This poses a risk of serious side effects or drug interactions with other medications you’re taking, such as nitrates for chest pain (angina) due to heart disease. The FDA (U.S. Food and Drug Administration) keeps a database of tainted sexual enhancement products you can access online, but the agency says this is only a small fraction of them. Many over-the-counter Cialis substitutes are made with herbal ingredients. Some research suggests that certain supplements like L-arginine can help ED, but most herbal remedies don’t have much evidence behind their claims.
The reality of these so-called substitutes is that they aren’t FDA-approved, and they come with risks. Over-the-counter products sold as Cialis or tadalafil alternatives aren’t actually real Cialis. You’re not just wasting your time and money, though. Some over-the-counter ED drugs come with serious health risks, like priapism (a painful erection lasting four or more hours). Besides the active ingredients, OTC substitutes for treating ED may contain hidden substances not listed on the product labels. So if you take an herbal supplement that promises to help you get hard, you may find it doesn’t work as well as prescription medication — or, more likely, it won’t work at all. Skip the herbal substitutes and go for the real thing. Talk to a healthcare professional and get a prescription for Cialis or another FDA-approved ED treatment. Yes, you need to get a prescription to access Cialis or generic tadalafil. If you have trouble getting and maintaining erections, you want to be in the best condition you can the next time intimacy is on the table. Staying in your system for up to 36 hours, Cialis dwarfs Viagra in comparison, which lasts roughly four hours.
The active ingredient, tadalafil, is also FDA-approved to help manage benign prostatic hyperplasia (BPH). In either case, you’ll need a prescription from a licensed medical provider. Here’s what you need to know about getting a Cialis prescription: You can’t get Cialis without a prescription. Speak to your primary care provider, see a urologist, or consult a licensed provider online to get Cialis or any other prescription ED pills.
| Region | Delivery Time | Carrier Options | Tracking Available |
|---|---|---|---|
| Canada | 3-7 days | Canada Post, DHL | Yes |
| US | 5-10 days | USPS, FedEx | Yes |
| Europe | 7-14 days | DHL, FedEx, TNT | Yes |
| International | 10-21 days | Various International couriers | Sometimes |
You can’t get Cialis without a prescription. You can get Cialis with an online medical consultation. You don’t need to cost of cialis 40mg leave home to get a prescription.
Connect virtually with a medical professional and get Cialis online. OTC Cialis substitutes come with health risks. They may contain hidden active ingredients or simply not work. If you’re considering Cialis, you can learn about how Cialis works and the common side effects of Cialis (headaches, indigestion, flushing, back pain, etc.) in our guides. And remember, if the drug isn’t suitable for you, other erectile dysfunction treatments are out there. Learn how ED medications work to brush up on your options. Prescription to over-the-counter switches in the United States. Tadalafil in the treatment of erectile dysfunction. MHRA reclassifies Cialis Together tablets to a pharmacy medicine. Phosphodiesterase-5 (PDE5) inhibitors in the management of erectile dysfunction.
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK). The potential role of arginine supplements on erectile dysfunction: a systemic review and meta-analysis. U.S. Food and Drug Administration (FDA). Hims & Hers has strict sourcing guidelines to ensure our content is accurate and current.
| Product | Dosage | Quantity + Bonus | Price | |
|---|---|---|---|---|
| Cialis Generic | 2.5mg | 20 Pills | 40.73€ 38.79€ | |
| Cialis Generic | 20mg | 20 Pills | 54.72€ 52.11€ | |
| Cialis Super Active | 20mg | 60 + 8 Pills | 230.32€ 219.35€ | |
| Cialis Generic | 60mg | 20 Pills | 65.61€ 62.49€ | |
| Cialis Original | 20mg | 12 Pills | 78.32€ 74.59€ | |
| Cialis Professional | 20mg | 30 Pills | 104.57€ 99.59€ | |
| Cialis Generic | 5mg | 20 Pills | 41.99€ 39.99€ | |
| Cialis Generic | 40mg | 30 + 4 Pills | 74.97€ 71.40€ | |
| Cialis Generic | 2.5mg | 10 Pills | 28.51€ 27.15€ | |
| Cialis Generic | 2.5mg | 270 + 10 Pills | 199.64€ 190.13€ | |
| Cialis Black | 80mg | 90 + 6 Pills | 207.88€ 197.98€ | |
| Cialis Soft Tabs | 20mg | 120 + 6 Pills | 248.64€ 236.80€ | |
| Cialis Black | 80mg | 30 + 2 Pills | 89.11€ 84.87€ | |
| Cialis Generic | 5mg | 90 + 6 Pills | 115.91€ 110.39€ | |
| Cialis Generic | 60mg | 120 + 8 Pills | 240.18€ 228.74€ | |
| Cialis Professional | 40mg | 10 Pills | 65.09€ 61.99€ |
We rely on peer-reviewed studies, academic research institutions, and medical associations. We strive to use primary sources and refrain from using tertiary references.
It affects about 30 to 50 million men in the United States alone. So don’t be afraid to reach out and get treatment. At your appointment or online consultation, tell your healthcare provider if you’re experiencing symptoms of ED. Having trouble keeping an erection long enough for sexual intercourse Having trouble keeping an erection long enough for sexual intercourse Having erections that aren’t firm enough for penetration Having erections that aren’t firm enough for penetration Remember, you’re highly unlikely to be the first person to bring up erectile problems with your provider — they’ve seen and heard it all. That said, we know speaking about ED with a doctor you’ve had for years — perhaps one you’re on friendly terms with — can feel very uncomfortable.
