Cialis contains the active ingredient Tadalafil, indicated in adult men with erectile dysfunction (sometimes called impotence), which is the inability to achieve or maintain a penile erection sufficient for satisfactory sexual performance. __Key Feature:__ - Lasts for 36 hours - Take 2 hours before sex - Allows for more sexual spontaneity Tadalafil belongs to a group of medicines called phosphodiesterase type 5 (PDE5) inhibitors and works by relaxing the blood vessels in your penis, allowing blood to flow into your penis when you get sexually excited and causing an erection. They will only help you to get an erection if you are sexually excited (stimulated). In order for Cialis to be effective, sexual stimulation is required. __FAQ:__ 1. __Is this an over-the-counter medication?__ NO, this is a prescription-only medication (POM), but medino pharmacy offers a private erectile dysfunction service, called PGD, where a trained pharmacist can dispense some medications for erectile dysfunction, after carrying out a clinical assessment. 2. __What will happen once I have answered the questions in the form?__ A pharmacist trained to provide the Erectile Dysfunction private service will assess the form and call you to discuss the answers you provided with you. 3. __Why do I need to provide my phone number?__ In order to dispense this medication without a prescription, the consultation must be carried out via phone or video call. As well as this being a legal requirement to ensure that the medication is suitable for you, the final phone consultation will allow you to ask any questions you may have to the pharmacist. 3. __Is the consultation private?__ Patient confidentiality is one of our top priorities, both the form you fill and the phone consultation are strictly confidential between you and the pharmacist. 4. __Do I need to pay for the consultation?__ The price you see is inclusive of the consultation fee, so you will not have to pay anything extra.