A 2023 study in BMC Psychology found that up to 65 percent of men ages 18 to 60 suffer from depression. The researchers noted that “individualized psychological support” and managing controllable risk factors should be priorities. Issues like general anxiety, depression, and sexual performance anxiety can affect erectile function. This can have a circular effect: Erectile dysfunction can, in turn, cause stress and anxiety as well as relationship issues. In-person or online therapy can help you get ahead of psychological ED. Not only can therapy help you get to the root of your erectile dysfunction, but it can also teach you a range of skills to thrive in many areas of your life. Dealing with the root cause of ED can be key to improving erectile function. Erectile dysfunction can be caused by pre-existing medical conditions, from cardiovascular disease to autoimmune conditions.
These chewable ED meds contain similar ingredients to brand-name pills in safe, effective amounts. Healthy lifestyle changes can benefit your body and mind in more ways than one. There are many natural ways to protect erectile function, which you could try instead of or alongside Cialis. Getting enough sleep (and addressing sleep disorders like insomnia or sleep apnea) Getting enough sleep (and addressing sleep disorders like insomnia or sleep apnea) Instilling healthy habits can be overwhelming, especially if many aspects of your life need improvement. You could start by identifying one or two habits you’d like to work on and gradually work toward a more super cialis comprehensive lifestyle change.
Taking 40 mg of Cialis may be tempting, especially if your current dose isn’t working. But it’s vital to take medications as prescribed — increasing your Cialis dosage without medical supervision can be very dangerous. Here’s what to keep in mind if you’re considering taking a tadalafil dosage of 40 mg: Taking 40 mg of tadalafil is exceeding the maximum dose for ED. The more Cialis you take, the more likely you are to experience adverse effects — including some really serious side effects, like priapism. Taking 40 mg of tadalafil is exceeding the maximum dose for ED. For instance, ED could be a symptom or result of: Peyronie’s disease (scar tissue buildup in the penis) Peyronie’s disease (scar tissue buildup in the penis) Injury to the pelvis, genitals, or erectile tissues Injury to the pelvis, genitals, or erectile tissues Neurological problems, such as injuries that damage the nervous system, diabetic neuropathy (diabetes-induced nerve damage), or epilepsy Neurological problems, such as injuries that damage the nervous system, diabetic neuropathy (diabetes-induced nerve damage), or epilepsy Erectile dysfunction might be your body’s way of telling you to get that overdue check-up. Be on the lookout for sudden ED and temporary ED, both of which could be a sign to make an appointment with a healthcare professional. Sometimes, your prescription does need to be adjusted — but if that’s the case, you’ll need to speak to your healthcare provider. For on-demand usage, a starting tadalafil dosage is typically 10 mg. A healthcare professional might increase your dosage to 20 mg if the 10-mg dose isn’t effective.
| Product | Dosage | Quantity + Bonus | Price | |
|---|---|---|---|---|
| Cialis Generic | 40mg | 90 + 6 Pills | 171.35€ 163.19€ | |
| Cialis Generic | 20mg | 10 Pills | 31.49€ 29.99€ | |
| Cialis Generic | 5mg | 180 + 10 Pills | 159.65€ 152.05€ | |
| Cialis Generic | 10mg | 30 + 4 Pills | 63.32€ 60.30€ | |
| Cialis Generic | 20mg | 90 + 6 Pills | 154.71€ 147.34€ | |
| Cialis Generic | 40mg | 180 + 10 Pills | 277.29€ 264.09€ | |
| Cialis Soft Tabs | 20mg | 270 + 10 Pills | 471.40€ 448.95€ | |
| Cialis Original | 20mg | 8 Pills | 61.70€ 58.76€ | |
| Cialis Professional | 20mg | 20 Pills | 78.33€ 74.60€ | |
| Cialis Original | 20mg | 48 + 4 Pills | 224.69€ 213.99€ | |
| Cialis Generic | 2.5mg | 270 + 10 Pills | 199.64€ 190.13€ | |
| Cialis Soft Tabs | 20mg | 30 + 4 Pills | 87.43€ 83.27€ | |
| Cialis Generic | 60mg | 60 + 4 Pills | 145.06€ 138.15€ | |
| Cialis Generic | 60mg | 120 + 8 Pills | 240.18€ 228.74€ |
They could also decrease the prescription to 5 mg if you’re experiencing side effects.
