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Liquid Cialis: Uses, Dosage & Side Effects

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If you’ve been searching online for Cialis, you might have come across various references to a liquid alternative — perhaps even seen flashy ads promoting its availability. Cialis® stands as the brand-name version of tadalafil, a prescribed medication specifically formulated for treating erectile dysfunction (ED). However, it’s essential to understand that Liquid Cialis, in its true sense, doesn’t exist in a commercially available form.

In the United States, the only FDA-approved medications that contain tadalafil as their active ingredient for treating erectile dysfunction come in the form of as-needed and daily Cialis tablets, along with their respective generic variations. While some compounding pharmacies may offer custom formulations that resemble a liquid version under certain circumstances, it is key to note that this can be a complex undertaking and may not be officially sanctioned for the treatment of ED.

In the following sections, we will delve into the concept of liquid Cialis, shedding light on how liquid tadalafil functions, alongside providing essential information regarding recommended dosages and the correct usage procedures. Additionally, for those in search of a liquid solution for ED, we will present some alternative recommendations, so do keep reading.

Here’s a major point to note: Liquid Cialis is not currently available in any form within the U.S. market. One of the reasons for this is that the pharmaceutical giant responsible for the production of Cialis, Lilly, does not manufacture a liquid form of the medication.

While the FDA (U.S. Food and Drug Administration) has given its seal of approval to a liquid variant of tadalafil known as Tadliq®, which is specifically designed to manage pulmonary arterial hypertension (PAH), it does not carry the endorsement for the treatment of erectile dysfunction.

Cialis operates as an FDA-approved phosphodiesterase type 5 (PDE5) inhibitor — a technical term that describes its function of interrupting an enzyme responsible for limiting blood flow. The ultimate effect of this mechanism is to enable men to achieve and sustain erections firm enough to facilitate sexual activity.

Can I Get Liquid Cialis?

As previously mentioned, Cialis remains exclusively available in the tablet form in the United States. However, compounding pharmacies might be willing to create liquid tadalafil as a specialty formulation for individuals who may have difficulties consuming the pills for a variety of reasons.

A compounding pharmacy is a unique entity that specializes in preparing customized medications tailored to address specific patient needs. For instance, they may formulate a drug at a specific concentration, exclude certain (inactive) ingredients, or even change the delivery form altogether.

Thus, acquiring liquid tadalafil could be likened to ordering a unique item from a restaurant’s “secret menu.”

Your healthcare provider would need to prescribe a specific formulation for the liquid version, and subsequently, you might be able to obtain it from a compounding pharmacy. However, this process can be quite intricate, and it is important to note that not all insurance plans may cover it.

How Long Does Liquid Cialis Last?

The duration of effectiveness for both liquid and pill variants of Cialis is relatively comparable, lasting approximately 24 to 36 hours.

This medication typically requires at least 30 minutes to become effective, so it’s common for men to take it at least half an hour prior to anticipated sexual activity.

In its traditional tablet form, Cialis serves to treat erectile dysfunction by relaxing blood vessels in the penis, thereby aiding in the achievement of erections. Nonetheless, it’s worthwhile to mention that tadalafil is also utilized for managing other cardiovascular ailments, such as pulmonary hypertension.

The application of liquid Cialis is fundamentally dependent on the individual using it and the specific medical reasons for which it has been prescribed.

If you possess a prescription for Tadliq, it’s crucial to note that it is not intended for the treatment of ED. Instead, the Tadliq oral suspension is formally designated to address PAH, according to the FDA.

As of now, we are not aware of any documented instances in which Tadliq has been prescribed for off-label uses in treating ED. (Off-label refers to the practice of prescribing medication for conditions that are not officially approved by the FDA). Nonetheless, it remains a possibility that as research continues, instances of off-label usage could emerge in forthcoming studies.

At present, it is likely unwise to seek out Tadliq for purposes outside its intended application, including treating ED. Despite both the tablet and liquid versions containing identical active ingredients, there exists a significant distinction in the method of administration—most notably, with regard to dosage.

It is vital to grasp the variations between liquid and tablet medications, with the most crucial aspect being that their dosages are not always equivalent.

Tadliq is prescribed for pulmonary arterial hypertension at a daily dosage of 40 milligrams (mg).

On the other hand, compounded liquid tadalafil typically comes in a dropper bottle equipped with an applicator for precise dosage measurement.

Cialis tablets and generic tadalafil tablets are offered in a diverse range of strengths, from 5 to 20 milligrams for on-demand use. Meanwhile, the daily dosage formulations are available at either 2.5 or 5 milligrams.

For liquid medications, reputable compounding pharmacies often include dosage information on the label. Liquid dosage tends to be specified in milliliters (mL), including details on the concentration in milligrams of the active ingredient per milliliter of liquid (mg/mL).

For a comprehensive understanding of tadalafil dosing, be sure to refer to our Cialis dosage guide.

Is There a Tadalafil 30mg Liquid Dosage?

Dosing for liquid tadalafil and its tablet counterparts typically follows similar guidelines. The maximum dosage recommended for erectile dysfunction is generally 20 milligrams for the tablet; however, a 30-milligram liquid dosage of tadalafil (converted based on the concentration from the compounding process) might be prescribed in certain exceptional instances.

How Much Cialis Should I Take for ED?

While it may seem obvious, if you receive a custom-compounded medication at a designated dosage, it is imperative to adhere to the prescribed amount.

Should you obtain a specially formulated liquid tadalafil, it remains essential that you utilize it as instructed by your healthcare provider. If you have any questions or require clarification regarding the guidelines, do not hesitate to seek medical advice, as failing to follow instructions could lead to adverse reactions.

