to those members who are prescribed ED meds by their GP.

I last reported on this in 2024.

https://www.ukpunting.com/index.php?topic=431025.msg4279075#msg4279075

Historically branded ED meds Viagra, Cialis etc were only available on NHS prescription for those who met the Selected List Scheme (SLS) criteria and which is shown below.

All options have been available on private prescription if medically/clinically justified and on the basis that there is no charge for issuing the prescription just the cost of the medication and dispensing it.

Once the Viagra patent expired and generics became available, then generic sildenafil eventually could be prescribed for everyone on NHS prescription and not just those eligible under SLS criteria, but with quantity restrictions.

Generic Tadalafil when it became available, was vastly cheaper than Cialis, but was still only available on NHS prescription under SLS. 

Somewhere along the line it was decided that daily tadalafil 5mg for ED showed no benefit over ‘on demand’ dosing and it was recommended it no longer be available at all on the NHS even under SLS (in most regions) and it was removed.

However, in 2023 this was reversed again and by 2024 most ICGs had updated their Formularies to include Tadalafil daily but only to those eligible under SLS.

Not only was it back in vogue, but some ICB recommendations are advising its use over ‘on demand’ tadalafil.

So fast forward and I have learned today that the SLS requirement for both generic Tadalfil and Vardenafil was removed nine months ago in October 2025.
 
External Link/Members Only

This means that they are available to everyone on NHS prescription and not just SLS patients, though quantity may be restricted.

There are now also way more local variations in first line treatment. Most still have Sildenafil as first choice progressing to Tadalafil (either on demand or daily) but one had Tadalfil as first choice?

The only consistency seems to be that 2.5mg Tadalafil tablets should not be prescribed on NHS prescriptions due to their cost compared to 5mg. Splitting however is not advised.

If you want to find out your local prescribing guidelines, first find your relevant ICB here
External Link/Members Only

From there you need to search for the current Formulary linked to that ICB. This is not always straight forward as it seems some ICB’s have sub division formularies.

This is my local ICB Formulary External Link/Members Only

It also links to this flow diagram protocol (others may not)

External Link/Members Only

Now this is actually bang up to date with the changes in 2024 and October 2025, but when looking at a random selection of other ICB's some were equally up to date but others were not.

When searching, do not rely on AI summaries as they are mostly incorrect and out of date. Largely because the sources they are using are also either conflicting or out of date. Good luck.





Hidden Image/Members Only

[londonroad]

So leading on from above I ended up down something of an NHS rabbit hole. What a shambles 

This will likely only be of interest to those members who are prescribed ED meds by their GP.

I last reported on this in 2024.

https://www.ukpunting.com/index.php?topic=431025.msg4279075#msg4279075

Historically branded ED meds Viagra, Cialis etc were only available on NHS prescription for those who met the Selected List Scheme (SLS) criteria and which is shown below.

All options have been available on private prescription if medically/clinically justified and on the basis that there is no charge for issuing the prescription just the cost of the medication and dispensing it.

Once the Viagra patent expired and generics became available, then generic sildenafil eventually could be prescribed for everyone on NHS prescription and not just those eligible under SLS criteria, but with quantity restrictions.

Generic Tadalafil when it became available, was vastly cheaper than Cialis, but was still only available on NHS prescription under SLS. 

Somewhere along the line it was decided that daily tadalafil 5mg for ED showed no benefit over ‘on demand’ dosing and it was recommended it no longer be available at all on the NHS even under SLS (in most regions) and it was removed.

However, in 2023 this was reversed again and by 2024 most ICGs had updated their Formularies to include Tadalafil daily but only to those eligible under SLS.

Not only was it back in vogue, but some ICB recommendations are advising its use over ‘on demand’ tadalafil.

So fast forward and I have learned today that the SLS requirement for both generic Tadalfil and Vardenafil was removed nine months ago in October 2025.
 
External Link/Members Only

This means that they are available to everyone on NHS prescription and not just SLS patients, though quantity may be restricted.

There are now also way more local variations in first line treatment. Most still have Sildenafil as first choice progressing to Tadalafil (either on demand or daily) but one had Tadalfil as first choice?

The only consistency seems to be that 2.5mg Tadalafil tablets should not be prescribed on NHS prescriptions due to their cost compared to 5mg. Splitting however is not advised.

If you want to find out your local prescribing guidelines, first find your relevant ICB here
External Link/Members Only

From there you need to search for the current Formulary linked to that ICB. This is not always straight forward as it seems some ICB’s have sub division formularies.

This is my local ICB Formulary External Link/Members Only

It also links to this flow diagram protocol (others may not)

External Link/Members Only

Now this is actually bang up to date with the changes in 2024 and October 2025, but when looking at a random selection of other ICB's some were equally up to date but others were not.

When searching, do not rely on AI summaries as they are mostly incorrect and out of date. Largely because the sources they are using are also either conflicting or out of date. Good luck.





Hidden Image/Members Only

Very many thanks for taking the time and trouble to gather this information- very useful.
When we move into a new month next week I intend trying to initially get a repeat prescription for the 10mg Tadalafil tablets - as I was only prescribed 4 tablets on the initial prescription. At my GP surgery it seems more junior staff approve repeat prescriptions, but any change requests have to go to a GP.
If I’m successful with getting some more 10mg Tadalafil, I will then wait until after 1st September and ask for the 5mg Tadalafil daily. I expect such a request will get directed to a senior GP. If I am successful in getting approval for the 5mg Tadalafil daily, it will be interesting how many tablets get prescribed.

