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Online doctors carry out checks through online questionnaires, but this does not replace initial face-to-face assessments and regular medical check-ups are necessary. They differ in their duration of action. Viagra remains active for about 4 hours after taking a tablet and Cialis for about 36 hours. Most men take it occasionally, up to a maximum of 2 or 3 tablets per week.

Men who regularly require Cialis more than twice a week sometimes prefer to take a lower dose 2. No, the duration of action is longer, 36 hours for Cialis compared with hours for Levitra and 4 hours for Viagra, however most men find that during this active period the treatments are equally effective when equivalent strength tablets are used. The lower strength of each is Cialis 10mg, Levitra 5mg, and Viagra 25mg and the upper doses 20mg, 20mg, and mg respectively. Some men find one type of tablet works better for them than another, but this is not usually the case.

Cialis was under patent by the drug company which developed it, Eli Lilly until 14 November Dr Fox pharmacy can now offer UK licensed generic tadalafil at significantly lower cost. Some specialist pharmacists can also prescribe or supply it using a 'patient group direction'. The amount pharmacies pay is the wholesale price set by the drug company Eli Lilly. The amount pharmacies charge patients will depend on their business models.

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There is also an increase in side effects, such as changes in vision and changes in blood pressure. Cialis combined with cocaine and other recreational drugs may lead to the rare but dangerous condition of priapism in which a prolonged erection of more than an hour or two can cause permanent damage to the erectile tissues. See Beware club drugs and Viagra. In many men there is no significant psychological cause and counselling is likely to be ineffective.

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