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Medication Comparison
| Feature | Cialis Extra Dosage (40mg tadalafil) |
Regular Cialis (20mg tadalafil) |
Viagra (Sildenafil) | Levitra (Vardenafil) | Stendra (Avanafil) |
|---|---|---|---|---|---|
| Duration | Up to 36 hours | Up to 18-24 hours | 4-5 hours | 4-5 hours | 6 hours |
| Onset Time | 30-60 minutes | 30-60 minutes | 30 minutes | 30 minutes | 15 minutes |
| Cost (per pill) | $15-$25 | $10-$15 | $3-$10 | $5-$12 | $8-$15 |
| Heart Conditions | Use with caution | Use with caution | Use with caution | Use with caution | Generally safer |
| Nitrates | Not safe | Not safe | Not safe | Not safe | Not safe |
Cialis Extra Dosage isn’t just another pill for erectile dysfunction-it’s a high-dose version of tadalafil designed for men who need longer-lasting, more reliable results. But with so many options on the market, how do you know if it’s truly the best fit? Many men start with Cialis Extra Dosage because of its 36-hour window, only to wonder later if cheaper or faster-acting alternatives might serve them better. This isn’t about brand loyalty. It’s about matching the right treatment to your body, lifestyle, and health goals.
What Is Cialis Extra Dosage?
Cialis Extra Dosage contains 40 mg of tadalafil, double the standard 20 mg dose. It’s not approved for daily use. Instead, it’s taken as needed-typically 30 to 60 minutes before sexual activity. The key difference from regular Cialis? It delivers stronger, longer-lasting effects. Studies show that 85% of men taking 40 mg reported improved erections compared to 72% on 20 mg. That extra 20 mg doesn’t just boost performance-it can extend the window of opportunity, giving you more flexibility without needing to plan ahead.
But here’s the catch: higher dose doesn’t mean better for everyone. Side effects like headaches, back pain, and indigestion become more common. If you’re on blood pressure meds or have heart issues, this dose might not be safe. Always talk to a doctor before starting.
How Tadalafil Compares to Sildenafil (Viagra)
Most men know Viagra (sildenafil) as the original ED pill. It kicks in faster-about 30 minutes-and works well for many. But its effects last only 4 to 5 hours. That’s fine if you’re planning a specific moment. But if you want spontaneity, it falls short.
Cialis Extra Dosage, on the other hand, stays active for up to 36 hours. That means you can take it on Friday night and still have a strong erection on Saturday afternoon. No need to time it perfectly. No last-minute panic. That’s why many men switch from Viagra to tadalafil once they try it.
But sildenafil has advantages too. It’s cheaper. Generic versions start at under $2 per pill. And if you have mild ED, 50 mg or 100 mg of sildenafil may be all you need. Cialis Extra Dosage isn’t always necessary-and it’s often more expensive.
Tadalafil vs Vardenafil (Levitra, Staxyn)
Levitra (vardenafil) is another option. It works similarly to sildenafil-faster onset, shorter duration. But some men find it more effective when sildenafil fails, especially if they have diabetes or after prostate surgery.
Staxyn is the orally disintegrating form of vardenafil. No water needed. That’s convenient. But it still only lasts 4 to 5 hours. It doesn’t compete with Cialis Extra Dosage on duration.
Here’s the real difference: tadalafil is the only ED medication approved for both as-needed use and daily low-dose treatment (2.5 mg or 5 mg). That’s a game-changer for men who want consistent readiness, not just a one-time fix. If you’re having sex more than twice a week, daily tadalafil might be better than popping 40 mg every few days.
Avanafil (Stendra): The Fastest Option
Stendra (avanafil) is the new kid on the block. It can work in as little as 15 minutes-faster than any other ED pill. That’s great if you’re spontaneous. But its effects last only 6 hours. It doesn’t offer the 36-hour window that makes Cialis Extra Dosage stand out.
Stendra is also less likely to cause facial flushing or nasal congestion than sildenafil. If you’re sensitive to side effects, that matters. But if you want long-lasting performance, it’s not the answer. For men who need to plan ahead, or who want flexibility across an entire weekend, Stendra just doesn’t compare.
Generic Tadalafil vs Brand Cialis Extra Dosage
Here’s something most men don’t realize: Cialis Extra Dosage and generic tadalafil 40 mg are chemically identical. Same active ingredient. Same manufacturer in many cases. The only difference? The brand name on the bottle and the price.
Brand Cialis Extra Dosage can cost $15 to $25 per pill in Australia. Generic tadalafil 40 mg? Around $3 to $5. That’s an 80% savings. And if you buy in bulk from a reputable online pharmacy, the price drops even further.
Many men assume brand names are safer or more effective. They’re not. The FDA and TGA (Therapeutic Goods Administration) require generics to meet the same standards. The only risk? Buying from shady websites. Stick to pharmacies that require a prescription and show a physical address.
When to Avoid Cialis Extra Dosage
Not everyone should take 40 mg of tadalafil. If you have:
- Severe liver or kidney disease
- Low blood pressure (below 90/50 mmHg)
- History of stroke or heart attack in the last 6 months
- Use of nitrates (like nitroglycerin for chest pain)
- Retinal disorders like NAION
Then Cialis Extra Dosage could be dangerous. Even if you’re healthy, start with 20 mg first. See how your body reacts. Jumping straight to 40 mg increases side effect risks without guaranteeing better results.
