Written by Pedro Brugada
Last Updated on May 28, 2026

Cialis Super Active is a tadalafil-based medication designed to support erectile function in men. Its active ingredient, tadalafil, helps improve blood flow to the pelvic area and may assist in achieving and maintaining an erection when sexual stimulation is present.

The product is available in soft gelatin capsules. This dosage form may support faster absorption compared with standard tablets. According to the product description, the effect usually begins within approximately 45 minutes after intake and may last up to 36 hours.

This information is provided for educational purposes only and should not replace medical advice. Before using this product, it is important to consider your general health, cardiovascular condition, current medications, and possible contraindications.

Composition and Mechanism of Action

The main active ingredient in Cialis Super Active is tadalafil. Tadalafil affects the blood vessels of the penis by helping them relax and expand, which improves blood circulation during sexual stimulation.

It is important to note that the medication does not cause an erection on its own. Sexual arousal is required for the product to work effectively.

Directions for Use and Dosage

Cialis Super Active capsules are taken orally. Each capsule contains 20 mg of tadalafil.

The recommended daily dose should not exceed one capsule within 24 hours. Taking more than the recommended amount may increase the risk of side effects and should not be done without medical supervision.

The effect usually begins approximately 45 minutes after taking the capsule. The duration of action may reach up to 36 hours, although individual results can vary depending on age, metabolism, overall health, and the use of other medications.

Dosage Quantity Price Price per Pill
20 mg 10 pills $36.99 $3.70
20 mg 20 pills $60.99 $3.05
20 mg 30 pills $79.99 $2.67
20 mg 60 pills $145.99 $2.43
20 mg 90 pills $198.99 $2.21
20 mg 120 pills $240.99 $2.01
20 mg 180 pills $328.99 $1.83
20 mg 270 pills $447.99 $1.66

Note: Prices may vary depending on availability, shipping options, and current promotions.

Possible Side Effects

Side effects are usually mild or moderate and may decrease with continued use. However, if severe or persistent symptoms occur, the medication should be discontinued and medical advice should be sought.

Common side effects may include:

  • Headache
  • Indigestion or stomach discomfort
  • Back pain
  • Muscle pain
  • Dizziness
  • Nasal congestion
  • Facial flushing

Less common side effects may include:

  • Eyelid swelling
  • Eye pain
  • Redness of the eyes
  • Excessive sweating
  • Abdominal pain
  • Gastroesophageal reflux symptoms
  • Visual disturbances
  • Nosebleeds
  • Migraine

Rare but serious reactions may include:

  • Allergic reactions such as rash, hives, or facial swelling
  • A sudden decrease or increase in blood pressure
  • Fainting
  • Prolonged or painful erection
  • Serious vision-related complications

In patients with cardiovascular risk factors, serious events such as chest pain, palpitations, tachycardia, myocardial infarction, stroke, sudden cardiac death, or other heart-related complications may occur. It may not always be possible to determine whether these events are directly related to tadalafil, sexual activity, existing health conditions, or a combination of factors.

Contraindications

Cialis Super Active should not be used in the following cases:

  • Concomitant use of medications containing organic nitrates
  • Use by individuals under 18 years of age
  • Hypersensitivity to tadalafil or any other component of the product

Special caution is recommended for people with cardiovascular disease, blood pressure disorders, severe liver or kidney conditions, or those taking medications for hypertension.

Overdose

Taking more than the recommended dose may increase the likelihood and severity of side effects associated with tadalafil.

In case of suspected overdose, medical attention should be sought immediately. Treatment is usually symptomatic. Hemodialysis is not considered effective for removing tadalafil from the body.

Drug Interactions

Tadalafil is primarily metabolized by the CYP3A4 enzyme. Certain medications may increase or decrease the concentration of tadalafil in the blood.

Medications that may increase the effect of tadalafil include:

  • Ketoconazole
  • Ritonavir
  • Other HIV protease inhibitors
  • Erythromycin
  • Itraconazole
  • Other CYP3A4 inhibitors

Medications that may reduce the concentration of tadalafil include:

  • Rifampicin
  • Other CYP3A4 inducers

Antacids containing magnesium hydroxide or aluminum hydroxide may slow the absorption of tadalafil without changing its overall exposure in the body.

Tadalafil enhances the blood pressure-lowering effect of nitrates. For this reason, using tadalafil together with nitrates is contraindicated. Tadalafil may also increase the effects of antihypertensive medications. Patients taking blood pressure medications should consult a healthcare professional before using Cialis Super Active.

FAQ

How long does Cialis Super Active take to work?

According to the product description, the effect usually begins approximately 45 minutes after intake. However, the exact onset time may vary from person to person.

How long does the effect last?

The effect may last up to 36 hours. This does not mean that an erection will last continuously for 36 hours. The medication helps support erectile function only when sexual stimulation occurs.

Can I take more than one capsule per day?

No. Each capsule contains 20 mg of tadalafil, and the daily dose should not exceed one capsule within 24 hours. Taking more may increase the risk of side effects.

Can Cialis Super Active be taken with alcohol?

Alcohol may increase the risk of dizziness, low blood pressure, and other unwanted effects. It is advisable to consult a healthcare professional before combining tadalafil with alcohol.

Can I take Cialis Super Active with blood pressure medication?

Tadalafil may enhance the effects of medications used to lower blood pressure. If you are taking antihypertensive medication, you should consult a doctor before using this product.

Why should tadalafil not be combined with nitrates?

Combining tadalafil with nitrates can cause a significant and potentially dangerous drop in blood pressure. This combination is contraindicated.

What should I do if I experience a prolonged erection?

If an erection lasts too long, becomes painful, or does not go away, seek urgent medical attention. A prolonged erection can be dangerous and may require immediate treatment.

Is a doctor’s consultation necessary before use?

Yes. Medical consultation is especially important for people with heart disease, blood pressure problems, liver or kidney conditions, or those taking other medications.

Important Safety Notice

Cialis Super Active should be used only after considering possible contraindications and drug interactions. Exceeding the recommended dose or combining the product with incompatible medications may be dangerous to your health.