Cialis Together (tadalafil) 10mg tablets box of four with blister strip of yellow tablets

Cialis Together

How it works

Genuine Eli Lilly tadalafil — stays active up to 36 hours

Effect

Up to 36 hours of readiness. No prescription needed. Food-friendly

From

£45.99

for 4 tablets

10mg strength. Genuine Eli Lilly medication. No prescription required. Free discreet delivery.

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What is Cialis Together?

Cialis Together is the branded Eli Lilly Cialis that’s available without a prescription. Launched in 2024, it became the second ED medication (after Viagra Connect) to be reclassified for pharmacy sale in the UK — giving men another option for treating erectile dysfunction without seeing a doctor.

It contains tadalafil 10mg — the same active ingredient as prescription Cialis. The key advantage over Viagra Connect is duration: while Viagra Connect lasts 4-6 hours, Cialis Together works for up to 36 hours, giving you a much wider window for spontaneity.

The “Together” branding reflects that ED affects couples, not just individuals. You’re getting genuine Eli Lilly medication — the company that invented Cialis and has manufactured it since 2003.

Cialis Together vs Generic Tadalafil

Both contain the same active ingredient (tadalafil) and work identically. Here’s how they compare so you can make the right choice:

  • Cialis Together (£29.99/4 tablets) is manufactured by Eli Lilly, available at 10mg only as-needed, and requires no prescription — ideal if you want the trusted Cialis brand.
  • Generic Tadalafil (from £12.99/4 tablets) offers better value, is available in 5mg, 10mg, and 20mg, and includes a daily option (5mg) for complete spontaneity — but requires a prescription.
  • Medically, they are identical — same active ingredient, same mechanism, same effectiveness. The differences are price, dose options, daily availability, and prescription requirement.

If you want a daily option, a stronger 20mg dose, or the best price, you’ll need prescription Tadalafil. If you want the Eli Lilly brand and no-prescription convenience, Cialis Together is a great choice.

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How does Cialis Together work?

Cialis Together uses the same proven mechanism as prescription Cialis — it’s a PDE5 inhibitor that increases blood flow when you’re aroused, lasting up to 36 hours.

Here’s how it works:

01

Blocks PDE5 enzyme: Tadalafil inhibits the PDE5 enzyme that normally breaks down the chemicals responsible for erections. With PDE5 blocked, these chemicals can build up and work more effectively when you’re aroused.

02

Lasts up to 36 hours: Tadalafil has a long half-life (17.5 hours), meaning it stays active in your system much longer than sildenafil. You’re ready whenever the moment is right — for up to a day and a half from a single tablet.

03

Not affected by food: Unlike Viagra Connect, which is delayed by fatty meals, Cialis Together can be taken with or without food. No need to plan your medication around meals or avoid eating before sex.

04

No prescription needed: Cialis Together was the second ED medication in the UK available without a prescription (after Viagra Connect). Complete a short health questionnaire and your medication is delivered in plain, discreet packaging.

05

Genuine Eli Lilly quality: Cialis Together is manufactured by Eli Lilly — the company that originally invented Cialis and has produced it since 2003. You’re getting the original branded medication with over 20 years of proven safety and effectiveness.

Smiling woman with curly hair in a turquoise vest top exercising outdoors in the sunshine
Smiling woman with curly hair in a turquoise vest top exercising outdoors in the sunshine

Who is eligible for Cialis Together?

Cialis Together is available without a prescription, making it ideal if you want the long-lasting benefits of tadalafil with the convenience of no doctor visit.

Here’s what’s involved:

  • Eligibility: You must be a man aged 18 or over experiencing difficulty getting or maintaining erections, and 10mg must be the right dose for you.
  • No prescription needed: Simply complete a short health questionnaire. No need to visit a doctor or get a prescription.
  • As-needed only: Cialis Together is only available as a 10mg as-needed dose. If you want daily use (5mg) or a stronger dose (20mg), you’ll need prescription Tadalafil.
  • Discreet delivery: Your medication arrives in plain, unmarked packaging with no indication of contents. No face-to-face conversations needed.
  • Genuine product: Every tablet is genuine Eli Lilly-manufactured Cialis Together — the original company behind Cialis since 2003.

Who shouldn’t use Cialis Together?

Cialis Together isn’t suitable for everyone. It should not be used if you:

  • Take nitrate medications (e.g., GTN spray, isosorbide) or amyl nitrite (“poppers”) — this combination can cause a dangerous drop in blood pressure.
  • Take riociguat or alpha-blockers.
  • Have severe heart or liver problems.
  • Have had a recent stroke or heart attack.
  • Have very low blood pressure.
  • Need a dose other than 10mg, or want a daily treatment option.
  • Are allergic to tadalafil or any of its ingredients.

Instructions

How to take Cialis Together

Cialis Together is simpler than Viagra Connect — no need to worry about food timing. Take one 10mg tablet at least 30 minutes before sexual activity, with or without food. The effects last up to 36 hours. Don’t take more than one tablet in 36 hours. A couple of drinks are fine, though excessive alcohol can reduce effectiveness.

