Cialis Together (Tadalafil 10mg)
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Buy Cialis Together Online
Cialis Together is an over the coun long-lasting erectile dysfunction treatment that helps men get an erection when sexually aroused. Each pack contains 4 tablets, with each tablet containing 10mg of tadalafil, the active ingredient in Cialis together. Known for its long-lasting effects of up to 36 hours, it’s an ideal alternative to Viagra Connect or sildenafil for those seeking more flexibility and spontaneity. While side effects of Cialis are uncommon, some men may experience mild symptoms such as headaches or flushing. With a quick online consultation and free, discreet UK delivery, Cialis Together is available to buy today from Happy Pharmacy.
What is Cialis Together?
Cialis Together tablets are an over-the-counter treatment for erectile dysfunction (ED) in men. It contains the active ingredient Tadalafil 10mg, which helps increase blood flow to the penis, allowing for an erection when sexually aroused. One of the key benefits of Cialis Together is its long-lasting effect, which can last up to 36 hours. This provides a longer window for sexual activity compared to other ED medications. Cialis Together is available without a prescription and can be purchased online with Happy Pharmacy following a short online questionnaire.
How does Cilais Together work?
Cialis Together contains tadalafil, a medicine from the phosphodiesterase type 5 (PDE5) inhibitor group. This type of treatment works by relaxing the blood vessels in the penis, allowing more blood to flow in when you’re sexually aroused. It doesn’t increase sexual desire or cause arousal on its own, instead, it helps you achieve and maintain an erection naturally when stimulation occurs.
How long does it take for Cialis Together to work?
Cialis Together usually starts working within 30 to 60 minutes, but you’ll still need sexual stimulation for it to be effective. For many men, it works the first time they take it. However, if you haven’t had an erection for some time, it may take two or three separate attempts before you see the full benefit. These should be on different days, leaving at least 24 hours between doses.
How do I take Cialis Together
Take one 10 mg Cialis Together tablet about 30 minutes before sexual activity, swallowing it whole with water. You can take it with or without food, though a light meal may help it work faster. The effects can last up to 36 hours, but Cialis Together only works when you’re sexually aroused.
Do not take more than one tablet in 24 hours. Avoid using it with nitrates or blood pressure medicines, as this may cause unsafe drops in blood pressure.
If it doesn’t work the first time, try again on another occasion, following the same dosage instructions. Speak to a healthcare professional if erectile difficulties persist or if you’re unsure whether this treatment is suitable for you.
How long does Cialis Together remain active?
Cialis together can last up to 36 hours and has a longer duration of action compared to other erectile dysfunction drugs. This allows for more spontaneity in your sex life. However, it doesn't mean you'll have a continuous erection for 36 hours; sexual stimulation is still required for it to work.
Who can take Cialis Together?
Cialis Together is suitable for adult men aged 18 and over who experience occasional erectile dysfunction and are generally in good health. It can be used by most men who want a reliable, fast-acting treatment to improve erections when sexually aroused. However, it should not be taken by anyone using nitrate medicines (often prescribed for chest pain) or certain blood pressure or heart medications, as this can cause serious drops in blood pressure. Men with severe heart, liver, or kidney problems, or those advised to avoid sexual activity due to health risks, should not use Cialis Together without medical approval. Always read the patient information leaflet and consult one of our online pharmacists or a doctor if you are unsure whether it is safe or suitable for you.
Erectile dysfunction (ED) assessment
At Happy Pharmacy, our erectile dysfunction assessment helps you find the right treatment safely and confidently. By answering a few short health questions about your symptoms, medical history, and lifestyle, our qualified pharmacy team can identify whether your ED is likely caused by physical factors such as blood flow or hormones, or psychological factors like stress or anxiety. We’ll then recommend the most suitable and effective options, including treatments like Cialis Together. Every assessment is discreet, confidential, and completed online, ensuring you get expert guidance and trusted medication from a UK-registered pharmacy.
Causes of erectile dyfunction
Erectile dysfunction (ED) can have many causes, and understanding them helps in finding the right treatment. The most common physical causes include reduced blood flow to the penis, high blood pressure, diabetes, high cholesterol, and hormonal imbalances such as low testosterone.
Lifestyle factors like smoking, excessive alcohol, lack of exercise, or being overweight can also contribute.
In some cases, ED may stem from psychological causes such as stress, anxiety, depression, or relationship issues.
At Happy Pharmacy, we consider all possible factors during your assessment to help identify the root cause and recommend safe, effective treatments like Cialis Together or other suitable options to restore confidence and sexual performance.
Why order Cialis Together with Happy Pharmacy?
While there are many online platforms offering Cialis Together, it’s essential to ensure you're purchasing from a trusted and legitimate supplier.
At Happy Pharmacy, we prioritise your safety and peace of mind.