Factors associated with anxiety and depression in patients with erectile dysfunction: a cross-sectional study. Hims & Hers has strict sourcing guidelines to ensure our content is accurate and current. We rely on peer-reviewed studies, academic research institutions, and medical associations. We strive to use primary sources and refrain from using tertiary references. Bachelor of Arts, Egyptian and Ancient Western Asian Archaeology - Brown University College, 2011 Bachelor of Arts, Egyptian and Ancient Western Asian Archaeology - Brown University College, 2011 Doctor of Medicine - Brown University Warren Alpert Medical School, 2017 Doctor of Medicine - Brown University Warren Alpert Medical School, 2017 Master of Public Health - Columbia University Mailman School of Public Health, 2018 Master of Public Health - Columbia University Mailman School of Public Health, 2018 Master of Liberal Arts, Journalism - Harvard University Harvard Extension School, 2022 Master of Liberal Arts, Journalism - Harvard University Harvard Extension School, 2022 Master of Science, Healthcare Leadership - Cornell University Weill Cornell Graduate School of Medical Sciences, 2024 Master of Science, Healthcare Leadership - Cornell University Weill Cornell Graduate School of Medical Sciences, 2024 Master of Business Administration - Cornell University Samuel Curtis Johnson Graduate School of Management, 2024 Master of Business Administration - Cornell University Samuel Curtis Johnson Graduate School of Management, 2024 Internship - NYU Grossman School of Medicine Internal Medicine Residency—Community Health Track, 2019 Internship - NYU Grossman School of Medicine Internal Medicine Residency—Community Health Track, 2019 Certified in Public Health - National Board of Public Health Examiners, 2018 Certified in Public Health - National Board of Public Health Examiners, 2018 Medical Writer Certified - American Medical Writers Association, 2020 Medical Writer Certified - American Medical Writers Association, 2020 Editor in the Life Sciences - Board of Editors in the Life Sciences, 2020 Editor in the Life Sciences - Board of Editors in the Life Sciences, 2020 Certified Personal Trainer - National Academy of Sports Medicine, 2022 Certified Personal Trainer - National Academy of Sports Medicine, 2022 Certified Nutrition Coach - National Academy of Sports Medicine, 2023 Certified Nutrition Coach - National Academy of Sports Medicine, 2023 Board Certified Medical Affairs Specialist - Accreditation Council for Medical Affairs, 2023 Board Certified Medical Affairs Specialist - Accreditation Council for Medical Affairs, 2023 Certificate of Advanced Education in Obesity Medicine - Obesity Medicine Association, 2025 Certificate of Advanced Education in Obesity Medicine - Obesity Medicine Association, 2025 Regulatory Affairs Certification - Regulatory Affairs Professionals Society, 2025 Regulatory Affairs Certification - Regulatory Affairs Professionals Society, 2025 Medical Expert Board Member - Eat This, Not That!, 2021– Medical Expert Board Member - Eat This, Not That!, 2021– Title: Individuals' Perceptions of the Efficacy, Quality, and Safety of Care Accessed via a Telemedicine Platform: A Retrospective Analysis of Survey Data Published in: Telemedicine Journal and E-Health Date: 2026 URL: Title: Individuals' Perceptions of the Efficacy, Quality, and Safety of Care Accessed via a Telemedicine Platform: A Retrospective Analysis of Survey Data Published in: Telemedicine Journal and E-Health Published in: Telemedicine Journal and E-Health Title: Biomechanical evaluation of a novel suturing scheme for grafting load-bearing collagen scaffolds for rotator cuff repair Published in: Clinical Biomechanics Date: 2015 URL: Title: Biomechanical evaluation of a novel suturing scheme for grafting load-bearing collagen scaffolds for rotator cuff repair Title: Pelvic incidence and acetabular version in slipped capital femoral epiphysis Published in: Journal of Pediatric Orthopaedics Date: 2015 Title: Pelvic incidence and acetabular version in slipped capital femoral epiphysis Title: Relationship between pelvic incidence and osteoarthritis of the hip Published in: Bone & Joint Research Date: 2016 URL: Title: Relationship between pelvic incidence and osteoarthritis of the hip Title: Effects of PDGF-BB delivery from heparinized collagen sutures on the healing of lacerated chicken flexor tendon in vivo Published in: Acta Biomaterialia Date: 2017 URL: Title: Effects of PDGF-BB delivery from heparinized collagen sutures on the healing of lacerated chicken flexor tendon in vivo Dr.
