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What Should I Do If Cialis Doesn’t Work?

Taking Cialis for erectile dysfunction (ED), but still struggling to achieve an erection? In this article, we’ll be explaining what Cialis is, why it may not be working for you, and other treatment options you could explore for your ED.

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What Is Erectile Dysfunction?

To begin with, let’s take a look at what erectile dysfunction (ED) is.

Am I Experiencing ED?

Erectile dysfunction is a sexual dysfunction in which one is unable to achieve or maintain an erection long or firm enough for sexual intercourse. So if you are persistently having trouble getting hard, or if your erection is going away too quickly, you are likely experiencing ED.


However, do note that it is perfectly normal to experience such symptoms occasionally. You should only be concerned if these symptoms appear the majority of time you have sex, or if it is negatively impacting your emotional health or your relationship with your partner.

ED Is Nothing To Be Ashamed Of

If you are currently experiencing ED, it may make you feel better to know that you are not alone. Across the globe, ED is the most prevalent sexual dysfunction, and is experienced by a third of all males. In Singapore, ED affects 51.3% of men over 30 years old.

Causes of ED

While ED is a condition with varied causes, ED can stem from either physical or psychological causes, though it is more often a result of both. 


Physical causes are more common, and involve medical conditions such as diabetes, high blood pressure, high cholesterol and cardiovascular disease. The prevalence of ED is also known to increase with age, partially due to the increasing risk of health conditions which may in turn affect one’s ability to achieve and maintain an erection.


On the other hand, psychological causes include low self-esteem, anxiety, stress and depression. While psychological causes are less common, research finds that 1 in 5 cases of ED are the result of psychological factors.


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Cialis For Erectile Dysfunction

If you’re currently experiencing ED, rest assured that there are multiple treatment options, including pills that you can take orally. Cialis is one of the most commonly prescribed oral medications for ED.

How Can I Obtain Cialis?

Cialis is available by prescription only. If you would like to obtain Cialis, you should consult a doctor.


Here at Noah, doctors on our platform can determine what the root cause of your ED is, whether Cialis is right for you, and what dosage of Cialis is best suited for you. If prescribed, your medication will be delivered right to your door within 4 hours, at no additional cost.

How Does Cialis Work?

Like many other ED medications such as Viagra, Levitra and Stendra, Cialis treats ED by inhibiting Phosphodiesterase 5 (PDE5). PDE5 is a protein that exists in the walls of blood vessels, and it affects the flow of blood. 


By preventing PDE5 from working, Tadalafil (the active ingredient in Cialis) allows blood vessels to dilate. This enables more blood to flow to your penis, helping you achieve and maintain an erection.


However, this isn’t always the case. Studies show that Cialis achieves full effectiveness in 70% of healthy men, meaning that about 30% of those who take the drug may still experience difficulties getting hard. Read on to find out some possible reasons why Cialis isn’t working for you. 


Possible Reasons Why Cialis Isn’t Working For You

Psychological issues underlying your ED

As mentioned earlier, some cases of ED are caused by psychological conditions, such as depression or sexual performance anxiety.


If you’re currently struggling with a psychological condition, and suspect that it may be what’s affecting your sexual performance, Cialis may not be a fully effective treatment for your ED. 


Instead, other treatment options such as therapy and other medications could help treat your ED through addressing the underlying psychological issues.

Hormonal imbalances underlying your ED

While Cialis effectively treats most cases of ED, it is important to note that Cialis does not regulate hormones, and may not work if your ED is caused by hormonal imbalances such as low testosterone. 


If low testosterone is the cause of your ED, it is best to speak to a doctor. You may also consider taking other drugs to address the underlying hormonal imbalance. One such option is Vigour, a supplement created by Noah, which contains KSM-66 Ashwagandha, and helps increase testosterone levels.

You’re taking the wrong dosage of Cialis

Cialis comes in a range of dosages, namely 2.5mg, 5mg, 10mg and 20mg. While most cases of ED are often treated with 10mg and 20mg dosages, the lower dosages (2.5mg and 5mg) can be used to treat mild ED. 


If you are currently taking a lower dosage and find that it’s not fully effective, consult a doctor to determine if a higher dosage would be suitable. Here at Noah, doctors on our platform can determine the dosage of Cialis that is best suited for you, and deliver your medication to you within 4 hours, at no additional cost.

You’re not taking Cialis the right way

Like many other medications, Cialis is also not going to achieve full effectiveness if taken the wrong way. 


Cialis can work for as long as 36 hours after consumption, but typically requires up to 1 hour for it to start taking effect on your body. Therefore, do ensure that you’re taking Cialis at least 30 minutes before sex to give it sufficient time to work. 


Do also note that Cialis should not be taken with large fatty meals, as this could hinder the absorption of Cialis. 


Though a drink or two is fine, Cialis should also not be taken with excessive alcohol, as alcohol could counter the effects of Cialis.


Other Treatment Options For Erectile Dysfunction

If you’re using Cialis correctly and it still isn’t working, consult a doctor to explore alternative treatment options. These could include:

  • Adopting a healthier lifestyle: Exercise regularly, consume a healthy diet, reduce stress, stop smoking and reduce alcohol consumption.
  • Vacuum constriction devices (VCDs): An external pump that helps you achieve and maintain an erection for up to 30 minutes.
  • Testosterone therapy: A potential treatment for ED caused by low testosterone.
  • Penile implants: Devices implanted in the penis that enable you to manually control your erection. These are often recommended only after other treatments have failed.

The first step to understanding and diagnosing your PE is to consult with a doctor. Here at Noah, doctors on our platform will be able ascertain the root cause of your premature ejaculation and determine whether it is lifelong PE or acquired PE. They will be able to advise you on the best treatment suited for you, and can also prescribe you the right medication should you need it. 


References

Richa, C., MD. (2020, June 2). Cialis not working anymore? Possible next moves. Roman HealthGuide. (Link


Cialis Doesn’t Work For Me: What to Do. (2020, September 21). Hims. Retrieved December 21, 2021. (Link)  


Cialis Stopped Working? What To Do Next - PHOENIX | Rise Again. (n.d.). Retrieved December 21, 2021. (Link


Tan, J K et al. “Erectile Dysfunction in Singapore: Prevalence and Its Associated Factors – A Population-Based Study” Singapore Med J Vol 2003 44(1): 20-26. (Link)

Gerbild H, Larsen CM, Graugaard C, Areskoug Josefsson K. Physical Activity to Improve Erectile Function: A Systematic Review of Intervention Studies. Sex Med. Jun 6, 2018. (Link)

“Erectile Dysfunction.” Cleveland Clinic. Accessed December 9, 2021. (Link

“Psychological and Other Risk Factors for Erectile Dysfunction and Male Sexual Dysfunction.” The well-being institute, University of Cambridge. Accessed December 9, 2021. (Link)

Harvard Health. (2020, April 10). Which drug for erectile dysfunction? (Link


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Published On
January 10, 2022

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