Tadalafil, known as Cialis, is a popular erectile dysfunction (ED) drug belonging to a class of drugs known as PDE5 inhibitors, which counts sildenafil (Viagra) and vardenafil (Levitra) among its ranks.
PDE5 inhibitors help treat ED by boosting your body’s sexual arousal response by boosting blood flow to the penis to give you stronger, firmer erections.
Tadalafil is known for its longer-lasting effects, whose window of effectiveness works up to 36 hours.
Tadalafil can be taken as needed, typically 30 minutes prior to engaging in sexual activity.
Tadalafil can also be taken daily at a lower dose, same time each day, without having to take your daily dose before you have sex.
Some men prefer to take tadalafil only when they plan to have sex. Others who plan to have more frequent sex can ask their doctors whether they can take tadalafil daily so that they can enjoy more spontaneity in their sexual engagements.
Tadalafil starts working within 30 minutes after taking it. Out of all PDE5 inhibitors, tadalafil’s window of effectiveness can linger for up to 36 hours – meaning people who take tadalafil can produce erections for up to 36 hours after taking their dose.
Is it possible to take 40 mg of tadalafil? How much tadalafil is too much?
If you’re taking tadalafil on an as-needed basis, the maximum daily dose would be 20 mg. Doubling one’s dosage to 40 mg or mixing tadalafil with other PDE5 inhibitor drugs like sildenafil isn’t recommended – and may lead to a greater likelihood of developing side effects.
What are the side effects and potential risks of tadalafil?
Tadalafil’s most common side effects include headaches, backaches, nasal congestion, stomach pain, flushing, and problems in vision. And since tadalafil lasts longer than any other PDE5 inhibitor (36 hours), that means these side effects can last longer than, say, sildenafil, whose window of effectivity lasts around four to six hours.
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What should I do if tadalafil doesn’t work for me?
Sometimes, tadalafil might not work as well as you hoped it would – it happens.
Fortunately, you can make some changes here and there to make sure you get the most value out of your ED drugs.
The first thing you need to try is to time your disease right. If you’re taking tadalafil on an as-needed basis, make sure to take it no less than 30 minutes before having sex.
On the other hand, if you’re taking tadalafil daily, make sure to take your daily dose at the same time daily and not skip your doses.
However, while tadalafil and its PDE5 relatives have a sterling record of effectiveness, they won’t work like magic and give you a stiffy out of the ether. Rather, you need to be sexually aroused for them to work their magic.
Sexual arousal can be caused by a variety of factors, such as light to heavy petting, or foreplay, as well as through mental pathways, such as introducing kinks to the bedroom, watching pornography, or introducing sex toys to the equation. Comfort levels between your partner is also a significant factor in getting aroused. Stress, depression, and anxiety, however, are known erection killers, so cultivating a satisfying sexual relationship might be the most important factor of them all.
If your timing is impeccable and tadalafil still isn’t cutting it for you, ask your doctor if you need to change your dosage or to try another PDE5 inhibitor that works better for you. Also ask your doctor if you’re taking medicines that might be interfering with tadalafil’s effects to rule that possibility out.`
What other ED treatments can I try?
If tadalafil just can’t cut the mustard after trying to fix the problem, you can try the following options.
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Implementing lifestyle changes
Certain health and lifestyle factors are associated with higher rates of developing sexual dysfunctions like ED. Smoking is one of those factors, as studies showed that men who quit smoking regained erectile function.
A poor diet and lack of exercise also play an integral role. In a 2018 study, younger adult men who reduced alcohol and tobacco intake, while boosting their fruit and vegetable intake demonstrated improvements in erectile function.
Managing underlying medical conditions
A wide array of medical conditions can cause ED, such as cardiovascular disease, diabetes, low testosterone, and obesity, among others. Left untreated, these underlying health issues can affect your body’s ability to produce and keep an erection, even when taking PDE5 inhibitors.
What other treatment options do I have if all else fails?
If PDE5 inhibitors aren’t working for you, your doctor may suggest the following treatment options:
- Testosterone replacement therapy for ED caused by having low T levels
- Injectable drugs applied directly to the penis to artificially produce an erection, such as alprostadil
- Penis pumps and other similar vacuum-powered devices can keep the penis hard for up to 30 minutes
