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Can You Get Cialis Without a Doctor Prescription?

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Cialis®, which is the well-recognized brand name for tadalafil, is an FDA-approved medication specifically designed to treat erectile dysfunction (ED). Notably, a single dose of Cialis can effectively help maintain an erection for an impressive duration of up to 36 hours, which is why it is affectionately referred to as the “weekend pill.”

This leads to the question: can you purchase Cialis without a doctor's prescription? Is it available over-the-counter?

Unfortunately, obtaining Cialis without a healthcare provider’s prescription is not possible. Medical professionals serve as essential gatekeepers to ensure that individuals seeking this medication are appropriate candidates based on their personal medical history, existing health conditions, and other important factors that influence their eligibility for treatment.

However, the inability to purchase Cialis online does not equate to it being inaccessible. Continue reading to discover the straightforward steps to acquiring Cialis, the legal age requirements for obtaining it, and the potential dangers of considering over-the-counter (OTC) ED medications.

No, you cannot buy Cialis without a doctor's prescription. It's important to note that the prescription does not necessarily have to come directly from a traditional physician (MD); other qualified healthcare providers, including nurse practitioners and physician assistants, also have the authority to prescribe medications.

Cialis is categorized as a serious prescription medication. As a phosphodiesterase 5 inhibitor, or more succinctly, a PDE5 inhibitor, it plays a vital role in managing erectile dysfunction.

One of its primary mechanisms of action is to function as a vasodilator, meaning that Cialis can effectively relax and widen your blood vessels, thereby enhancing blood flow to your penis when stimulated.

It’s essential to emphasize that Cialis is not a miracle solution; sexual arousal is still required to achieve and sustain an erection while tadalafil is active in your system.

There have been discussions surrounding the possibility of Cialis transitioning from a prescription medication to an over-the-counter option. Nevertheless, the availability of on-demand Cialis as an OTC option has yet to materialize, although online consultations with doctors and online pharmacies currently exist.

While you may not be able to conveniently purchase Cialis over the counter just yet, rest assured that obtaining a prescription is relatively straightforward, provided that the medication is deemed appropriate for your needs.

Similarly, the generic alternative, tadalafil, follows the same prescription requirements. To learn more about tadalafil's applications and the recommended dosage guidelines, make sure to check out our in-depth guides.

Regardless of whether you are interested in as-needed Cialis or daily Cialis, a prescription will be necessary. Here are the steps you should follow to obtain one.

Consult Your Primary Care Provider

Your primary care provider often serves as the initial touchpoint for addressing all health-related matters, including concerns related to erectile dysfunction.

We understand that discussing your sexual health can be uncomfortable — particularly when facing challenges. However, it’s important to know that erectile dysfunction is a common issue, impacting approximately 30 million men in the United States alone. Therefore, there is no reason to hesitate in seeking help and exploring treatment options.

When you consult your telehealth provider or healthcare professional, make sure to express any symptoms related to ED that you may be experiencing, such as:

  • Occasionally experiencing difficulties in achieving an erection

  • Frequently struggling to obtain an erection

  • Having issues sustaining an erection long enough to complete sexual intercourse

Keep in mind that discussing erectile difficulties with your provider is likely not a new experience for them — they are generally accustomed to addressing such topics.

That said, we also recognize that engaging in this conversation with a long-standing physician, particularly one with whom you have developed a friendly rapport, may feel increasingly awkward. If that resonates with you, consider exploring primary healthcare options online.

Consult a Urologist

As another alternative for obtaining a Cialis prescription, you have the option to bypass your regular doctor and consult a specialist directly — specifically, a urologist.

A urologist is a medical professional who focuses on disorders affecting the urinary tract, which includes vital organs such as the kidneys and bladder. Furthermore, they are equipped to handle issues related to male reproductive organs, comprising the penis, testes, scrotum, and prostate. Naturally, this encompasses ED as well.

You may find it easier to openly discuss your sexual health — or lack of sexual activity — with a healthcare provider whom you have not previously met. In some scenarios, a urologist may be better suited to prescribe and recommend various treatment options for your condition.

To obtain a Cialis prescription through an in-person appointment, search for an erectile dysfunction doctor or ED clinic in your vicinity.

Engage in an Online Medical Consultation

While a local pharmacy may be a brief drive away, you also have the convenience of obtaining Cialis prescriptions through an online medical consultation.

You can connect with a licensed healthcare provider from the comfort of your home (or any location with internet access). After addressing a few questions regarding your symptoms, they might be able to prescribe Cialis, which can then be discreetly delivered directly to your door.

It's simple and efficient.

Initiate an online consultation today to access Cialis through Hims. We also offer the generic version, tadalafil, along with other ED treatments, including Viagra® (sildenafil) and our unique chewable hard mints.

Choosing the generic Cialis option is usually more cost-effective. For insight into pricing, be sure to review our tadalafil cost guide.

Erectile dysfunction does not discriminate based on age — it is possible to experience ED in your 30s or occasionally even in your 20s.

