Apcalis SX Oral Jelly (20 mg tadalafil gel): risks and licensed options
| Availability: | Yes |
| Delivery: | 4-7 days |
| Payment: | credit cards, bank transfer |
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Apcalis SX Oral Jelly is an Indian-made gel in sachets, each claiming 20 mg of tadalafil, the active ingredient in Cialis. It isn’t licensed in Spain or the EU, and no pharmacy here stocks it.
Below the price table we cover what a 36-hour effect means in practice, why one sachet is the maximum dose, who must avoid tadalafil and which licensed versions are available in Spain, including one that melts in the mouth. In Spain, prescription-only medicines may not be sold online, and customs can hold a parcel that contains them. We do not check prescriptions: talk to your doctor before you order.
| What it is | A gel in single-dose sachets, sold under the Indian Apcalis brand by Ajanta Pharma, the company behind Kamagra. It claims to contain tadalafil, the active ingredient in Cialis. |
|---|---|
| Stated active ingredient | Tadalafil, 20 mg per sachet |
| Licensed in Spain? | No. Apcalis isn’t in CIMA and has no EU licence. No tadalafil gel is licensed in Spain. |
| Licensed tadalafil in Spain | Cialis and generics as tablets (2.5, 5, 10 and 20 mg) and generic orodispersible tablets (5, 10 and 20 mg). |
| Prescription? | Yes, for all licensed tadalafil (CIMA). The public health system doesn’t pay for it. |
| Licensed dosing | 10 mg as needed; 20 mg if that isn’t enough. Once a day at most. With severe kidney disease or liver problems, no more than 10 mg. |
| In this shop | «Apcalis SX Oral Jelly» 20 mg, boxes of 10, 35, 70 and 98 sachets. Maker and batch aren’t stated. |
What Apcalis SX actually is
It’s a jelly version of tadalafil from the same Indian company that makes Kamagra. It may be sold legally in India, but it has no licence anywhere in the EU, so no European regulator has checked how it’s made or whether each sachet holds what the label says. The fact that tadalafil itself is licensed in Spain doesn’t help: licences cover specific products, not ingredients. It isn’t licensed in the UK either.
Tadalafil also raises the stakes compared with sildenafil, because it stays in your body for so long. If a sachet holds more than it should, or another medicine makes it build up, you live with the excess for a day and a half.
A 36-hour drug, and what that means
According to the Cialis product information, tadalafil can work from 30 minutes after a dose and for up to 36 hours. Food makes no difference. Blood levels halve every 17.5 hours, which has two practical consequences:
- No second dose within 24 hours, even if the first did nothing: it would simply stack on top.
- No nitrates for 48 hours. If you get chest pain in that time, the emergency team needs to know you’ve taken tadalafil, and when.
How long ago did you take it?
Move the slider to the number of hours since your last sachet or tablet. It’s a guide based on the product information, not personal medical advice.
6 hours ago
20 mg in one go
The licensed starting dose is 10 mg, rising to 20 mg only if 10 mg isn’t enough. An Apcalis sachet always delivers 20 mg, and a gel can’t be split accurately. For men with severe kidney disease or liver problems, whose limit is 10 mg, each sachet is double their maximum. It’s no use for the 5 mg daily regime used for frequent sex or an enlarged prostate either.
Who shouldn’t take tadalafil
- Anyone on nitrates in any form, taking riociguat or using poppers.
- Men who’ve had a heart attack in the last 90 days or a stroke in the last 6 months.
- Unstable angina, chest pain during sex, heart failure in the past 6 months or uncontrolled heart rhythm problems.
- Blood pressure under 90/50, or high blood pressure that isn’t under control.
- Sight lost in one eye from NAION.
Side effects
The usual ones are headache, indigestion, back or muscle pain, a flushed face and a blocked nose. They’re mostly mild, but with such a long-acting drug they can show up the next day, when you may not link them to the sachet.
Interactions
| With | Result |
|---|---|
| Nitrates, poppers, riociguat | Severe drop in blood pressure. Contraindicated, including in the following 48 hours. |
| Doxazosin and other alpha-blockers | Falls in blood pressure; not recommended with doxazosin. |
| Ketoconazole, itraconazole, ritonavir, clarithromycin, grapefruit | More tadalafil in the blood: two to four times as much with ketoconazole. |
| Rifampicin, carbamazepine, phenytoin | Less tadalafil; it may not work. |
The licensed route in Spain
If it’s the gel format you like because you’d rather not swallow tablets, Spain has generic orodispersible tadalafil (5, 10 and 20 mg) that melts in the mouth, on prescription and properly regulated. If it’s the long effect you’re after, standard tadalafil tablets do the same job at the dose your doctor chooses.
To get a prescription, see your médico de familia at the centro de salud if you’re registered and have a tarjeta sanitaria, or a private GP or urologist. A prescription from another EU country can also be dispensed here; a UK one isn’t covered by those rules. You pay the full price either way.
On this site, generic Cialis covers tadalafil in detail and generic Viagra is the shorter-acting option. The sildenafil jelly, Kamagra Oral Jelly, isn’t licensed either.
Delivery
We don’t sell from a shop counter; orders are sent by post or courier. See delivery conditions.
Questions people ask
Can I buy Apcalis SX Oral Jelly without a prescription in Spain?
No. It isn’t licensed, so it can’t be sold legally with or without one. Licensed tadalafil always needs a prescription.
Is Apcalis the same as Cialis?
It claims the same ingredient, tadalafil, at Cialis’s highest strength. Cialis and its generics have their quality checked by European regulators; Apcalis doesn’t.
How long does it last?
Up to 36 hours, as long as there’s sexual stimulation. It isn’t a 36-hour erection.
Can I take half a sachet?
You’d have no idea how much you’d taken. If you need 10 mg, a licensed 10 mg tablet is the reliable option.
Can I drink alcohol with it?
A little is usually fine. A lot of alcohol plus tadalafil makes dizziness and drops in blood pressure more likely.
How is it different from Kamagra Oral Jelly?
Kamagra Oral Jelly claims sildenafil, which wears off sooner. Apcalis claims tadalafil, which lasts much longer and means waiting 48 hours before any nitrates. Neither is licensed in Spain.
Sources: CIMA, AEMPS (product information for Cialis and generic tadalafil, including orodispersible; no results for Apcalis); European Medicines Agency; Royal Decree 81/2014 (EU prescriptions). General information only, not a substitute for seeing a doctor. In Spain, prescription-only medicines may not be sold online, and customs can hold a parcel that contains them. We do not check prescriptions: talk to your doctor before you order.