Bohl’s medical expertise is regularly featured in consumer health media: Eat This, Not That! : Contributor and Medical Expert Board Member on nutrition and wellness topics The Dr. Oz Show: Behind-the-scenes contributor to Emmy Award-winning health segments Sharecare: Public-facing health writer, simplifying complex medical issues for millions of readers Dr. Bohl’s medical expertise is regularly featured in consumer health media: : Contributor and Medical Expert Board Member on nutrition and wellness topics : Contributor and Medical Expert Board Member on nutrition and wellness topics The Dr. If you’re using Cialis daily, you’ll probably be prescribed 2.5 mg or 5 mg. While some people can take 20 mg of Cialis without issues, others might find that 5 mg causes unbearable side effects. You may have options for increasing your tadalafil dosage — but it’s really crucial to get medical advice instead of figuring it out on your own. Quite a few PDE5 inhibitors can be used to treat erectile dysfunction. If Cialis isn’t working for you, a different medication could yield better results.
And it won’t necessarily be more effective. Not only is 40 mg of tadalafil dangerous, but it might not actually work better than your prescribed dosage. Remember, Cialis doesn’t automatically give you an erection. If Cialis isn’t working, speak with a healthcare professional about changing your dosage or trying other erectile dysfunction medications. Healthy lifestyle changes — with or without Cialis — can also improve your erections.
If you’d like to change your Cialis dosage or try a different ED treatment, consult a healthcare provider. When you’re ready to take that step, we can put you in touch with a licensed professional through our telehealth platform. A comparison of the available phosphodiesterase-5 inhibitors in the treatment of erectile dysfunction: a focus on avanafil. Tamsulosin versus tadalafil as a medical expulsive therapy for distal ureteral stones: a prospective randomized study. National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK). Sildenafil, better known by the brand name Viagra® Sildenafil, better known by the brand name Viagra® You could also try our hard mints.
These chewable ED meds contain similar ingredients to brand-name pills in safe, effective amounts. Healthy lifestyle changes can benefit your body and mind in more ways than one. There are many natural ways to protect erectile function, which you could try instead of or alongside Cialis.
| Parameter | Value | Description |
|---|---|---|
| Absorption | Peak plasma levels in 2 hrs | Time to reach maximum concentration |
| Half-life | Approx. 17.5 hours | Duration of drug activity |
| Metabolism | Liver CYP3A4 enzyme | Metabolized mainly in liver |
| Excretion | Mainly feces, some urine | How the drug is eliminated |
Getting enough sleep (and addressing sleep disorders like insomnia or sleep apnea) Getting enough sleep (and addressing sleep disorders like insomnia or sleep apnea) Instilling healthy habits can be overwhelming, especially if many aspects of your life need improvement. You could start by identifying one or two habits you’d like to work on and gradually work toward a more super cialis comprehensive lifestyle change.
A 2023 study in BMC Psychology found that up to 65 percent of men ages 18 to 60 suffer from depression. The researchers noted that “individualized psychological support” and managing controllable risk factors should be priorities. Issues like general anxiety, depression, and sexual performance anxiety can affect erectile function. This can have a circular effect: Erectile dysfunction can, in turn, cause stress and anxiety as well as relationship issues. In-person or online therapy can help you get ahead of psychological ED.
