Cialis Professional: sublingual tadalafil not authorised in Spain
| Availability: | Yes |
| Delivery: | 4-7 days |
| Payment: | credit cards, bank transfer |
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Cialis Professional is 20 or 40 mg tadalafil made in India and sold as a sublingual tablet. It isn’t a Lilly product and isn’t authorised in Spain, and the 40 mg strength is twice the maximum dose for erectile dysfunction.
Below the price table we explain what «Professional» means, why we don’t recommend 40 mg, and which authorised tadalafil, including a melt-in-the-mouth form, a doctor in Spain can prescribe. 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.
Before you order. Cialis Professional isn’t made by Lilly, which owns the Cialis brand, and it isn’t authorised in Spain: it’s Indian-made tadalafil sold as a sublingual tablet. The 40 mg pack is twice the maximum dose allowed for erectile dysfunction (20 mg a day), and we don’t recommend it. Never take it with nitrates or poppers. 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 | 20 mg or 40 mg tadalafil tablets sold as sublingual or fast-dissolving. |
|---|---|
| Active ingredient | Tadalafil, as in Cialis and its generics. |
| The brand name | Cialis is a Lilly trademark. Lilly doesn’t sell anything called «Cialis Professional»; the name is used by sellers of generics made in India. |
| Authorised in Spain? | No. It isn’t listed in CIMA, the Spanish medicines register, and has no Spanish product information or leaflet. |
| Prescription | All authorised tadalafil in Spain is prescription-only. No Spanish pharmacy can dispense this product. |
| Authorised tadalafil doses | 10 mg when needed, 20 mg if that’s not enough, or 5 mg once a day. 20 mg a day at most. |
| In this shop | «Cialis Professional» 20 mg (packs of 10 to 360) and 40 mg (packs of 10 to 270). No 5 or 10 mg, and the manufacturer isn’t stated. |
What’s actually on offer here
Two strengths, and neither is a starting dose. 20 mg is the highest dose the tadalafil product information allows for erectile dysfunction, meant for men who don’t get enough from 10 mg. 40 mg isn’t sold in Spain for erections at all. Missing are the 10 mg tablet people normally start on and the 5 mg used for daily treatment.
«Professional» is a trade name, not a grade of quality or a medical indication. Various Indian manufacturers use it for tablets they say dissolve under the tongue. This page doesn’t name the manufacturer, so ask us for it and the batch number before you order.
Why would tadalafil need to be fast?
The whole point of tadalafil is that you don’t have to time it: it starts working around 30 minutes after a dose and the effect lasts up to 36 hours. A tablet that dissolves a few minutes sooner makes little difference over a day and a half.
There’s no evidence that it reaches the bloodstream sooner either. Spain has authorised orodispersible tadalafil (Alneo and Tadalafilo Alter, 5, 10 and 20 mg), which melts on the tongue and is swallowed without water. Its product information gives the same time to peak as the standard tablet, about 2 hours, and recommends it for people who struggle to swallow tablets or have no drink to hand, not as a faster option. For the product on this page, no data has been published.
40 mg is double the maximum
For erectile dysfunction, the tadalafil product information stops at 20 mg a day. The only use of 40 mg daily is pulmonary arterial hypertension, a different disease treated by specialists under close monitoring. Twice the dose means twice as much drug in your blood and a greater chance of headache, back and muscle pain or dizziness. And because tadalafil is cleared slowly, a second dose the next day adds to what’s left of the first.
We don’t recommend the 40 mg packs. If 20 mg isn’t working for you, the next step is to go back to your doctor, not to double up.
The tadalafil clock
Move the slider to the number of hours since your last tablet. It’s an illustration based on the half-life in the product information (17.5 hours), not dosing advice.