We are legally compliant and regulated:
All online pharmacies in the UK must be registered with the General Pharmaceutical Council (GPhC), which oversees and maintains a register of legitimate pharmacists and pharmacies, including online providers. Happy Pharmacy adheres strictly to these regulations, ensuring you receive safe and authentic medication.
Choose Happy Pharmacy for a reliable, secure, and professional service tailored to your needs.
See our GPhC registration
If you have any questions, you are always welcome to contact us. We'll get back to you as soon as possible, within 24 hours on weekdays.
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Additional Information
How to Order Cialis Together with Happy Pharmacy
1. Complete a Quick Online Consultation
Answer a few questions to ensure Cialis Together is safe and suitable for you. This will be reviewed by our Happy Pharmacy Team.
2. Your Medication will be Issued
Once approved, and if you meet the eligibility criteria, the medication will be processed by our UK-based pharmacy.
3. Receive Fast, Discreet Delivery
Your medication will be delivered directly to your doorstep.
4. Ongoing Support
Our UK-registered pharmacists are available to assist you with any questions.
Patient Information
FAQs
Can I take Cialis Together with any other medication?
Always read the patient information leaflet and inform your doctor or the Happy Pharmacy Clinical Team of any medications you're taking before starting Cialis Together. Cialis Together does interact with other medication and may not be suitable if you have pre-existing conditions, always check before starting.
- Avoid using Cialis Together if you're taking nitrate drugs (e.g., glyceryl trinitrate, isosorbide mononitrate) or nitric oxide donors (e.g., amyl nitrite, nicorandil) due to the risk of a dangerous drop in blood pressure.
- Do not use with riociguat or other guanylate cyclase stimulators, used for pulmonary arterial hypertension.
Inform your healthcare provider if you're taking:
- Alpha blockers (e.g., alfuzosin, doxazosin) for prostate issues or high blood pressure.
- Other hypertension medications.
- Finasteride for benign prostatic hyperplasia.
- Antifungal medications (e.g., itraconazole, ketoconazole).
- Antibiotics (e.g., rifampicin, erythromycin).
- Protease inhibitors (e.g., ritonavir, saquinavir) for HIV/AIDS.
- Anticonvulsants (e.g., phenobarbital, phenytoin).
- Other erectile dysfunction therapies.
- Theophylline for asthma.
- Cimetidine for heartburn and stomach ulcers.
Always consult with your healthcare provider to ensure safe use of Cialis Together.
Are there any precautions that I need to be aware of before starting Cialis Together?
You should schedule a health check-up with your doctor as soon as possible within the first 6 months of starting to use Cialis Together to ensure that your erection problems are not caused by any serious health condition. Erectile dysfunction may be an early sign of:
- cardiovascular disease
- diabetes
- high blood pressure
- high cholesterol
What if I have history of heart problems, can I use Cialis Together?
If you have been told by your doctor that you have stable cardiovascular disease or have a low cardiovascular risk you may be suitable for Cialis Together. We can only supply if your doctor has advised they can resume sexual activity and that you do not have any other contraindications.
You cannot use Cialis Together if you have any of the following conditions:
- myocardial infarction in the last 3 months
- unstable angina or angina during sex
- heart failure in the last 6 months
- arrhythmia (irregular, hypotension (<90/50 mmHg; symptoms of which include dizziness and blurred vision), uncontrolled hypertension
- stroke in the last 6 months
- left ventricular outflow obstruction (e.g. aortic stenosis)
- rare syndrome of multiple system atrophy manifesting as severely impaired autonomic control of blood pressure
- left ventricular dysfunction
If you are unsure, please check with your doctor.
What if I have other health conditions?
Please check with the Clinical Team at Happy Pharmacy or your doctor before starting treatment.
Do not take Cialis Together tablets if you:
- do not have an erection problem, as this medicine will not provide any benefit to you
- are allergic to tadalafil or any of the other ingredients in this medicine
- take any medicines called nitrates or nitric oxide donors (such as glyceryl trinitrate, isosorbide mononitrate, isosorbide dinitrate for the relief of chest pain or heart failure, or nicorandil, molsidomine or sodium nitroprusside), as the combination may lead to a dangerous fall in blood pressure - take amyl nitrite also known as “poppers” as recreational drugs, as the combination may lead to a dangerous fall in blood pressure
- have been advised by your doctor to avoid sexual activity because of a problem with your heart or blood vessels, such as recent heart attack (within the last 90 days) or stroke (within the last 6 months), unstable angina or severe cardiac failure
- have low blood pressure or uncontrolled high blood pressure
- have ever had loss of vision because of nonarteritic anterior ischemic optic neuropathy (NAION), a condition described as “stroke of the eye”
- take riociguat or other medicines belonging to a group called guanylate cyclase stimulators. These medicines are used to treat pulmonary arterial hypertension (i.e. high blood pressure in the lungs) and chronic thromboembolic pulmonary hypertension (i.e. high blood pressure in the lungs secondary to blood clots)
- have a deformed penis (such as angulation, cavernosal fibrosis or Peyronie’s disease)
- problems with your liver or kidneys
- blood diseases (e.g leukaemia, sickle cell anaemia, multiple myeloma)
Important - Before taking any medication, it is always important to read the Patient Information Leaflet (PIL)
What's the difference between Cialis Together and Tadalafil?
