Cialis Together: How It Works and How Fast It Acts

Erectile Dysfunction (ED) affects millions of men in the UK, often impacting relationships, confidence, and overall well-being. Fortunately, modern treatments like Cialis Together offer reliable, fast-acting support to help men regain control of their sexual health.

At Happy Pharmacy, we prioritise safety, clinical effectiveness, and discreet access through our regulated online service. In this guide, we explore how Cialis Together works, how fast it acts, and how you can get it safely online with confidence.

What Is Cialis Together?

Cialis Together is a pharmacy medicine (P) containing 10mg tadalafil that can be purchased over-the-counter from registered UK pharmacies without a prescription. Following advice from the Commission on Human Medicines, the Medicines and Healthcare products Regulatory Agency (MHRA) reclassified Cialis Together in March 2023, making it available for purchase over the counter for men over 18 who have erectile dysfunction.

This was the first application for a tadalafil product to be available as a pharmacy medicine. Cialis Together is designed for men who experience ED occasionally and want a treatment option that is fast-acting and long-lasting, available through a consultation with a qualified pharmacist.

Cialis Together vs Prescription Tadalafil

Cialis Together offers the same active ingredient and efficacy as prescription Tadalafil but is intended for occasional use by men who have been assessed as suitable by a pharmacist.

How Does Cialis Together Work?

Tadalafil, the active ingredient in Cialis Together, is a type of PDE5 inhibitor. It works by relaxing the blood vessels in the penis, allowing increased blood flow during sexual arousal. This makes it easier to get and maintain an erection when sexually stimulated.

Cialis Together does not cause an erection automatically—you must be sexually aroused for it to be effective. This helps the medication act naturally, without forcing a response.

How Fast Does Cialis Together Act?

One of the key advantages of Cialis Together is its fast onset of action combined with its long duration.

Onset Time:

• Begins working in as little as 30 minutes

• Most men find it fully effective within 60 minutes

Duration:

• Lasts up to 36 hours

• Often referred to as the "weekend pill" because of its prolonged action window

This flexibility allows men to take Cialis Together in advance of planned sexual activity, rather than under pressure or on-the-spot.

When and How to Take Cialis Together

• Take one tablet with water at least 30 minutes before sexual activity

• Do not take more than one tablet in 24 hours (maximum dose is one tablet each day)

• Food does not significantly affect its absorption, but heavy meals may delay onset

• Avoid grapefruit or grapefruit juice, which can interfere with its effectiveness

You should be sexually aroused for Cialis Together to work. It will not cause an erection without stimulation, which helps maintain a natural response.

Who Can Use Cialis Together?

Cialis Together is suitable for adult men over 18 who have been assessed by a pharmacist as having erectile dysfunction and who:

• Are not taking nitrates for chest pain

• Do not have severe heart, liver, or kidney conditions

• Are not on conflicting medications like riociguat or alpha-blockers

• Have no history of vision loss linked to blood flow issues in the eye

Cialis Together will not be sold to those with severe cardiovascular disorders; at high cardiovascular risk; severe kidney or severe liver failure; or taking certain interacting medicines.

At Happy Pharmacy, our online consultation ensures you are eligible for safe use. If your condition requires a prescription-strength treatment or if there are contraindications, we will recommend an appropriate alternative.

Safety and Side Effects

Cialis Together is generally well tolerated, especially when used at the recommended dose and under the guidance of a pharmacist.

Common Side Effects (usually mild and temporary):

• Headache

• Back pain

• Indigestion

• Nasal congestion

• Flushing

Rare but Serious Side Effects:

• Priapism (an erection lasting more than 4 hours)

• Sudden vision or hearing loss

• Chest pain

• Severe allergic reaction

If any of these occur, seek immediate medical attention.
Taking Cialis Together with recreational drugs, especially "poppers" (nitrates), can lead to a dangerous drop in blood pressure.

Buying Cialis Together Online: What to Know

While it's convenient to buy Cialis Together online, it's crucial to ensure you're purchasing from a regulated UK pharmacy. Erectile dysfunction medicines are a popular target for criminals selling unlicensed and counterfeit medicines.

Every year, the MHRA and UK Border Force seize millions of pounds worth of unlicensed and counterfeit erectile dysfunction medicines.

Why Choose Happy Pharmacy?

• GPhC-registered UK online pharmacy

• Compliant with MHRA regulations

• Discreet delivery

• Qualified UK pharmacists

• Comprehensive online consultation

• Regulated supply chain

• Guidance tailored to your individual health needs

Is Cialis Together Right for You?

If you:

• Occasionally experience erectile dysfunction

• Want a fast-acting and long-lasting treatment

• Prefer not to visit a GP

• Want a safe, convenient solution

...then Cialis Together could be a great choice.

However, if your ED is frequent or worsening, or you have underlying health conditions, you may benefit from prescription alternatives or further medical evaluation.

Lifestyle Tips to Improve ED Alongside Cialis Together

Medication can be more effective when combined with lifestyle improvements:

1. Maintain a Healthy Weight – Obesity increases the risk of ED.

2. Exercise Regularly – Cardiovascular exercise supports blood flow.

3. Limit Alcohol – Heavy drinking can impair erections.

4. Stop Smoking – Smoking damages blood vessels.

5. Reduce Stress – Anxiety and relationship issues can worsen ED.

Alternatives to Cialis Together

At Happy Pharmacy, we offer a range of ED treatments online depending on your needs and preferences:

• Sildenafil (Viagra Connect) – Over-the-counter, fast-acting, lasts 4–6 hours

• Tadalafil (Prescription Cialis) – Daily or higher strength options available on prescription

Frequently Asked Questions

❓ Can I take Cialis Together every day?
No. Cialis Together has a maximum dose of one tablet each day and is intended for occasional use.

❓ Can I drink alcohol with Cialis Together?
You can, but it's best to limit alcohol, as it may reduce blood pressure or interfere with sexual performance.

❓ How should I store Cialis Together?
Store in a cool, dry place below 30°C. Keep out of reach of children.

❓ Is Cialis Together the same as generic tadalafil?
It contains the same active ingredient, but Cialis Together is a branded pharmacy medicine available without prescription.

❓ Do I need to see a pharmacist to buy Cialis Together?
Yes, a consultation with a qualified pharmacist is required before purchase.

❓ Do I need to see my GP?
It’s important to see your GP within 6 months of starting any ED medication to rule out serious health conditions.

Final Thoughts: Regain Confidence with Cialis Together from Happy Pharmacy

Cialis Together offers men a reliable, fast-acting, and long-lasting way to manage occasional ED. With simple online access, a safe regulated UK pharmacy, and expert pharmacist support, Happy Pharmacy can help you can treat ED discreetly and confidently.

Blog medically reviewed by : Nigel Howard, GPhC Registered Prescriber, 28 May 2025

References

1. NHS – Erectile dysfunction (impotence)

2. MHRA – Reclassifies Cialis Together tablets to a Pharmacy medicine (March 2023)

3. Electronic Medicines Compendium – Cialis Together SPC
   

4. British Association of Urological Surgeons – Erectile Dysfunction

5. European Association of Urology – Guidelines on Sexual and Reproductive Health