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 Tadalafil 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 electronic 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 the private electronic prescription and why is it valid across the EU?

The private electronic prescription (Receta Médica Privada Electrónica) is 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 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.

How much does it cost and what does the price include?

The medical consultation costs €25 and includes a licensed doctor's review of your case and, if approved, the electronic prescription. If the doctor decides the treatment is not appropriate, the €25 is refunded. The medication price is separate and paid at the pharmacy; it varies by country, pharmacy and product across the EU. Because your electronic prescription is valid at any EU pharmacy, you can compare and choose where to fill it.

TadalafilPrescription only

Online medical consultation for Tadalafil.

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

Effect window of up to 36 hours
A low-dose daily option exists
More spontaneity, less planning

€25Refund if treatment not approved

Start consultation · €25 See how it works

Medication, if prescribed, is dispensed and paid for separately at a pharmacy.

FormOral tablet

FrequencyOn demand or daily

ResultsWindow of up to 36 hours

StatusPrescription only

About

What is Tadalafil?

Active ingredient: Tadalafil · Dosages: 10 / 20 mg on demand · 5 mg daily

Tadalafil is a PDE5 inhibitor whose long half-life sets it apart — up to 36 hours of therapeutic window. That allows spontaneity, and a low-dose daily regimen is available for continuous use when clinically appropriate.

It also suits people who respond better to sustained action, and it's considered in cases with lower urinary tract symptoms (BPH), where tadalafil is indicated. The doctor weighs the on-demand versus daily approach with you.

How it works in the body

Like other PDE5 inhibitors it improves blood flow in response to stimulation — but its effect persists far longer. The on-demand dose acts in 30–60 minutes; the low daily dose reaches a steady effect in a few days.

How it helps

How it helps.

The 36-hour window

One on-demand dose covers a much longer period than other PDE5s.

Daily option

A low daily dose allows sexual activity without planning, when appropriate.

Doctor-screened

Cardiovascular health and interactions are reviewed before any prescription.

What to expect

How to take it.

On demand or as a low daily dose — your doctor recommends the regimen that fits your frequency and preferences.

On demand · 30–60 minutes before activity
Effect window · Up to 36 hours
Daily option · Low dose reaches steady effect in days
Message your doctor to adjust the regimen if needed

Doses your doctor can prescribe

On demand10 / 20 mg
Daily (when appropriate)low dose, typically 5 mg
Pharmacy price~€25–45 / pack

Your schedule is personal

These are typical steps only. Your doctor adjusts the plan to how you respond and tolerate it — and you can message them at any point.

Safety first

Safety, in full.

Tadalafil is an effective medicine — and like any medicine it carries risks. Your doctor screens for all of this before prescribing. Here's the honest picture, not just reassurance.

Prescribed for adult men with erectile dysfunction in two regimens.

On-demand: 10 mg taken at least 30 minutes before sexual activity. Adjustable to 20 mg or 5 mg by the doctor.
Daily low-dose: 2.5 mg or 5 mg once a day for men with frequent activity or co-existing benign prostatic hyperplasia (BPH).
Effect window of up to 36 hours from a single dose; food and alcohol have minimal impact compared with sildenafil.

Who should not take it

Any nitrate medicine or amyl-nitrite recreational drug (“poppers”) — life-threatening blood-pressure drops.
Riociguat or any guanylate-cyclase stimulator.
Recent heart attack, stroke or unstable angina in the last 6 months.
Severe liver impairment, severe low or uncontrolled high blood pressure.
Hereditary degenerative retinal disorders or prior NAION.

When to seek urgent care

For severe, sudden or unexpected symptoms, call your local emergency number or go to the nearest emergency department. Then let your doctor know through your account chat.

Read the full Tadalafil safety summary

PRICING

One price. No surprises.

€25 per online medical consultation. If the doctor does not approve treatment, we refund you in full within 48 hours.

SINGLE CONSULTATION

What our patients say.

Verified reviews from Hi-Doctor patients · names changed for privacy · individual results vary.

Discreet from start to finish. The questionnaire was thorough and the doctor adjusted my dose after feedback.

Daniel P.

3 months in treatment

They checked my heart medication before prescribing — that level of care is why I stayed.

Sergio L.

7 months in treatment

Asking questions through the private chat was easy, and the answers came from the actual doctor.

Andreas W.

4 months in treatment

FREQUENTLY ASKED QUESTIONS

Questions about Tadalafil.

Find out if it's right for you

See if Tadalafil is appropriate for you.

Answer a few questions and a licensed EU doctor reviews your case within 24 hours. Refunded in full if it's not right for you.

Start consultation · €25 See Sexual health

OTHER SEXUAL HEALTH TREATMENTS

Explore related treatments.

Sildenafil Viagrasildenafil Cialistadalafil Vardenafil Levitravardenafil Avanafil Spedraavanafil Stendraavanafil

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

Active ingredient: tadalafilArea: sexual healthPrescription-only

WHAT TO KNOW

Tadalafil in context.

Tadalafil 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 prescription 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

ALSO AVAILABLE IN

The Tadalafil consultation works the same way across the EU.

AVAILABLE ACROSS SPAIN