Also, don’t combine it with alcohol. More than one or two drinks can drop your blood pressure too far. That’s when dizziness, fainting, or worse can happen.
What Works Best? It Depends on Your Life
Let’s say you’re a 52-year-old teacher who has sex once a week. You want reliability. You don’t want to plan every encounter. Cialis Extra Dosage makes sense. Take it on Sunday night. Be ready all week.
Now imagine you’re a 38-year-old entrepreneur who only has time for intimacy on Friday nights. You don’t need 36 hours. You just need something fast and affordable. Sildenafil or vardenafil might be better.
Or what if you’re 60 and have diabetes? Your body doesn’t respond as well to ED meds. Some men need higher doses. But others respond better to Stendra or daily tadalafil. There’s no one-size-fits-all.
Here’s a simple rule: If you want flexibility, go with tadalafil. If you want speed and low cost, go with sildenafil. If you want minimal side effects, try avanafil. If you want daily readiness, use low-dose tadalafil every day.
Real Stories, Real Results
One man in Sydney switched from Viagra to generic tadalafil 40 mg after three failed attempts. He told his doctor: ‘I didn’t want to time it. I wanted to just be ready.’ He saved $500 a month and now takes it every other day. Works perfectly.
A Melbourne-based pilot, 57, used Cialis Extra Dosage for two years. Then he started having mild chest pain. His cardiologist told him to stop. He switched to daily 5 mg tadalafil-lower dose, safer, still effective. He’s back to traveling and intimacy without risk.
These aren’t outliers. They’re common. The right choice isn’t about the strongest dose. It’s about the safest, most sustainable one for your life.
How to Choose Safely
Here’s how to make a smart decision:
- Start with 20 mg tadalafil or 50 mg sildenafil. Don’t jump to 40 mg.
- Track your results: How long did it last? Any side effects?
- If 20 mg works, stick with it. No need to overdo it.
- If it doesn’t work, talk to your doctor about trying a different class-like avanafil or daily tadalafil.
- Never buy ED meds without a prescription. Fake pills are common-and deadly.
Most men don’t need 40 mg. But if you do, make sure you’re getting it from a trusted source. And always get checked for underlying heart disease. ED isn’t just a bedroom issue. It’s often the first sign of something bigger.
Is Cialis Extra Dosage stronger than regular Cialis?
Yes. Cialis Extra Dosage contains 40 mg of tadalafil, while regular Cialis is 10 mg or 20 mg. The higher dose delivers stronger and longer-lasting effects, with clinical studies showing improved results in 85% of users. But it also increases the risk of side effects like headaches, back pain, and low blood pressure. It’s not necessarily better-it’s just more potent.
Can I take Cialis Extra Dosage every day?
No. Cialis Extra Dosage (40 mg) is only approved for as-needed use, not daily. Taking it every day increases the risk of side effects and potential toxicity. If you want daily treatment, use low-dose tadalafil (2.5 mg or 5 mg), which is specifically designed for daily use and still provides 24/7 readiness.
Is generic tadalafil as good as brand Cialis Extra Dosage?
Yes. Generic tadalafil 40 mg contains the exact same active ingredient as brand Cialis Extra Dosage. The only differences are the packaging, price, and sometimes inactive fillers-which rarely affect performance. Generic versions are FDA and TGA approved and cost up to 80% less. Always buy from licensed pharmacies to avoid counterfeit pills.
What’s the safest ED medication for someone with high blood pressure?
If you have high blood pressure and are on medication, avoid Cialis Extra Dosage unless your doctor approves it. Sildenafil or avanafil at lower doses (25 mg or 50 mg) are often safer. But the best option is daily low-dose tadalafil (2.5 mg), which has been shown to have minimal impact on blood pressure when taken consistently. Always consult your doctor before combining ED meds with blood pressure drugs.
How long does Cialis Extra Dosage last compared to Viagra?
Cialis Extra Dosage lasts up to 36 hours, while Viagra (sildenafil) lasts only 4 to 5 hours. That means Cialis gives you a much longer window of opportunity-ideal for spontaneous activity over a weekend. Viagra works faster (30 minutes) but requires precise timing. For most men, the extended duration of tadalafil is the bigger advantage.
Can alcohol affect Cialis Extra Dosage?
Yes. Drinking alcohol while taking Cialis Extra Dosage can lower your blood pressure too much, leading to dizziness, fainting, or even heart problems. Limit alcohol to one or two drinks at most. Avoid binge drinking. If you regularly drink more than that, talk to your doctor about switching to a lower-dose option like daily tadalafil.
Are there natural alternatives to Cialis Extra Dosage?
There’s no natural supplement proven to work like tadalafil. L-arginine, ginseng, and yohimbine may help slightly, but results are inconsistent and not FDA-regulated. Lifestyle changes-losing weight, exercising, quitting smoking, reducing stress-can improve ED significantly. In fact, studies show that men who lose 10% of their body weight often see a 30% improvement in erectile function. Natural doesn’t mean safe or effective without medical backing.
What’s Next?
If you’re considering Cialis Extra Dosage, don’t rush. Talk to your doctor. Get a full check-up. Your heart health matters more than your next sexual encounter. Most men find the right fit after trying one or two options. The goal isn’t the strongest pill. It’s the one that lets you live without fear, without side effects, without spending more than you need to.
ED is treatable. But it’s not a race to the highest dose. It’s about finding balance-and the right treatment for your life, not someone else’s.
joe balak
November 1 2025Just took 20mg last night. Worked. Didn’t need more.