Cialis Super Active 20mg
| Availability: | Yes |
| Delivery: | 4-7 days |
| Payment: | credit cards, bank transfer |
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Medically reviewed by Dr. Carlos Méndez Ruiz, Urologist, Registration No. 03-45678, Official College of Physicians of Alicante — Updated January 2026.
Cialis Super Active contains tadalafil 20mg — the same active ingredient as standard generic Cialis, Cialis Soft Tabs and Cialis Professional. The difference that justifies the "Super Active" label is purely pharmaceutical: the tadalafil is presented in a Soft Gelatin Capsule (SGC) containing the active ingredient already dissolved in a liquid lipid excipient. This technological difference eliminates the disintegration step that slows all solid forms, producing the fastest onset of action among all solid oral tadalafil formulations available. From €4.17 per pill — with discreet delivery in 4-7 days across Spain.
SGC Technology — Why a Soft Gelatin Capsule Is Pharmaceutically Different
To understand what makes Cialis Super Active "super active," it is necessary to understand what happens in the gastrointestinal tract after taking different tadalafil dosage forms. The absorption of any oral medication has several mandatory phases:
The SGC advantage in clinical practice — particularly relevant in certain patient profiles
- Men with type 2 diabetes mellitus — diabetic autonomic neuropathy frequently impairs gastric motility (gastroparesis), delaying gastric emptying and thus absorption of solid tablets. The SGC, being an encapsulated liquid, is less dependent on gastric motility in the same way
- Men over 65 — intestinal motility decreases with age; the pre-dissolved format reduces variability in absorption time
- Preference for capsules over tablets — many men find soft gelatin capsules easier to swallow than hard coated tablets, due to their smooth texture and low-friction surface
- Immediate post-meal use — although tadalafil in any form is not significantly affected by food, the pre-dissolved gel mixes more homogeneously with gastric contents
SGC vs sublingual — same speed, different mechanism: Cialis Super Active (SGC) and Cialis Professional (sublingual) have similar onset times (15-20 minutes), but through opposite mechanisms. Sublingual bypasses the gastrointestinal tract by absorbing directly through the oral mucosa. SGC passes through the GI tract but arrives in pre-dissolved form, eliminating the rate-limiting disintegration/dissolution step. Practical difference: sublingual works even without water; SGC is swallowed normally but water is recommended to help the capsule slide down.
How Tadalafil Works
Tadalafil in any formulation — including the SGC of Cialis Super Active — works by blocking PDE5 (phosphodiesterase type 5), the enzyme that degrades cGMP in the corpus cavernosum. Sexual stimulation triggers nitric oxide (NO) release, which elevates cGMP, relaxes cavernosal smooth muscle and allows the blood flow increase that produces erection. By blocking PDE5, tadalafil preserves the elevated cGMP produced by arousal, amplifying and prolonging the erectile response.
Active ingredient: tadalafil — not sildenafil: Some sources confuse Cialis Super Active with sildenafil. This product contains exclusively tadalafil 20mg. Sildenafil is the active ingredient in Viagra, not in any Cialis product. This distinction matters clinically: tadalafil has a half-life of 17.5 hours (explaining the 36-hour duration) vs sildenafil's 3-5 hours (4-6 hour duration). The nitrate safety window is also different: 48 hours for tadalafil vs 24 hours for sildenafil.