While it's true that older men are generally more susceptible to ED, a range of health conditions that can occur at any age may contribute to this issue, including:

  • Type 2 diabetes

  • Hypertension (high blood pressure)

  • Injuries to the penis, spinal cord, prostate, bladder, or pelvis

  • Anxiety and depression

  • Some medications, such as antidepressants and blood pressure medications

Additionally, detrimental lifestyle choices can exacerbate ED, including:

  • Smoking

  • Excessive alcohol consumption

  • Using illicit drugs

  • Carrying excess weight

  • Lack of physical activity

Thus, irrespective of your age, erectile dysfunction can manifest.

The good news is that Cialis is safe for use by men over the age of 18. Furthermore, research suggests that tadalafil delivers an effective treatment option for ED across various age groups. What a relief!

You might have encountered an over-the-counter alternative to Cialis and felt tempted to try it. However, it is crucial to understand that these so-called substitutes lack FDA approval and inherently carry their own risks.

Some studies indicate that certain supplements like L-arginine might assist with ED, but the majority of herbal remedies lack substantial evidence supporting their claims. 

If you opt to use an herbal supplement that promises to enhance erectile function, you might discover that it performs less effectively than prescribed medications — or, even worse, that it does not yield any benefit whatsoever.

It’s important to note that you are not only risking wasted time and money; some over-the-counter ED products come with potential health hazards, including the risk of experiencing priapism (a prolonged, painful erection lasting four hours or more).

Beyond the active ingredients listed, OTC ED substitutes could contain undisclosed substances not mentioned on the product labels. This could lead to serious side effects or adverse interactions with other medications you may currently be taking, particularly if those medications include nitrates.

The FDA (U.S. Food and Drug Administration) maintains a database of potentially harmful sexual enhancement products, but it’s critical to recognize that this is only a small portion of what is available.

As a general recommendation, avoid herbal substitutes and choose the genuine product instead. Discuss your options with a healthcare professional and obtain a prescription for Cialis or another FDA-approved ED treatment.

If you encounter difficulties in achieving or maintaining an erection, you’ll want to ensure you’re in prime condition when intimacy presents itself. Cialis can be a valuable ally in this regard.

With a duration of effect that lasts up to 36 hours, Cialis vastly outlasts Viagra, which typically only lasts for around four hours. Additionally, tadalafil can aid in managing benign prostatic hyperplasia (BPH).

In any scenario, you will require a prescription from a licensed medical professional.

Here’s what you must understand about securing a Cialis prescription:

  • Cialis cannot be acquired without a doctor's prescription. Speak with your primary care provider, consult a urologist, or consider a licensed online provider to obtain Cialis or other prescription ED medications.

  • Online medical consultations can facilitate obtaining Cialis prescriptions. You need not leave your home to secure a prescription; connect virtually with a medical professional to acquire Cialis online.

  • OTC Cialis substitutes carry significant health risks. These products may contain hidden active ingredients or may simply prove ineffective.

If you’re contemplating the use of Cialis, additional information regarding how Cialis works and the common side effects of Cialis can be found in our comprehensive guides.

Remember, if this medication isn't suitable for your condition, alternative erectile dysfunction treatments are accessible. Explore how ED medications function to broaden your understanding of your options.

9 Sources

  1. American Urological Association. (n.d.). What is urology?. https://www.urologyhealth.org/urology-a-z/what-is-urology
  2. Chang J, et al. (2016). Prescription to over-the-counter switches in the United States. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4966231/
  3. CIALIS (tadalafil) tablets, for oral use. https://www.accessdata.fda.gov/drugsatfda_docs/label/2018/021368s030lbl.pdf
  4. Coward RM, et al. (2008). Tadalafil in the treatment of erectile dysfunction. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2643112/
  5. Dhaliwal A, et al. (2023). PDE5 inhibitors. https://www.ncbi.nlm.nih.gov/books/NBK549843/
  6. Huang SA, et al. (2013). Phosphodiesterase-5 (PDE5) inhibitors in the management of erectile dysfunction. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3776492/
  7. National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK). (2017). Erectile dysfunction (ED). https://www.niddk.nih.gov/health-information/urologic-diseases/erectile-dysfunction/all-content
  8. Rhim HC, et al. (2019). The potential role of arginine supplements on erectile dysfunction: a systemic review and meta-analysis. https://www.researchgate.net/publication/331065420_The_Potential_Role_of_Arginine_Supplements_on_Erectile_Dysfunction_A_Systemic_Review_and_Meta-Analysis
  9. U.S. Food and Drug Administration (FDA). (2024). Tainted sexual enhancement products. https://www.fda.gov/drugs/medication-health-fraud/tainted-sexual-enhancement-products
Editorial Standards

Hims & Hers maintains stringent sourcing standards to guarantee our content is accurate and up to date. We use peer-reviewed studies, academic research institutions, and credible medical associations as sources. Our aim is to rely on primary references and to avoid tertiary citations. If you spot any inaccuracies, please inform us at [email protected]!