Step-by-step Instructions

Step 1

Take at least 30 minutes before

  • Take one 10mg tablet at least 30 minutes before you plan to have sex. The effects last up to 36 hours.
  • Swallow the tablet whole with a glass of water. The dose is fixed at 10mg — do not split the tablet.
  • Take with or without food — unlike Viagra Connect, fatty meals won’t delay how quickly Cialis Together starts working.

Step 2

During the 36-hour window

  • You won’t have an erection for 36 hours — you’ll just find it easier to get one when sexually aroused during that window.
  • A couple of drinks are fine — tadalafil is more tolerant of alcohol than sildenafil. But excessive drinking can still reduce effectiveness and worsen side effects.
  • You still need sexual arousal for Cialis Together to work — it helps the natural process, it doesn’t create desire or automatic erections.

Step 3

Dosing limits

  • Don’t take more than one tablet in 36 hours, due to the long duration of the medication.
  • If 10mg isn’t effective enough, speak to a doctor about prescription Tadalafil 20mg rather than taking a second Cialis Together tablet.
  • Store tablets at room temperature, away from moisture and direct sunlight.

Step 4

Important safety notes

  • NEVER combine Cialis Together with nitrate medications or “poppers” — this can cause a dangerous, potentially fatal drop in blood pressure.
  • Seek immediate medical attention if you experience an erection lasting more than 4 hours, sudden vision or hearing loss, chest pain, or fainting.
  • Do not take Cialis Together alongside prescription tadalafil or any other ED medication at the same time.

FAQs

Things you should know about Cialis Together

Yes, Cialis Together contains the same active ingredient (tadalafil) as prescription Cialis and is made by the same company (Eli Lilly). The difference is that Cialis Together is available without a prescription at 10mg only, while prescription Cialis comes in 2.5mg, 5mg, 10mg, and 20mg. Medically, they’re identical — “Together” is simply the pharmacy-available version.

The main advantage is duration — Cialis Together lasts up to 36 hours compared to 4-6 hours for Viagra Connect. This gives you more spontaneity and less pressure to time things perfectly. Cialis Together also isn’t affected by food, so you don’t need to worry about eating before or after taking it. The trade-off is slightly higher price and some men experience back pain, which is less common with Viagra Connect.

Cialis Together only comes in 10mg — if you need a different dose, you’ll need prescription Tadalafil instead. Some men find 10mg isn’t strong enough and need 20mg, while others do better on 5mg daily for continuous readiness. If you want the daily option or a different strength, our online consultation can help you get the right prescription dose.

Back pain and muscle aches are more common with tadalafil (Cialis) than sildenafil (Viagra). It’s thought to be related to how the drug affects PDE5 in muscles throughout the body. The pain typically starts 12-24 hours after taking the tablet and resolves within 48 hours. Staying hydrated and taking paracetamol can help. If it’s bothersome, you might prefer Viagra Connect, which rarely causes this issue.

Moderate alcohol consumption is generally fine with Cialis Together — tadalafil is less affected by alcohol than sildenafil. However, excessive drinking can still reduce effectiveness and worsen side effects like dizziness and low blood pressure. Keep it to 2-3 drinks maximum. Remember that alcohol itself can cause erection problems, so don’t expect any ED medication to fully counteract heavy drinking.

Yes, generic Tadalafil is significantly cheaper than Cialis Together and contains the same active ingredient. However, it requires a prescription. Generic Tadalafil also gives you access to different doses (10mg, 20mg) and the daily 5mg option, which Cialis Together doesn’t offer. If cost or dosing flexibility matters, prescription Tadalafil is the better choice.

Yes, Cialis Together can be purchased online from registered UK pharmacies after completing a short health questionnaire. This is often more convenient and discreet than visiting a pharmacy in person. We’ll deliver your Cialis Together in plain, unmarked packaging — no one will know what’s inside.

Side effects are generally mild and similar to other tadalafil products. Common effects (1 in 10) include headache, back pain, muscle aches, indigestion, facial flushing, and nasal congestion. Back pain and muscle aches are more common with tadalafil than sildenafil, usually appearing 12-24 hours after taking. Uncommon effects include dizziness, blurred vision, and palpitations. Rare but serious effects requiring immediate medical attention include priapism (erection lasting 4+ hours), sudden vision or hearing loss, chest pain, and fainting.

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Why you can trust Trimu

Regulated care from a registered UK pharmacy

Safe, discreet treatment — reviewed by qualified clinicians and dispensed by our own UK-registered pharmacy.

Registered UK pharmacy

Dispensed by a GPhC-registered UK pharmacy (premises 1037748).

Reviewed by registered clinicians

GMC-registered doctors and GPhC-registered pharmacists check every case before any treatment is approved.

Discreet, ongoing support

Free, discreet delivery and clinical support throughout your treatment.

Our mission

Trimu began with a simple belief: getting safe, effective treatment shouldn’t be expensive, complicated, or embarrassing. We pair UK-registered clinicians with our own regulated pharmacy to offer honest advice, fair prices, and genuinely discreet care — so you can get on with feeling better.