Generally speaking, the side effects associated with liquid tadalafil align with those observed in Cialis tablets. This implies that symptoms such as headaches, nasal congestion, nausea, and flushing may be experienced with either formulation.

Potential severe side effects of liquid tadalafil could encompass:

  • Chest pain

  • Back pain

  • Priapism (an unusual and painful erection lasting too long)

In cases involving Tadliq, there might be additional short- or long-term side effects that remain unidentified at this time. Given that this medication has only recently emerged, comprehensive information regarding the differences in side effects between tadalafil tablets and the liquid form is still evolving.

It’s essential to understand that the most significant hazards associated with liquid tadalafil often stem from user error — such as exceeding recommended dosages, taking multiple doses inadvertently, or combining medications without professional guidance.

While underdosing on Cialis may not immediately seem detrimental, it can prevent you from gaining the full benefits of the medication.

Conversely, taking an excessive amount could lead to vision problems, hearing impairments, fainting, or even abrupt drops in blood pressure, which can culminate in serious consequences, including death.

These critical side effects can be effectively sidestepped by diligently adhering to the provided instructions and thoroughly following your healthcare provider’s directives.

Should you receive a liquid Cialis prescription for any reason, it is essential that you strictly follow the guidelines from your prescribing provider and the compounding pharmacy concerning when, how, and how frequently to take the medication.

The following points represent the most important considerations for the safe administration of liquid tadalafil:

  • Use it as directed. If you’re curious about how many drops of liquid tadalafil you should administer, consult your healthcare provider. Remember, this medication was initially intended for treating high blood pressure prior to its application for ED, hence it can significantly impact your blood pressure if not utilized properly.

  • Discuss potential drug interactions. Various medications can interact adversely with tadalafil, so it’s essential to inform your healthcare provider of any other prescription or over-the-counter (OTC) medications you may be taking. This includes PDE5 inhibitors such as Levitra® (vardenafil) or Viagra®, as well as heart medications like alpha-blockers, supplements, or nitrates.

  • Ensure safe access. Prior to legally acquiring and using Cialis for erectile dysfunction, you must consult a qualified healthcare provider; Cialis isn’t available over the counter, and a prescription is necessary.

  • Be wary of online OTC scams. Many of the over-the-counter ED medications are fraught with risks and lack adequate regulation. Some of these products may include undisclosed ingredients.

  • Learn to measure dosages accurately. To achieve the correct dosage, utilize the dropper provided with your liquid medication. Avoid exceeding the intended measurement, even slightly.

  • Stay alert for potential side effects. While Cialis is generally regarded as safe for the majority of men, it can still produce certain side effects and drug interactions. These effects may become more pronounced if Cialis is not dosed accurately.

While Cialis is only obtainable in tablet form for erectile dysfunction, there exists the possibility that some compounding pharmacies might consider creating a liquid variant should you face significant barriers to taking the conventional tablets.

If you contemplate pursuing this avenue, it is crucial to consult a qualified healthcare professional beforehand.

Here’s a recap of key points to bear in mind if you’re interested in liquid treatments for ED:

  • Cialis, containing the active ingredient tadalafil, is a widely recognized medication utilized for treating erectile dysfunction and benign prostatic hyperplasia (BPH).

  • The FDA has yet to approve a liquid form of Cialis specifically for ED. However, with the appropriate prescription, select compounding pharmacies may be able to create a liquid tadalafil solution.

  • Tadliq is a recognized brand-name liquid version of tadalafil, though it is not formulated for ED purposes.

  • Some retailers may promote liquid variations of Cialis and other ED solutions for online sale, often labeled as “research chemicals.” These products lack FDA endorsement and are not intended for human use. While some may contain tadalafil, there is no assurance regarding the accuracy of the stated dosage or the safety of the manufacturing process. Proceed with caution and avoid purchasing such items.

If you encounter difficulties with Cialis tablets, alternative medications like sildenafil (the generic variant of Viagra) and Stendra® (avanafil) can serve as effective solutions for managing erectile dysfunction. You might also explore our chewable ED medications that come in mint form.

We offer Cialis, tadalafil, and other ED medications for purchase online. To obtain Cialis or another suitable medication for erectile dysfunction, you can converse with a licensed healthcare provider and, if deemed appropriate, secure a prescription.

5 Sources

  1. HIGHLIGHTS OF PRESCRIBING INFORMATION: TADLIQ® (tadalafil) oral suspension. (n.d.-d). https://www.accessdata.fda.gov/drugsatfda_docs/label/2022/214522s000lbl.pdf.
  2. Reference ID: 3024692 - food and drug administration. (n.d.-f). https://www.accessdata.fda.gov/drugsatfda_docs/label/2011/021368s20s21lbl.pdf.
  3. U.S. Department of Health and Human Services. (n.d.-e). Symptoms & causes of erectile dysfunction - NIDDK. National Institute of Diabetes and Digestive and Kidney Diseases. https://www.niddk.nih.gov/health-information/urologic-diseases/erectile-dysfunction/symptoms-causes.
  4. Dhaliwal A, Gupta M. PDE5 Inhibitors. [Updated 2023 Apr 10]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK549843/.
  5. Watson, C. J., Whitledge, J. D., Siani, A. M., & Burns, M. M. (2021). Pharmaceutical Compounding: a History, Regulatory Overview, and Systematic Review of Compounding Errors. Journal of medical toxicology : official journal of the American College of Medical Toxicology, 17(2), 197–217. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7605468/.
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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. See a mistake? Let us know at [email protected]!