Hours since your last tablet: 12
Authorised alternatives in Spain
| What you need | Authorised option (prescription needed) |
|---|---|
| Tadalafil when needed | Cialis or EFG generics, 10 and 20 mg: generic Cialis. |
| Frequent, unplanned sex | Tadalafil 5 mg once a day. |
| No tablet to swallow | Orodispersible tadalafil, 5, 10 and 20 mg (Alneo, Tadalafilo Alter). |
| A shorter effect | Sildenafil or vardenafil: generic Viagra, generic Levitra. |
Who shouldn’t take tadalafil
The tadalafil product information rules it out in the cases below, and there’s no reason to think this product is any different. Don’t take it if you:
- use nitrates (GTN, isosorbide), poppers or riociguat;
- have had a heart attack in the last 90 days or a stroke in the last 6 months;
- have unstable angina or chest pain during sex, recent heart failure or an uncontrolled heart rhythm problem;
- have blood pressure below 90/50 or high blood pressure that isn’t under control;
- lost the sight of one eye through NAION.
| Medicine | Effect on tadalafil |
|---|---|
| Nitrates, poppers, riociguat | Severe drop in blood pressure. Must not be combined. |
| Ketoconazole, itraconazole, ritonavir, clarithromycin | More tadalafil in the blood (up to four times as much with ketoconazole); at 40 mg the risk multiplies. |
| Doxazosin and other alpha-blockers | With doxazosin, long-lasting drops in blood pressure: not recommended. With the others, caution (especially if you're older) and a start on the lowest dose. |
| Rifampicin, carbamazepine, phenytoin | Much less tadalafil; it may not work. |
Side effects
The most common are headache, indigestion, back and muscle pain, flushing and a blocked nose. Back or muscle pain typically starts 12 to 24 hours after a dose and settles within a day or two.
Call 112 or go to A&E (urgencias) if you have chest pain or tightness, are short of breath or faint; if an erection lasts 4 hours or more; if you suddenly lose sight or hearing; or if your face or throat swells. Say you’ve taken tadalafil, how much and when. Overdose: Servicio de Información Toxicológica (Spain’s poisons service), 91 562 04 20.
No leaflet, no traceability
An unlicensed product comes without an English or Spanish patient leaflet you can rely on. You can’t tell which inactive ingredients it contains (authorised Cialis, for example, contains lactose), and if something goes wrong there’s no way to trace the batch. Nobody in Spain has checked that each tablet holds the dose printed on the box, and customs may hold the parcel.
Getting tadalafil on prescription
If you’re registered with the Spanish health system, your médico de familia at the centro de salud can prescribe tadalafil after asking about your heart, blood pressure and other medicines, and choose the dose and form: standard or orodispersible, as needed or daily. A private GP can do the same. You’ll pay the full price, since it isn’t publicly funded, but you’ll know exactly what you’re taking. EU prescriptions are accepted in Spanish pharmacies; UK ones aren’t.
Delivery
We don't sell in person, so everything goes by post or courier. Times and terms are on the delivery conditions page.
Questions people ask
What is Cialis Professional?
Tadalafil 20 or 40 mg made in India and sold as sublingual. It isn’t made by Lilly and isn’t authorised in Spain.
Can I buy Cialis Professional without a prescription in Spain?
Not from a Spanish pharmacy: it isn’t authorised, and all authorised tadalafil needs a prescription.
Is 40 mg of tadalafil safe?
It isn’t authorised for erectile dysfunction: it’s twice the maximum. More drug in your blood means more side effects. We don’t recommend it.
Does it work faster than ordinary Cialis?
There’s no data to show that. Authorised orodispersible tadalafil peaks at about 2 hours, the same as the standard tablet.
How long does it last?
Like any tadalafil, up to 36 hours. With 40 mg there’s twice as much in your blood at any point, and side effects last longer too.
Is there an authorised tadalafil that melts in the mouth?
Yes: orodispersible tablets in 5, 10 and 20 mg, on prescription.
Sources: CIMA, AEMPS (register of authorised medicines; product information for Cialis, generic tadalafil and orodispersible tadalafil); Cialis product information from the European Medicines Agency. General information only: it doesn’t replace advice from 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.