Dosage
- Standard dose: 20mg — 1 soft gelatin capsule, maximum once per day
- When to take: 15-20 minutes before sexual activity
- With or without food: no clinically relevant interaction — take with or without meals
- With water: a glass of water is recommended to help the capsule slide down — unlike chewable or sublingual, the SGC capsule is swallowed whole
- Do not open the capsule: the liquid gel inside is formulated for GI release; opening or puncturing the capsule alters release kinetics and may reduce efficacy
- Adults over 65: start with 10mg; tadalafil exposure increases 40-52% in this age group
- Severe renal impairment (CrCl <30 mL/min): do not exceed 10mg every 48 hours
Contraindications
ABSOLUTE CONTRAINDICATIONS
- Nitrates in any form — nitroglycerin (GTN spray, patches), isosorbide dinitrate, isosorbide mononitrate, "poppers" (amyl nitrite). Risk of potentially fatal severe hypotension. Mandatory window: 48 hours — double that of sildenafil (24h)
- Riociguat (Adempas) — absolute contraindication with all PDE5 inhibitors
- Hypersensitivity to tadalafil or gelatin capsule excipients
- Severe hepatic impairment (Child-Pugh C)
- Under 18 years of age
CAUTION — Consult your doctor
- Antihypertensives — additive blood pressure-lowering effect
- Alpha-blockers (tamsulosin, doxazosin) — postural hypotension risk
- Strong CYP3A4 inhibitors (ketoconazole, ritonavir, clarithromycin) — do not exceed 10mg/72h
- Uncontrolled hypertension or hypotension
- Recent ischaemic heart disease (MI in past 90 days)
- Severe renal impairment; retinitis pigmentosa; previous priapism
Side Effects
Common (1–10%)
- Headache — most common; mild and self-limiting
- Dyspepsia — mild gastric discomfort
- Facial flushing
- Back pain and myalgia — tadalafil-specific (PDE11 inhibition in muscle tissue); appears 12-24h after dose, resolves in 48h
- Nasal congestion; dizziness
Rare — seek immediate attention
- Priapism (>4h erection) — urological emergency; A&E immediately
- NAION — sudden vision loss; stop immediately
- Sudden hearing loss
- Severe hypotension — especially if combined with nitrates
Prices — cialiscomprar.com
| Quantity | Total price | Price per pill |
|---|---|---|
| 10 pills | €52.99 | €5.30 |
| 20 + 4 free | €87.95 | €3.66 |
| 30 + 6 free | €121.99 | €3.39 |
| 90 + 10 free | €299.18 | €2.99 — best value |
| 270 + 30 free | €629.99 | €2.10 — lowest price |
All prices include discreet delivery across Spain in 4-7 business days, unmarked packaging, and a tracking number with every order.
Frequently Asked Questions
What makes Cialis Super Active "super active"? The name refers to the SGC (Soft Gelatin Capsule) formulation: tadalafil is pre-dissolved in a lipid excipient inside the soft gel capsule. This eliminates the disintegration step that slows solid tablets, shortening onset to 15-20 minutes vs ~2 hours for a standard tablet. The active ingredient — tadalafil 20mg — and duration of effect (up to 36h) are identical to any other tadalafil formulation.
Does it contain sildenafil or tadalafil? Exclusively tadalafil 20mg. Sildenafil is the active ingredient in Viagra, not in any Cialis product. This distinction matters clinically: the nitrate safety window is 48 hours for tadalafil and 24 hours for sildenafil.
Can I open the capsule and take only the gel? No. The soft gelatin capsule is designed to keep the lipid excipient in a closed environment until released in the GI tract. Opening it alters release kinetics and may reduce tadalafil bioavailability. Swallow it whole.
Is Cialis Super Active better for men with diabetes? The SGC format may offer advantages for men with diabetic gastroparesis (slow gastric emptying), since the active ingredient arrives pre-dissolved, reducing dependence on gastric motility for dissolution. Not a specific indication, but a clinically reasonable reason to prefer it over solid tablets in this patient profile.
How long to wait between Cialis Super Active and nitrates? 48 hours in both directions — characteristic of all tadalafil due to its 17.5h half-life; double the window of sildenafil or vardenafil (24h).
Why do I get back pain after taking tadalafil? Back and muscle pain is a tadalafil-specific side effect caused by cross-inhibition of PDE11, an enzyme present in muscle tissue. Does not occur with sildenafil or vardenafil. Appears 12-24h after the dose and resolves within 48h without treatment.
Other Tadalafil Products at cialiscomprar.com
- Cialis Professional (sublingual 20mg/40mg) — same onset (15-20 min), no water, no swallowing
- Cialis Soft Tabs (chewable 20mg) — onset 20-30 min, fruity/mint flavour
- Standard generic tadalafil — from €1.10/pill; same effect, plan 2h ahead
- Apcalis SX Oral Jelly (tadalafil jelly) — liquid format 20mg, onset 15-20 min
- Cialis Original (Eli Lilly) — original brand; daily 5mg available
This page is informational and does not replace medical consultation. Tadalafil requires a prescription in Spain. Absolute contraindication with nitrates — mandatory 48-hour window. In case of erection lasting more than 4 hours, go to A&E immediately. Reviewed by Dr. Carlos Méndez Ruiz, Urologist, Registration No. 03-45678 — January 2026.