Not only can therapy help you get to the root of your erectile dysfunction, but it can also teach you a range of skills to thrive in many areas of your life. Dealing with the root cause of ED can be key to improving erectile function. Erectile dysfunction can be caused by pre-existing medical conditions, from cardiovascular disease to autoimmune conditions. For instance, ED could be a symptom or result of: Peyronie’s disease (scar tissue buildup in the penis) Peyronie’s disease (scar tissue buildup in the penis) Injury to the pelvis, genitals, or erectile tissues Injury to the pelvis, genitals, or erectile tissues Neurological problems, such as injuries that damage the nervous system, diabetic neuropathy (diabetes-induced nerve damage), or epilepsy Neurological problems, such as injuries that damage the nervous system, diabetic neuropathy (diabetes-induced nerve damage), or epilepsy Erectile dysfunction might be your body’s way of telling you to get that overdue check-up. Be on the lookout for sudden ED and temporary ED, both of which could be a sign to make an appointment with a healthcare professional. Taking 40 mg of Cialis may be tempting, especially if your current dose isn’t working. But it’s vital to take medications as prescribed — increasing your Cialis dosage without medical supervision can be very dangerous. Here’s what to keep in mind if you’re considering taking a tadalafil dosage of 40 mg: Taking 40 mg of tadalafil is exceeding the maximum dose for ED.
Sometimes, your prescription does need to be adjusted — but if that’s the case, you’ll need to speak to your healthcare provider. For on-demand usage, a starting tadalafil dosage is typically 10 mg. A healthcare professional might increase your dosage to 20 mg if the 10-mg dose isn’t effective. They could also decrease the prescription to 5 mg if you’re experiencing side effects. If you’re using Cialis daily, you’ll probably be prescribed 2.5 mg or 5 mg.
While some people can take 20 mg of Cialis without issues, others might find that 5 mg causes unbearable side effects. You may have options for increasing your tadalafil dosage — but it’s really crucial to get medical advice instead of figuring it out on your own. Quite a few PDE5 inhibitors can be used to treat erectile dysfunction. If Cialis isn’t working for you, a different medication could yield better results. Sildenafil, better known by the brand name Viagra® Sildenafil, better known by the brand name Viagra® You could also try our hard mints. The more Cialis you take, the more likely you are to experience adverse effects — including some really serious side effects, like priapism. Taking 40 mg of tadalafil is exceeding the maximum dose for ED.
And it won’t necessarily be more effective. Not only is 40 mg of tadalafil dangerous, but it might not actually work better than your prescribed dosage. Remember, Cialis doesn’t automatically give you an erection. If Cialis isn’t working, speak with a healthcare professional about changing your dosage or trying other erectile dysfunction medications.
Healthy lifestyle changes — with or without Cialis — can also improve your erections. If you’d like to change your Cialis dosage or try a different ED treatment, consult a healthcare provider.
| Condition | Risk Level | Recommended Action | Notes |
|---|---|---|---|
| Concomitant nitrate use | High | Do not use | Cardiac risk |
| Severe liver impairment | Moderate | Consult doctor | Dose adjustment needed |
| Uncontrolled hypotension | High | Avoid use | Risk of fainting |
| Recent stroke or heart attack | Moderate | Medical review required | Risk of recurrence |
When you’re ready to take that step, we can put you in touch with a licensed professional through our telehealth platform. A comparison of the available phosphodiesterase-5 inhibitors in the treatment of erectile dysfunction: a focus on avanafil.
| Aspect | Details |
|---|---|
| Target | PDE5 enzyme inhibitor |
| Action | Increased blood flow to corpora cavernosa |
| Effect | Facilitates erection upon stimulation |
| Duration of Action | Up to 36 hours |
Tamsulosin versus tadalafil as a medical expulsive therapy for distal ureteral stones: a prospective randomized study. National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK). Factors associated with anxiety and depression in patients with erectile dysfunction: a cross-sectional study. Hims & Hers has strict sourcing guidelines to ensure our content is accurate and current. We rely on peer-reviewed studies, academic research institutions, and medical associations.
