Skip to content
Hi-Doctor
All articles

Cialis Side Effects: What You Need to Know About Tadalafil

Get your Tadalafil prescription online from an EU-licensed doctor. Hi-Doctor offers a €25 online consultation, with prescriptions issued in under 24 hours if appropriate, valid at any EU pharmacy.

1 February 2026
Cialis Side Effects: What You Need to Know About Tadalafil

Cialis Side Effects: What You Need to Know About Tadalafil

Looking to get a Tadalafil prescription online in Spain, Portugal, or anywhere in the EU? You can get Tadalafil through a licensed EU doctor, quickly and discreetly. Hi-Doctor connects you with EU-licensed medical professionals who review your case individually. If the doctor finds treatment appropriate, you receive a valid REMPE electronic prescription in under 24 hours, ready for pickup at any EU pharmacy. The online consultation is a flat €25.

How it works — get your Tadalafil prescription in 4 steps

  1. Fill the online medical questionnaire: It takes just 2–3 minutes to provide your health details.
  2. A licensed EU doctor reviews your case in private: Our EU-licensed doctors assess your information confidentially.
  3. If appropriate, you receive a REMPE electronic prescription within 24 hours: The prescription is delivered to your private account and by email.
  4. Pick up your medication at any EU pharmacy: Your prescription is valid at pharmacies across the EU.

Who qualifies for Tadalafil

When you seek a Tadalafil prescription EU wide, the doctor evaluates your medical history to ensure Tadalafil is safe and appropriate. They look for specific criteria, including your overall health, existing conditions, and current medications. Tadalafil is generally prescribed for erectile dysfunction (ED) and sometimes for benign prostatic hyperplasia (BPH).

Contraindications include:

  • Use of nitrate drugs (e.g., for chest pain), as this can cause a dangerous drop in blood pressure.
  • Certain heart conditions or recent heart attack/stroke.
  • Severe liver or kidney problems.
  • Certain eye conditions.
  • Uncontrolled high or low blood pressure.

Always disclose your full medical history and all medications you are currently taking during your online consultation. This allows the doctor to make an informed decision and ensure your safety.

What Tadalafil actually does (and doesn't do)

Tadalafil, known by the brand name Cialis, is a phosphodiesterase-5 (PDE5) inhibitor. It works by increasing blood flow to the penis during sexual stimulation, helping you achieve and maintain an erection. It does not create sexual arousal; stimulation is still required for it to be effective. Tadalafil is also used to treat symptoms of benign prostatic hyperplasia (enlarged prostate) and pulmonary arterial hypertension.

One key benefit of Tadalafil is its long duration of action, up to 36 hours, which is why it's often called the 'weekend pill.' This allows for greater spontaneity compared to other ED medications. It typically starts working within 30-60 minutes.

Tadalafil does not protect against sexually transmitted infections (STIs) and is not a contraceptive.

Side effects and when to stop

Like all medications, Tadalafil can cause side effects. Most are mild and temporary. Common side effects include:

  • Headache
  • Flushing (warmth, redness, or tingly feeling)
  • Nasal congestion or runny nose
  • Muscle aches or back pain
  • Indigestion or heartburn

These usually subside as your body adjusts. However, some side effects are serious and require immediate medical attention. Stop taking Tadalafil and seek help if you experience:

  • Sudden vision changes or loss of vision.
  • Sudden hearing decrease or loss, sometimes with ringing in the ears and dizziness.
  • An erection lasting longer than 4 hours (priapism), which can cause permanent damage to the penis.
  • Symptoms of an allergic reaction: rash, itching, swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.
  • Chest pain, irregular heartbeat, or other heart-related symptoms.

Always follow your doctor's instructions and never exceed the prescribed dose.

Why Hi-Doctor vs. walking into a clinic

Getting your Tadalafil prescription through Hi-Doctor offers distinct advantages over traditional clinic visits:

  • Speed: Receive your prescription in under 24 hours, often much faster, compared to weeks of waiting for an in-person appointment.
  • Price: A transparent €25 flat online consultation fee. No hidden costs or variable private clinic fees.
  • Privacy: Everything happens in your private, RGPD-compliant in-app chat. No awkward waiting rooms or reception desk conversations.
  • Convenience: Complete your consultation from your phone, anywhere in the EU. No travel to a city-centre clinic.
  • Trust: Join over 50,000 satisfied patients with a 4.8 Trustpilot rating. Our EU-licensed doctors review every case individually.

With Hi-Doctor, you get safe, legal, and discreet access to medication if the doctor finds it appropriate, all from the comfort of your home.

Frequently asked questions

Is it legal to get Tadalafil online in Spain?

Yes, it is legal to get a Tadalafil prescription online in Spain and across the EU through licensed telemedicine platforms like Hi-Doctor. Our EU-licensed doctors issue REMPE electronic prescriptions that are valid at any EU pharmacy.

How long does the prescription take?

Once you complete your medical questionnaire, an EU-licensed doctor reviews your case. If treatment is appropriate, your electronic prescription is issued in under 24 hours, often much sooner, and delivered to your private account and by email.

Can I use the prescription at any EU pharmacy?

Yes, the REMPE electronic prescription issued by Hi-Doctor is valid at any licensed pharmacy in the European Union, including Spain, Portugal, Italy, France, and Germany.

What happens if the doctor says no?

If the doctor determines that Tadalafil is not appropriate or safe for your specific case, you will receive a full refund of your €25 consultation fee. The doctor's decision is always based on your health and safety.

Is my data private?

Absolutely. Hi-Doctor is fully RGPD-compliant. Your medical information and personal data are kept completely private and secure through our auditable in-app chat. No WhatsApp, no SMS, just secure communication within your account.

How much does it cost?

The online consultation with an EU-licensed doctor for a potential Tadalafil prescription costs a flat €25. There are no recurring fees or hidden charges for the consultation itself.

How do I get Tadalafil in Portugal?

You can get Tadalafil in Portugal by completing an online consultation with Hi-Doctor. If an EU-licensed doctor finds it appropriate for your case, you will receive a valid REMPE electronic prescription that you can use at any pharmacy in Portugal or elsewhere in the EU.

HI-DOCTOR NEWSLETTER

We'll tell you when we add new treatments.

At most 2 emails a month. No spam. Updates on online health, EU telemedicine, and clinical guides signed by licensed doctors.