Cialis Soft: a 20 mg chewable that skips the starting dose
| Availability: | Yes |
| Delivery: | 4-7 days |
| Payment: | credit cards, bank transfer |
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Cialis Soft Tabs are 20 mg chewable tadalafil tablets made in India. They use the name of Lilly's Cialis but aren't a Lilly product, and they aren't licensed in Spain. What Spanish pharmacies do sell, on prescription, is melt-in-the-mouth tadalafil in 5, 10 and 20 mg.
Below the prices: why a single 20 mg strength doesn't suit everyone, what the evidence says about speed, and how to get the licensed version while living in Spain. 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 | Tadalafil in a soft, chewable tablet. Tadalafil is a PDE5 inhibitor used for erectile dysfunction. |
|---|---|
| Active ingredient | Tadalafil (tadalafilo), 20 mg |
| Licensed in Spain? | No, it isn't in CIMA, the Spanish medicines database. Cialis is Lilly's trade mark; Lilly sells only film-coated tablets in Spain. |
| Nearest licensed form | Orodispersible tadalafil, which melts on the tongue: Alneo and Tadalafilo Alter, 5, 10 and 20 mg. There's no licensed chewable tadalafil. |
| Prescription | Required. Not funded by the Spanish public health system. |
| Licensed doses | As needed: 10 mg, or 20 mg if 10 isn't enough. Daily: 5 mg. One tablet a day at most. |
| In this shop | «Cialis Soft Tabs» 20 mg, packs of 10 to 270 with bonus tablets. Manufacturer not stated. |
Not a Lilly product
These tablets come from Indian manufacturers who make them for export. They contain tadalafil, but neither Lilly nor any European regulator has assessed them, so the real dose, the other ingredients and the manufacturing standards rest on the maker's word alone. Ask us for the manufacturer and batch number before you order.
One strength, and it's the top one
Spanish product information lists four tadalafil doses for erections. Only the last one exists as Cialis Soft:
- 2.5 mg daily: if 5 mg a day doesn't agree with you.
- 5 mg daily: for sex at least twice a week, and for an enlarged prostate.
- 10 mg as needed: the starting dose, and the ceiling with severe kidney disease or liver problems.
- 20 mg as needed: only if 10 mg hasn't worked well enough.
Starting on 20 mg means skipping the recommended first step. It isn't suitable for daily use either, because 10 or 20 mg every day isn't recommended. If a doctor has capped you at 10 mg, this product is the wrong one.
Does a 20 mg tablet fit your situation?
Choose what applies. We'll show what the tadalafil product information says; your doctor makes the call.
What do you want it for?
Anything else?
Does chewing make it work faster?
Sellers promise 20 to 30 minutes against «two hours» for a normal tablet. That mixes up two things. Two hours is roughly when tadalafil reaches its highest blood level, not when it starts to work: the product information allows taking it 30 minutes before sex, and in trials some men responded after 16 minutes.
The licensed melt-in-the-mouth tablets don't speed things up either. Their Spanish product information gives the same 2-hour peak as the coated tablet, and food makes no difference. Their real advantage is that you need no water. No study assessed in Europe shows that chewing tadalafil brings the effect forward.
What sets tadalafil apart is how long it lasts: up to 36 hours, whatever the form.
Melt-in-the-mouth tadalafil from a Spanish pharmacy
If swallowing tablets is a problem, ask your doctor for «tadalafilo bucodispersable». Pharmacies stock it as Alneo or Tadalafilo Alter in 5, 10 and 20 mg. You place it on your tongue and swallow without water. Being licensed, it comes with a Spanish leaflet and EU quality controls.
Who shouldn't take it
- Anyone using nitrates (GTN, isosorbide mononitrate or dinitrate), poppers or riociguat.
- Within 90 days of a heart attack or 6 months of a stroke.
- With unstable angina, chest pain during sex, recent heart failure, uncontrolled arrhythmia or high blood pressure, or blood pressure under 90/50.
- After sight loss from NAION, or with an allergy to tadalafil.
Talk to a doctor first if you have Peyronie's disease, sickle cell anaemia, myeloma or leukaemia, or take an alpha-blocker for your prostate or blood pressure.
Side effects
Most common: headache, back or muscle ache, indigestion, flushing and a blocked nose. Tadalafil's back ache typically starts 12 to 24 hours after a dose and clears by itself within a couple of days.
- you have chest pain or trouble breathing, especially during sex; tell them you've taken tadalafil;
- an erection lasts 4 hours or more;
- you suddenly lose sight or hearing;
- your face or throat swells.
Report side effects at notificaRAM.es.
Interactions
| Medicine | Effect |
|---|---|
| Nitrates, poppers, riociguat | Severe low blood pressure: never combine. Leave 48 hours after tadalafil before using GTN. |
| Doxazosin and other alpha-blockers | Dizziness or fainting from low blood pressure. Not recommended with doxazosin; with the others, take care, especially if you're older, and start at the lowest dose. |
| Ketoconazole, itraconazole, ritonavir | Two to four times more tadalafil in the blood. |
| Rifampicin | Much less tadalafil; it may not work. |
Other options on this site
- Generic Cialis (tadalafil): the same drug as a swallowed tablet, also in 5 and 10 mg.
- Generic Viagra (sildenafil): shorter acting, a few hours.
- Generic Levitra (vardenafil): another short-acting choice.
None of these is supplied by a Spanish pharmacy: the active ingredient is licensed, the box you receive may not be. Cialis Super Active is another Indian tadalafil 20 mg, as a soft capsule, with the same one-strength problem.
Prescriptions for residents and visitors
Registered with the Spanish health system? Your médico de familia at the centro de salud can prescribe tadalafil, as can any private doctor. You'll pay the full price at the pharmacy. A prescription from another EU country is accepted if it has the required details; a UK one isn't covered, so see a doctor here.
Delivery
Orders are posted or sent by courier; there's nowhere to collect in person. Details on our delivery conditions page.
Questions
Can I buy Cialis Soft without a prescription in Spain?
No. It isn't a licensed medicine, and tadalafil is prescription-only in every Spanish pharmacy.
Is Cialis Soft the same as Cialis?
It contains tadalafil, but it isn't made by Lilly, has no European licence and only comes in 20 mg.
Can I get chewable Cialis at a Spanish pharmacy?
Not a chewable one, but there is an orodispersible (melt-in-the-mouth) form: Alneo or Tadalafilo Alter, 5, 10 or 20 mg, on prescription.
Can I split a tablet to take 10 mg?
There's no product information saying it can be split, or that each half would hold 10 mg. If you need 10 mg, use a 10 mg tablet.
How long does it last?
Up to 36 hours, like any tadalafil. You still need to be aroused to get an erection.
Can I take it every day?
Not at 20 mg. Daily tadalafil is 5 mg (or 2.5 mg), and Cialis Soft doesn't come in those strengths.
Sources: Spanish product information (ficha técnica) for Cialis, Alneo and Tadalafilo Alter orodispersible tablets (CIMA, AEMPS); Cialis product information from the European Medicines Agency; Royal Decree 81/2014 (EU prescriptions). 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.