If that’s the case, you can connect with a healthcare professional online. Another way to get a Cialis prescription is to skip your general doctor and go straight to a specialist in urology. A urologist is a physician specializing in diseases of the urinary tract — think kidneys and bladder. They also treat problems with male reproductive organs, including the penis, testes, scrotum, and prostate. You might feel more comfortable discussing your sexual activity — or lack thereof — with a healthcare provider you’ve never met before.
In some cases, a urologist can more effectively prescribe erectile dysfunction treatment options. Look for an erectile dysfunction doctor or ED clinic in your area to get a Cialis prescription through an in-person visit. You can also obtain cialis alternative Cialis prescriptions with an online medical consultation — like with Hims, for example. You can connect with a licensed healthcare provider from home (or anywhere you have internet access). After answering a few questions about your symptoms, they may write you a Cialis prescription if you’re eligible. Doctor of Medicine - Ludwig-Maximilians-University, 2014 Doctor of Medicine - Ludwig-Maximilians-University, 2014 Board Certified Medical Affairs Specialist - Accreditation Council for Medical Affairs, 2024 Board Certified Medical Affairs Specialist - Accreditation Council for Medical Affairs, 2024 Dr. Gussone has contributed widely to consumer health news media, including NBC News TODAY and NBC Nightly News, and has written about his own weight loss journey for CNN.
| Disadvantage | Explanation | Mitigation Strategies |
|---|---|---|
| Risk of Counterfeits | Fake products may be prevalent | Use verified vendors |
| Lack of Medical Supervision | No direct consultation with healthcare provider | Consult your doctor beforehand |
| Import Restrictions | Possible customs delays or seizures | Be aware of regulations |
| No Physical Pharmacy Support | Limited immediate assistance | Research customer service reputation |
Dr.
Gussone has contributed widely to consumer health news media, including NBC News TODAY and NBC Nightly News, and has written about his own weight loss journey for CNN. Dr. Gussone discovered his passion for creating medical content and educating the public about health while working with CNN’s Dr. Sanjay Gupta. He realized that the media could deliver essential health information to millions, surpassing the reach of one-on-one care in a clinical setting.
Then you can have it delivered discreetly to your door. Start an online consultation to learn more about Cialis or generic tadalafil. You can also ask about other ED treatments, such as Viagra® (sildenafil) and Hims chewable hard mints. Check out our tadalafil cost guide for a pricing breakdown. Erectile dysfunction doesn’t discriminate based on age — even though it’s rare, you can experience ED in your 30s or even your 20s.
Yes, it’s true you’re more likely to get ED if you’re older. But it can be caused by health conditions men of all ages experience, such as: Injury to the penis, spinal cord, prostate, bladder, or pelvis Injury to the penis, spinal cord, prostate, bladder, or pelvis Certain medications, like antidepressants and blood pressure meds Certain medications, like antidepressants and blood pressure meds Unhealthy lifestyle habits might also make ED worse, including: So, no matter your age, erectile dysfunction can happen. Luckily, Cialis is approved in men over 18. And research shows tadalafil is a safe and effective treatment for ED for most men, regardless of age. Maybe you’ve seen an “over-the-counter Cialis substitute,” and you’re tempted to give it a go. Scuba diving, traveling, cinema, and perfume making Scuba diving, traveling, cinema, and perfume making Erectile dysfunction is a condition in which you have trouble getting or keeping an erection firm enough for satisfying sex.
| Indicator | Description | Examples |
|---|---|---|
| Secure Website (HTTPS) | URL starts with https:// | Padlock icon visible |
| Contact Details Visible | Phone number, email, physical address | Verified customer support |
| Authentic Product Images | Clear, professional images | Avoid blurry or stock images |
| Customer Reviews | Verified user feedback | Genuine reviews, consistent feedback |
Erectile dysfunction affects as many as 30 million men in the United States. Premature ejaculation (PE) is a sexual dysfunction characterized by a short ejaculatory latency, a perceived lack of control about the timing of ejaculation, and distress and interpersonal difficulty related to ejaculating too quickly. Low testosterone or testosterone deficiency, also known as hypogonadism, is a condition in which patients develop symptoms such as low sex drive, erectile dysfunction (ED), and fatigue because the body doesn’t produce enough testosterone. Though many men don’t like to talk about it, ejaculation problems are very common.
No, you can’t buy Cialis over the counter in the U.S. — but you can in some countries. For instance, in the UK, Cialis Together tablets containing 10 milligrams (mg) of tadalafil are available over the counter at the pharmacy (pharmacists can decide if the treatment is right for the patient). However, though you can’t buy Cialis without a prescription in the U.S., the prescription doesn’t necessarily have to be from a doctor (MD). Some other healthcare professionals, such as nurse practitioners and physician assistants, can prescribe medication — sometimes under the supervision of a licensed physician.
That means Cialis can open up blood vessels and increase blood flow to the penis. It’s not a magic pill, though. You still need sexual stimulation and arousal to get and maintain an erection when tadalafil is in your system. There were talks of Cialis making the jump from a prescription medication to an over-the-counter one. But this hasn’t yet come to fruition.
You may not be able to get Cialis over the counter just yet, but you can get a prescription relatively easily from an online healthcare provider and online pharmacy if the drug is suitable for you. Learn more about tadalafil uses and the ideal tadalafil dosage in our guides. Whether you want as-needed Cialis or daily Cialis, you’ll need a prescription. Your primary care provider (PCP) can be your first point of contact for any and all men’s health issues, including ED. We know it can be embarrassing to get medical advice for your sexual health, especially when it’s not going well, but erectile dysfunction is common.