What makes tadalafil unique among PDE5s?

Its long half-life — up to 36 hours of therapeutic window. It allows spontaneity and a low-dose daily regimen is available for continuous use when clinically appropriate.

How long does it take to work?

The on-demand dose acts in 30–60 minutes. The low daily dose (typically 5 mg) reaches steady state in a few days and allows sexual activity without planning.

Who does tadalafil suit better than sildenafil?

Those seeking more spontaneity, or those who respond better to sustained action. It is also considered in cases with lower urinary tract symptoms (BPH), where tadalafil is indicated.

What are the common side effects?

Mild back pain, muscle ache, headache and facial flushing. Usually transient. Any visual disturbance or prolonged erection (>4 h) requires immediate medical attention.

Can I get a consultation for Cialis from Madrid?

Yes. Hi-Doctor runs 100 % online across the EU, so if you live in Madrid you can fill in the questionnaire and receive the medical review without travelling. The REMPE prescription issued by the licensed doctor is valid in any EU pharmacy under Directive 2011/24/EU; in Spain it is dispensed directly from the prescription QR.

Is my sexual-health consultation fully confidential?

Yes. All communication happens in the private chat of your account, GDPR-compliant. The doctor treats discretion as a core of the service and there is no history visible outside your consultation.

What is a REMPE prescription and why is it valid across the EU?

REMPE is the Spanish electronic private medical prescription issued by a licensed doctor in Spain. It is a PDF carrying every field required by EU Directive 2011/24/EU (patient, prescriber with country of registration, active ingredient, dose), which makes it legally recognised across all 27 EU member states. In Spanish pharmacies it is dispensed from the QR; outside Spain, the pharmacist dispenses the locally marketed equivalent of the same active ingredient.

How does Hi-Doctor work step by step?

1) Fill in an online medical questionnaire in about 4 minutes. 2) An EU-licensed doctor reviews your case and replies in under 24 h through the private chat in your account. 3) If eligible, the doctor issues an electronic REMPE prescription. 4) You collect it at any EU pharmacy. The consultation costs €25 and, if the doctor decides it is not safe to prescribe, the full amount is refunded.

CIALIS

Online medical consultation for Cialis.

An EU-licensed doctor reviews your case and, if eligible, issues a REMPE prescription valid at any EU pharmacy under Directive 2011/24/EU.

Electronic REMPE prescription valid at pharmacies across all 27 EU countries under Directive 2011/24/EU.
€25 consultation · full refund if the doctor decides it is not safe to prescribe.

Start consultation · €25 See Sexual health

4.8 · Trustpilot

Licensed EU doctors

Prescription in <24 h

50,000+ patients served

Trustpilot · 4.8 ★

Cialis is prescribed on Hi-Doctor when the licensed doctor considers it appropriate within sexual health.

Active ingredient: tadalafilArea: sexual healthPrescription-only

WHAT TO KNOW

Cialis in context.

Cialis is among the options a licensed EU doctor may consider for sexual health. The decision is made case by case after reviewing your questionnaire, history and current medication.

The doctor reviews your questionnaire, rules out contraindications and explains the available options clearly. If your case is not eligible, the doctor tells you at no extra cost and the €25 consultation is refunded.

HOW HI-DOCTOR WORKS

Your consultation step by step.

1) You fill in the online medical questionnaire in about 4 minutes.

2) An EU-licensed doctor reviews your case in under 24 hours.

3) If appropriate, the doctor issues a REMPE electronic prescription valid at any EU pharmacy under EU Directive 2011/24/EU.

4) You collect the medication at your nearest pharmacy and follow up through the private chat in your account — no WhatsApp, no SMS.

REVIEWED BY HI-DOCTOR LICENSED PHYSICIANS · EDUCATIONAL CONTENT, NOT A SUBSTITUTE FOR A CONSULTATION

TREATMENTS

Three categories, one process.

Choose what fits. The journey is identical.

Weight-management consultation — illustrative format

Weight loss

A medical consultation on your weight goal. Treatment if appropriate.

Start

Sexual health

An absolutely discreet consultation for intimate concerns.

Start

Hair growth

Medical assessment and tailored treatment for hair loss.

Start

HOW IT WORKS

Your consultation, in four steps.

Simple, private, entirely online.

~4 min
Step 01
Questionnaire
4 minutes. Clear questions about your health and goal.
< 24 h
Step 02
Medical review
A licensed doctor reviews your case in under 24 hours.
REMPE
Step 03
Prescription
If appropriate, you receive an EU-valid prescription.
EU
Step 04
EU pharmacy
Fill it at any pharmacy in the European Union.

FREQUENTLY ASKED QUESTIONS

Questions about Cialis.

OTHER SEXUAL HEALTH TREATMENTS

Explore related treatments.

Sildenafil Viagrasildenafil Tadalafil Vardenafil Levitravardenafil Avanafil Spedraavanafil Stendraavanafil

ALSO AVAILABLE IN

The Cialis consultation works the same way across the EU.

AVAILABLE ACROSS SPAIN

Cialis in context.

Cialis is among the options a licensed EU doctor may consider for sexual health. The decision is made case by case after reviewing your questionnaire, history and current medication.

Your consultation step by step.

1) You fill in the online medical questionnaire in about 4 minutes.

2) An EU-licensed doctor reviews your case in under 24 hours.

3) If appropriate, the doctor issues a REMPE electronic prescription valid at any EU pharmacy under EU Directive 2011/24/EU.

4) You collect the medication at your nearest pharmacy and follow up through the private chat in your account — no WhatsApp, no SMS.

Questions about Cialis.

Online medical consultation for Cialis.

Cialis in context.

Your consultation step by step.