The primary difference between Cialis Together and Tadalafil lies in their branding and availability:
1. Branding: Cialis Together is a branded version of tadalafil. Both contain the same active ingredient, tadalafil, which is a PDE5 inhibitor used to treat erectile dysfunction (ED) by increasing blood flow to the penis.
2. Dosage and Availability: Cialis Together is available in a 10mg dosage and can be purchased over the counter without a prescription. Tadalafil, on the other hand, is available in various dosages, including 10mg, and 20mg, and typically requires a prescription.
3. Cost: Tadalafil is the generic version and is generally more affordable compared to the branded Cialis Together.
What's the difference between Cialis and Cialis Together?
Cialis is a prescription treatment for erectile dysfunction that contains the active ingredient tadalafil. It comes in two strengths: 10mg, which is the recommended starting dose, and 20mg for those who need a higher dosage.
Cialis Together is an over-the-counter version of Cialis that also contains 10mg of tadalafil. Following its reclassification by the MHRA as a pharmacy-only medicine, Cialis Together can now be purchased without a prescription, offering a convenient and discreet option for men seeking ED treatment.
Side Effects of Cialis Together and Safety Information
Like all medicines, this medicine can cause side effects, although not everybody gets them. These effects are normally mild to moderate in nature.
Common (may affect up to 1 in 10 people)
headache, back pain, muscle aches, pain in arms and legs, facial flushing, nasal congestion and indigestion
Uncommon (may affect up to 1 in 100 people)
dizziness, stomach ache, feeling sick, being sick (vomiting), reflux, blurred vision, eye pain, difficulty in breathing, presence of blood in urine, prolonged erection, pounding heartbeat sensation, a fast heart rate, high blood pressure, low blood pressure, nose bleeds, ringing in the ears, swelling of the hands, feet or ankles and feeling tired
If side effects do not subside, it's important to report them to a healthcare provider.
There are also some serious side effects to be aware of:
If you experience any of the following side effects STOP using the medicine and SEEK medical help immediately:
- Priapism: An erection lasting more than 4 hours, which requires immediate medical attention to avoid permanent damage. This occurs rarely.
- Sudden Vision Loss: a sudden decrease or loss of vision , distorted, dimmed, blurred central vision or sudden decrease of vision This can be a sign of a serious eye condition called non-arteritic anterior ischemic optic neuropathy (NAION). Immediate medical attention is necessary. (frequency not known)
- Sudden Hearing Loss: Accompanied by ringing in the ears (tinnitus) or dizziness. Stop taking Cialis Together and seek medical advice immediately.
- Allergic reaction: this occurs uncommonly. Symptoms include sudden wheeziness, difficulty breathing or dizziness, swelling of the eyelids, face, lips or throat, rashes
- Chest pains: this occurs uncommonly. If this occurs before, during or after intercourse, get in a semi-sitting position and try to relax. DO NOT use nitrates to treat chest pain. Seek immediate medical help
- Stevens-Johnson Syndrome (SJS) which is a rare, serious disorder of the skin causing flu-like symptoms and a painful rash that spreads and blisters
- Always read the Cialis Together 10mg tablets - Patient Information Leaflet (PIL) - (emc) and consult your GP or pharmacist for full details.
Directions for Use
Whether you have questions about your Cialis treatment, need tips for managing side effects, or require advice on dosing, our Happy Pharmacy healthcare team is here for you.
Your health is our priority— contact us any time
References
Reclassification of Cialis Together - Medicines and Healthcare products Regulatory Agency (MHRA )
NHS Information on Tadalafil - NHS
Taking tadalafil with other medicines and herbal supplements - NHS
Side effects of Tadalafil - NHS
Palvinder Deol, GPhC Number 2047066
GPhC-registered Superintendent Pharmacist with over 25 years of experience in pharmaceutical care. Pavel Graduated from the University of Bath in 1997 as a qualified pharmacist.
Nigel Howard, GPhc Number 2047450
GPhC-registered Independent Prescriber with extensive experience in primary care and clinical pharmacy. Nigel qualified as a pharmacist in 1997 and has since specialised in prescribing for a wide range of health conditions.
Last reviewed & Updated: 21st October 2025 Editorial Policy