Can I get it?
Yes, if a doctor decides it is right for you. Tadalafil 10/20mg is authorised in the EU and can be prescribed after a medical review.
An EU-licensed doctor reviews your case and, if eligible, issues an electronic prescription valid in any pharmacy in Spain. Consultation €35, refunded if the doctor decides it is not safe to prescribe.

Full refund if a review is not approved · Medication, if prescribed, is dispensed and paid for separately at a pharmacy.
IN PLAIN TERMS
Tadalafil is a prescription tablet for erectile dysfunction, authorised across the EU since 2002. Like sildenafil it relaxes the blood vessels in the penis so blood can flow in, and sexual arousal is still needed for it to work. Its distinguishing feature is how long the effect lasts: the EU product information reports a measurable effect up to 36 hours after a dose. It also comes as a low-dose tablet taken once a day rather than before sex, and it cannot be combined with nitrate heart medicines.
Tadalafil 10/20mg has been authorised for use in the EU since 12 November 2002, so a licensed doctor can prescribe it when it is clinically appropriate for you.
Yes, if a doctor decides it is right for you. Tadalafil 10/20mg is authorised in the EU and can be prescribed after a medical review.
Our doctors review every Sexual health option and recommend what fits your history and goals.
See all Sexual health optionsEvery trial behind Tadalafil 10/20mg is listed below with how many people took part and whether the results are peer-reviewed or a company announcement.
Jump to the studiesLocal consultation facts
Yes. People in Badajoz, Spain, can request an online doctor consultation about Tadalafil 10/20mg with Hi-Doctor. A licensed EU doctor reviews the case and issues a prescription only when clinically appropriate. If approved, the electronic prescription arrives as a QR code that can be dispensed directly in Spain.
Availability
Tadalafil 10/20mg is available to residents of Spain through the online consultation. A prescription follows only if the doctor approves it.
How the EU prescription works where you are: In Spain, an approved prescription arrives electronically with a QR code for direct dispensing.
VERIFIED EVIDENCE
WHAT IT IS
Tadalafil blocks the PDE5 enzyme that normally ends an erection, keeping the blood vessels in the penis relaxed so blood can flow in when a man is sexually aroused.
DEVELOPMENT STAGE
Every NCT identifier links to its ClinicalTrials.gov record. A readout is not the same as peer-reviewed publication.
| TRIAL / NCT | POPULATION | PARTICIPANTS | STATUS | READOUT / COMPLETION |
|---|---|---|---|---|
| Integrated analysis of five randomised, double-blind, placebo-controlled 12-week trials | Men aged 22-82 (mean 59) with mild to severe erectile dysfunction of various causes | 1,112 | Read out | 2002-10-01 |
| Three at-home period-of-responsiveness studies | Men with erectile dysfunction | 1,054 | Read out | — |
Results are grouped by source and evidence grade so journal data and manufacturer announcements cannot be confused.
| DOSE OR GROUP | MEAN WEIGHT CHANGE | WEEKS |
|---|---|---|
| 20 mg | Mean improvement of 7.9 points from baseline on the IIEF erectile function domain (p<0.001 vs placebo) | 12 |
| 20 mg | 75% of intercourse attempts completed (SEP question 3), p<0.001 vs placebo | 12 |
| 20 mg | 81% reported improved erections vs 35% on placebo (Global Assessment Question), p<0.001 | 12 |
This pooled five 12-week manufacturer-run trials, and the 7.9-point IIEF change is the within-group change from baseline rather than the difference from placebo.
NAMED SAFETY SIGNALS
Listed as common in the EU product information — between 1 in 100 and 1 in 10 men. Frequency rises with higher doses. With once-daily dosing, most headaches occur in the first 10 to 30 days of treatment.
Listed as common in the EU product information — between 1 in 100 and 1 in 10 men. Named alongside headache, dyspepsia and myalgia as one of the most frequently reported reactions, with frequency rising at higher doses.
Listed as common in the EU product information — between 1 in 100 and 1 in 10 men, with frequency rising at higher doses.
Listed as common in the EU product information — between 1 in 100 and 1 in 10 men.
Both listed as common in the EU product information — between 1 in 100 and 1 in 10 men.
Contraindicated in men who have lost vision in one eye because of NAION, whether or not the episode was linked to a PDE5 inhibitor.
Contraindicated with nitrate medicines and with guanylate cyclase stimulators, and after a recent heart attack (within 3 months) or stroke (within 6 months).
About
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 helps
One on-demand dose covers a much longer period than other PDE5s.
A low daily dose allows sexual activity without planning, when appropriate.
Cardiovascular health and interactions are reviewed before any prescription.
What to expect
On demand or as a low daily dose — your doctor recommends the regimen that fits your frequency and preferences.
Doses your doctor can prescribe
Safety first
Tadalafil 10/20mg 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.
Who should not take it
PRICING
€35 for one sexual-health consultation. Paid once, with no recurring charge.
ONE-OFF
€35 one-off
One consultation, one doctor, one decision.
Nothing stored publicly, ever
Full refund if a review is not approved
WHAT'S INCLUDED
Full refund if a review is not approved
If a review is not approved, we refund the €35 consultation fee in full.
Note: The medication, if the doctor prescribes it, is paid separately at the pharmacy at the price it sets. Hi-Doctor does not sell medications.
HOW THE DOCTOR DECIDES
An EU-licensed doctor reads your questionnaire and answers in less than 2 hours on average.
If the doctor decides it is not safe to prescribe, the consultation fee is refunded in full.
Follow-up happens in the private chat inside your account, under GDPR. No WhatsApp, no SMS.
OTHER SEXUAL HEALTH TREATMENTS
Find out if it's right for you
Answer a few questions and a licensed EU doctor reviews your case in less than 2 hours on average. Refunded in full if it's not right for you.
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