[scutty brown]

The 5mg come in boxes of 28 - holding 2 x 14 strips.
Pharmacy won't be allowed to repack them so you should get 28 irrespective of what the doctor ordered

[Munter84]

Most GP groups refuse to allow prescriptions for tadalafil on cost grounds unless there are other issues making the case more complex such as MS or Parkinson's.

Ah, I follow you a bit better now. This was an NHS GP but a private prescription, and a pretty penny it was too as this was shortly before Tadalafil generics became available OTC.

[Thephoenix]

Very many thanks for taking the time and trouble to gather this information- very useful.
When we move into a new month next week I intend trying to initially get a repeat prescription for the 10mg Tadalafil tablets - as I was only prescribed 4 tablets on the initial prescription. At my GP surgery it seems more junior staff approve repeat prescriptions, but any change requests have to go to a GP.
If I’m successful with getting some more 10mg Tadalafil, I will then wait until after 1st September and ask for the 5mg Tadalafil daily. I expect such a request will get directed to a senior GP. If I am successful in getting approval for the 5mg Tadalafil daily, it will be interesting how many tablets get prescribed.

Thanks to Doc for all the detailed and very useful research. 

[londonroad]

Very many thanks for taking the time and trouble to gather this information- very useful.
When we move into a new month next week I intend trying to initially get a repeat prescription for the 10mg Tadalafil tablets - as I was only prescribed 4 tablets on the initial prescription. At my GP surgery it seems more junior staff approve repeat prescriptions, but any change requests have to go to a GP.
If I’m successful with getting some more 10mg Tadalafil, I will then wait until after 1st September and ask for the 5mg Tadalafil daily. I expect such a request will get directed to a senior GP. If I am successful in getting approval for the 5mg Tadalafil daily, it will be interesting how many tablets get prescribed.

Success! The surgery prescribed 10 Tadalafil 10mg tablets without any questions being asked, they also set this up as a repeat prescription. Originally I was thinking I might try my luck it getting a prescription for Tadalafil Daily, but I’m now inclined to instead stick with using the 10mg which work perfectly for weekends away with my sugar babe - I can take one tablet on Friday evening and the SB can get me hard for action on the Monday morning.

[Khanmr566]

Have you guys tried dapoxetine?

[Thephoenix]

Edit

[maybe]

I asked a doctor recently whether taking ED meds without having ED whilst being on the semi high BP would be a problem and he said no and made it sound like it was taking candy sweet.

He stated that its so widely available and over the counter should tell me how safe it is, but always follow the instructions, guidelines and recommendations and get them from reputable sources. I've only taken viagra once and i was still hard the next day ..... but would like to try again.

Been contemplating whether to try something during punts as i am prone to going soft after ~15mins and have to rely on CIM to finish. Does anyone have some additional comments about taking ED meds when i don't have severe ED? The doctor was kinda blase about the whole thing and wanted some additional opinions.

[Doc Holliday]

They are now broadly considered safe, though the side effects, while rarely serious, are very common and most people will suffer some degree of minor side effects. Did you?

May I ask what age bracket you are in? 

[maybe]

They are now broadly considered safe, though the side effects, while rarely serious, are very common and most people will suffer some degree of minor side effects. Did you?

May I ask what age bracket you are in? 

From what i remember, no side effects, onlly it lasted beyond the punt and still rock solid the next day ... and wished i could use it whilst i had it. I only know it was a blue pill, but unsure which brand. I should check if my mate remembers, i also didn't break it and took the whole thing.

Nearly 50 now.

[Doc Holliday]

From what i remember, no side effects, onlly it lasted beyond the punt and still rock solid the next day ... and wished i could use it whilst i had it. I only know it was a blue pill, but unsure which brand. I should check if my mate remembers, i also didn't break it and took the whole thing.

Nearly 50 now.

Thanks. Sorry for late reply.

As you approach 50 it is possible you may begin showing some signs of ED due to physical causes, though the degree of such is hugely variable. Psychological causes may be a factor at any age and even if they are not the primary cause, they may increasingly become so, as you may progress into performance anxiety often by overthinking the whole thing.

Having read your posts in another recent thread, my guess (and it is just that) is that you don’t have a significant degree of ED. You would therefore be using ED meds recreationally on the basis that they may boost your performance.

ED meds don’t always work with men who genuinely have a fair degree of ED caused primarily by physical causes. However, when used ‘recreationally’ by those who don’t have true ED, they will usually produce ‘steel rod erections’ which are actually ‘unnatural’. But you will become hooked and should you decide to stop and revert to ‘normal’ then at the first sign of failure, you will suffer performance anxiety and start taking them again. You will then be in the cycle of psychological dependence.

Finally, I notice you have also mentioned difficulty in reaching orgasm. There would be a possibility ED meds in particular sildenafil may make that worse.

The above comments/advice is based on my personal experience.

You may well need to resort to ED meds at some later stage in life, but IMO you should delay this until you really need to. If you do decide to take them recreationally, then start with the lowest possible dose and certainly not 100mg sildenafil that you appear to have taken once in the past. (that is also a guess)

[folma322]

I take 5mg of cialis 4-5 days a week (when i go to the gym) for blood flow and pump benefits.

I have no problems with ED, however on occasions when seeing SPs I have taken 10mg 30-60mins before hand, and i must say my dick never goes limp in the hour sessions, I've also had to re-adjust my cock into my boxers when I leave because it is still hard

Same taking dose for gym benefits but daily not just on gym days, all I notice is I'm still hard after cumming.
Gym benefits not so much I thought it would get my veins to pop out of my arms. Its more noticeable now but, probably not lean enough yet. Beats taking pre-workout though.

[folma322]

.

[maybe]

start with the lowest possible dose and certainly not 100mg sildenafil that you appear to have taken once in the past. (that is also a guess)

Good advice, cheers man.