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Cialis Super Active: a 20 mg tadalafil capsule and the 36-hour clock

Cialis Super Active is a soft gelatin capsule holding 20 mg of tadalafil, made in India. Lilly, which owns the Cialis name, doesn't make it, and it isn't licensed in Spain. No tadalafil softgel is approved anywhere in the EU.

Below the prices: why the capsule hasn't been shown to work faster, how tadalafil's 36-hour window works, what a 20 mg-only product means for you, and the licensed alternatives 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.

Product Dosage Quantity + Bonus Price Order
Cialis Super Active 20mg 10 pills € 52.99
Cialis Super Active 20mg 20 + 4 pills € 87.95
Cialis Super Active 20mg 30 + 6 pills € 121.99
Cialis Super Active 20mg 60 + 8 pills € 219.35
Cialis Super Active 20mg 90 + 10 pills € 299.18
Cialis Super Active 20mg 120 + 16 pills € 363.95
Cialis Super Active 20mg 180 + 20 pills € 496.75
Cialis Super Active 20mg 270 + 30 pills € 629.99
First things first. Cialis Super Active isn't a Lilly product, isn't licensed in Spain, and our price table doesn't say who makes it. Each capsule contains 20 mg, tadalafil's maximum as-needed dose. After taking it, at least 48 hours must pass before any GTN or other nitrate. 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 isA softgel capsule of tadalafil, a PDE5 inhibitor for erectile dysfunction.
Strength20 mg per capsule
Licensed in Spain?No; it isn't in CIMA. No tadalafil softgel holds an EU licence.
PrescriptionRequired. The public health system doesn't fund tadalafil.
Licensed as-needed dose10 mg; 20 mg if that isn't enough. Once a day at most.
How long it lastsUp to 36 hours (half-life 17.5 hours).
In this shop«Cialis Super Active» 20 mg, 10 to 270 capsules (bonus capsules on larger packs). Manufacturer not stated.

Not made by Lilly

«Super Active» is a trade name Indian manufacturers give their gel capsules, and «Cialis» is Lilly's brand, used here without its permission. What's inside is tadalafil, as in Cialis and its EFG generics, at 20 mg. No European agency has reviewed the formula, the other ingredients or the factory. Ask us for the manufacturer and batch number if you want to know exactly where it comes from.

Is it a faster tadalafil?

Sellers call the softgel the «fastest-acting» form and even recommend it to diabetics with slow digestion. Neither claim rests on any study assessed in Europe. Here's what the Spanish product information does document:

  • Tadalafil can be taken from 30 minutes before sex, and in trials some men responded within 16 minutes.
  • Blood levels peak at about 2 hours, both for the coated tablet and for the licensed melt-in-the-mouth version (Alneo, Tadalafilo Alter).
  • Food changes neither the speed nor the amount absorbed, so a capsule that «beats the meal effect» is solving a problem tadalafil doesn't have.

Tadalafil's selling point is how long it lasts, not how quickly it starts.

The 36-hour clock

Tadalafil's half-life is 17.5 hours: every 17.5 hours the amount in your blood halves. That's why it can work for up to 36 hours, and why you need to count the hours before another dose or before any nitrate. Move the slider to see what's left.

How long since your last capsule?

A rough estimate based on the half-life in the product information. People vary, and this doesn't replace your doctor.

12 hours

Always 20 mg

The product information starts men on 10 mg as needed and keeps 20 mg for those who don't respond to 10. With severe kidney disease or liver problems, 10 mg is the ceiling. For frequent sex, the planned regimen is 5 mg a day, not 20. Cialis Super Active offers none of those doses, and a capsule can't be split.

How the price compares

Use the price table to compare the cost of a Cialis Super Active capsule with other 20 mg tadalafil forms, such as Cialis Soft. Paying more doesn't buy a different effect: same drug, same dose.

Who shouldn't take it

Don't take tadalafil if you use nitrates, poppers or riociguat; if you've had a heart attack in the past 90 days or a stroke in the past 6 months; or if you have unstable angina, recent heart failure, uncontrolled arrhythmia or high blood pressure, or blood pressure under 90/50. The same goes after sight loss from NAION or if you're allergic to tadalafil. Check with a doctor first if you have Peyronie's disease, sickle cell anaemia, myeloma or leukaemia, or take an alpha-blocker.

Side effects

The usual ones are headache, indigestion, back or muscle ache, flushing and a stuffy nose. Back and muscle ache tends to come on 12 to 24 hours after a dose.

Call 112 if:
  • you have chest pain or are short of breath; tell the emergency team you took tadalafil and when, because it changes what they can give you;
  • an erection lasts 4 hours or more;
  • you suddenly lose sight or hearing;
  • your face, tongue or throat swells.
More than one capsule? Spain's poisons service (Servicio de Información Toxicológica): 91 562 04 20.

Report side effects at notificaRAM.es.

Interactions

MedicineWhat happens
Nitrates, poppers, riociguatSevere drop in blood pressure. Keep at least 48 hours between tadalafil and a nitrate.
DoxazosinLong-lasting falls in blood pressure; not recommended.
Ketoconazole, ritonavir, itraconazoleTwo to four times more tadalafil.
RifampicinMuch less tadalafil; it may not work.

Licensed alternatives

If swallowing is the issue, Spanish pharmacies stock melt-in-the-mouth tadalafil in 5, 10 and 20 mg (Alneo, Tadalafilo Alter) on prescription. On this site:

Those don't come from a Spanish pharmacy either: the active ingredient is licensed, not necessarily the box.

Prescription and delivery

A médico de familia at your centro de salud, a private GP or a urologist can prescribe tadalafil; you pay the full price. EU prescriptions with the required details are accepted, UK ones aren't. We don't sell from a shop; orders go by post or courier under our delivery conditions.

Questions

Can I buy Cialis Super Active without a prescription in Spain?

No. It isn't licensed, and tadalafil always needs a prescription here.

Is it stronger than Cialis?

No. It contains 20 mg, the same as Cialis's highest tablet.

Does it work faster than a tablet?

No data assessed in Europe show that. Any tadalafil can be taken from 30 minutes beforehand.

How long does it last?

Up to 36 hours. You still need arousal to get an erection.

Can I take it every day?

Not 20 mg on an ongoing basis. Daily tadalafil is 5 mg.

Cialis Super Active or Cialis Soft?

The same 20 mg of tadalafil in a different form; neither is licensed. In our table Cialis Soft costs less per unit.

Sources: Spanish product information (ficha técnica) for Cialis film-coated tablets and for 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.