Original trial pack: 12 tablets, three medicines, one rule: never two on the same day
| Availability: | Yes |
| Delivery: | 4-7 days |
| Payment: | credit cards, bank transfer |
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This pack puts three brand-name erectile dysfunction medicines in one order: 4 tablets of Viagra 100 mg (sildenafil), 4 of Cialis 20 mg (tadalafil) and 4 of Levitra 20 mg (vardenafil). They all work the same way but differ in how fast they start, how long they last and whether food gets in the way.
No Spanish pharmacy sells a pack like this, and every tablet in it is the highest licensed dose. Further down we explain how to compare them without taking risks: with your doctor, one at a time, and never two on the same day. 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 bundle put together by this shop: three brand-name ED medicines. Spanish pharmacies don't supply anything like it; each medicine comes in its own box, with its own leaflet and prescription. |
|---|---|
| Contents | 4 × Viagra 100 mg, 4 × Cialis 20 mg and 4 × Levitra 20 mg: 12 tablets. |
| Active ingredients | Sildenafil, tadalafil and vardenafil, all PDE5 inhibitors. |
| Prescription? | Yes, all three (CIMA). None is funded by the Spanish public system. |
| Doses in the pack | The maximum for each. Usual starting doses are sildenafil 50 mg, tadalafil 10 mg and vardenafil 10 mg. |
| Origin | No supplier, batch or country given. We can't say whether Spanish or English leaflets are included. |
The three tablets compared
| Viagra 100 mg | Cialis 20 mg | Levitra 20 mg | |
|---|---|---|---|
| Active ingredient | Sildenafil | Tadalafil | Vardenafil |
| Usual first dose | 50 mg | 10 mg | 10 mg |
| When to take it | About an hour before | 30 min or more before | 25 to 60 min before |
| Window of effect | A few hours | Up to 36 hours | A few hours |
| Fatty meal | Slows it | No effect | Slows it |
| Company in Spain | Viatris | Lilly | Bayer (no Spanish packs on sale) |
Four tablets of each isn't much to go on. And because they're all top-strength, starting with this pack makes headaches, flushing and dizziness more likely than a normal first dose would.
Comparing them isn't the same as mixing them
Finding out which suits you is a fair aim. What goes wrong is how people do it: one on Friday, another on Saturday, or two together «to make sure». The product information for all three agrees on the basics:
- one dose a day at most;
- no combining with other erectile dysfunction medicines, because it hasn't been studied and the blood-pressure effects add up;
- the same core contraindications: nitrates, poppers, riociguat, and heart conditions that make sex unsafe.
Urology guidelines advise giving each medicine several tries, at the right dose and with sexual stimulation, before deciding it doesn't work. Four maximum-strength tablets won't tell you that, and hopping between them over a few days makes it impossible to tell which one caused a result or a side effect.
A sensible way to try them
- See a doctor first: they'll tell you whether any of them is safe for you, which to start with, and at what dose.
- Use one medicine on several separate occasions before judging it.
- Keep a note of how long it took, how long it lasted, what you'd eaten and any side effects.
- If you switch, do it on another day: at least 24 hours after sildenafil or vardenafil, longer after tadalafil, which stays active for up to 36 hours.
- Never take a second tablet, of the same or a different one, because the first «didn't work».
Can I move on to the next one?
Choose the one you took last and how many hours ago.
The brands in this pack, in Spain
Viagra is distributed by Viatris and Cialis by Lilly; both are on sale in Spanish pharmacies on prescription. Levitra is still licensed, but Bayer doesn't market its Spanish packs, so it only turns up now and then as a parallel import. A pharmacy box has a código nacional, batch number, expiry date and a 2D barcode that is scanned when it's dispensed; none of that has been checked in a pack sent by post. Our pages on original Viagra, original Cialis and original Levitra explain how to read each box.
Who shouldn't take any of them
- Anyone using nitrates (GTN, isosorbide), poppers or riociguat.
- Men with unstable angina, severe heart failure or any heart condition for which a doctor has advised against sex.
- Anyone who has recently had a heart attack or stroke, or has blood pressure below 90/50.
- Anyone who has lost sight in one eye through ischaemic optic neuropathy (NAION).
Each also has its own exclusions (retinitis pigmentosa, severe liver disease, dialysis, certain HIV medicines), listed on its page and in its leaflet.
Side effects
They share the most common ones: headache, flushing, a blocked nose, dizziness and indigestion. Sildenafil can give vision a blue tint for a few hours; tadalafil more often causes back or muscle aches, sometimes hours after the dose.
- you have chest pain, breathlessness or faint; tell staff which one you took and when;
- an erection lasts 4 hours or more;
- you suddenly lose sight or hearing;
- your face, lips or throat swell.
Side effects can be reported at notificaRAM.es.
Interactions all three share
| Taken with | What happens |
|---|---|
| Nitrates, poppers, riociguat | Serious fall in blood pressure. Contraindicated. |
| Ritonavir and other strong CYP3A4 inhibitors | Much higher levels; with vardenafil, contraindicated. |
| Alpha-blockers (doxazosin, tamsulosin...) | Dizziness and low blood pressure; dose adjustment needed. |
| Another PDE5 inhibitor | Not studied. Don't combine. |
Prescriptions and delivery
All three need a prescription in Spain, from your médico de familia at the centro de salud, a urologist or a private doctor, and the public system doesn't pay for them. Prescriptions from other EU countries are accepted if complete; UK ones aren't. If your doctor suggests comparing, you'll get one prescription and, if needed, another later. We don't sell in a shop: orders go by post or courier under our delivery conditions. Other packs are listed under trial packs.
Common questions
Can I buy this pack without a prescription in Spain?
No. All three medicines are prescription-only and can only be dispensed by a pharmacy, each in its own box.
Can I take Viagra and Cialis together?
No. They belong to the same class; the combination hasn't been studied and can drop your blood pressure too far.
How long should I leave between them?
At least a day after Viagra or Levitra, and longer after Cialis, whose effect can last up to 36 hours. The tool above gives you a guide.
Which of the three is best?
None is best for everyone. They work in similar ways and differ in timing and in how food affects them. Your doctor will weigh your health, your other medicines and your habits.
Why are they all the highest dose?
That's how the pack is made up. It's not how treatment normally starts: the product information suggests 50 mg sildenafil and 10 mg tadalafil or vardenafil to begin with.
Are the medicines in the pack genuine?
We can't guarantee it: we aren't a pharmacy and don't state a supplier or origin. Only a box dispensed by a pharmacy goes through the barcode check.
Sources: Viagra, Cialis and Levitra product information (CIMA, AEMPS); EMA product information; European Association of Urology guidelines on erectile dysfunction; BIFIMED, Spanish Ministry of Health; Royal Decree 81/2014. General information only, not a substitute for medical advice. 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.