We strive to use primary sources and refrain from using tertiary references. Bachelor of Arts, Egyptian and Ancient Western Asian Archaeology - Brown University College, 2011 Bachelor of Arts, Egyptian and Ancient Western Asian Archaeology - Brown University College, 2011 Doctor of Medicine - Brown University Warren Alpert Medical School, 2017 Doctor of Medicine - Brown University Warren Alpert Medical School, 2017 Master of Public Health - Columbia University Mailman School of Public Health, 2018 Master of Public Health - Columbia University Mailman School of Public Health, 2018 Master of Liberal Arts, Journalism - Harvard University Harvard Extension School, 2022 Master of Liberal Arts, Journalism - Harvard University Harvard Extension School, 2022 Master of Science, Healthcare Leadership - Cornell University Weill Cornell Graduate School of Medical Sciences, 2024 Master of Science, Healthcare Leadership - Cornell University Weill Cornell Graduate School of Medical Sciences, 2024 Master of Business Administration - Cornell University Samuel Curtis Johnson Graduate School of Management, 2024 Master of Business Administration - Cornell University Samuel Curtis Johnson Graduate School of Management, 2024 Internship - NYU Grossman School of Medicine Internal Medicine Residency—Community Health Track, 2019 Internship - NYU Grossman School of Medicine Internal Medicine Residency—Community Health Track, 2019 Certified in Public Health - National Board of Public Health Examiners, 2018 Certified in Public Health - National Board of Public Health Examiners, 2018 Medical Writer Certified - American Medical Writers Association, 2020 Medical Writer Certified - American Medical Writers Association, 2020 Editor in the Life Sciences - Board of Editors in the Life Sciences, 2020 Editor in the Life Sciences - Board of Editors in the Life Sciences, 2020 Certified Personal Trainer - National Academy of Sports Medicine, 2022 Certified Personal Trainer - National Academy of Sports Medicine, 2022 Certified Nutrition Coach - National Academy of Sports Medicine, 2023 Certified Nutrition Coach - National Academy of Sports Medicine, 2023 Board Certified Medical Affairs Specialist - Accreditation Council for Medical Affairs, 2023 Board Certified Medical Affairs Specialist - Accreditation Council for Medical Affairs, 2023 Certificate of Advanced Education in Obesity Medicine - Obesity Medicine Association, 2025 Certificate of Advanced Education in Obesity Medicine - Obesity Medicine Association, 2025 Regulatory Affairs Certification - Regulatory Affairs Professionals Society, 2025 Regulatory Affairs Certification - Regulatory Affairs Professionals Society, 2025 Medical Expert Board Member - Eat This, Not That!, 2021– Medical Expert Board Member - Eat This, Not That!, 2021– Title: Individuals' Perceptions of the Efficacy, Quality, and Safety of Care Accessed via a Telemedicine Platform: A Retrospective Analysis of Survey Data Published in: Telemedicine Journal and E-Health Date: 2026 URL: Title: Individuals' Perceptions of the Efficacy, Quality, and Safety of Care Accessed via a Telemedicine Platform: A Retrospective Analysis of Survey Data Published in: Telemedicine Journal and E-Health Published in: Telemedicine Journal and E-Health Title: Biomechanical evaluation of a novel suturing scheme for grafting load-bearing collagen scaffolds for rotator cuff repair Published in: Clinical Biomechanics Date: 2015 URL: Title: Biomechanical evaluation of a novel suturing scheme for grafting load-bearing collagen scaffolds for rotator cuff repair Title: Pelvic incidence and acetabular version in slipped capital femoral epiphysis Published in: Journal of Pediatric Orthopaedics Date: 2015 Title: Pelvic incidence and acetabular version in slipped capital femoral epiphysis Title: Relationship between pelvic incidence and osteoarthritis of the hip Published in: Bone & Joint Research Date: 2016 URL: Title: Relationship between pelvic incidence and osteoarthritis of the hip Title: Effects of PDGF-BB delivery from heparinized collagen sutures on the healing of lacerated chicken flexor tendon in vivo Published in: Acta Biomaterialia Date: 2017 URL: Title: Effects of PDGF-BB delivery from heparinized collagen sutures on the healing of lacerated chicken flexor tendon in vivo Dr. Bohl’s medical expertise is regularly featured in consumer health media: Eat This, Not That! : Contributor and Medical Expert Board Member on nutrition and wellness topics The Dr. Oz Show: Behind-the-scenes contributor to Emmy Award-winning health segments Sharecare: Public-facing health writer, simplifying complex medical issues for millions of readers Dr. Bohl’s medical expertise is regularly featured in consumer health media: : Contributor and Medical Expert Board Member on nutrition and wellness topics : Contributor and Medical Expert Board Member on nutrition and wellness topics The Dr.