Erectile Dysfunction (Tadalafil) Service
Erectile dysfunction (ED) is very common, affecting men of all ages. It can happen for many reasons, including stress, lifestyle factors, medical conditions or reduced blood flow. Our private ED service offers a safe, discreet way to get effective treatment with Tadalafil 10mg, following a confidential consultation with our pharmacist prescriber.
Tadalafil is a well-established treatment that helps improve blood flow to the penis, supporting stronger and longer-lasting erections when sexually aroused.

WHO IT’S FOR
Who Can Use the Service?
You may be suitable if:
Inclusion Criteria
You may be suitable for treatment if you:
- Are a man aged 18 or over
- Experience difficulty getting or keeping an erection
- Are generally in good health
Can safely take ED medication following a pharmacy consultation
Exclusion Criteria
Who may not be suitable? For your safety, this treatment is not appropriate for men who:
- Have been advised to avoid sexual activity due to a heart or circulation problem
- Have had a heart attack within the last 3 months
- Have had a stroke or heart failure within the last 6 months
- Have certain heart conditions such as severe arrhythmias, valvular disease, cardiomyopathy or uncontrolled angina
- Have very low blood pressure
- Have severe kidney or liver disease
- Have rare conditions that increase the risk of prolonged erections (e.g., sickle cell anaemia, leukaemia, multiple myeloma)
Have had sudden vision loss due to a retinal condition
- Have hereditary degenerative eye disorders
The pharmacist will check this with you during your consultation.
WHO IT’S FOR
Who Can Use the Service?
You may be suitable if:
Inclusion Criteria
You are a man aged 18 or over
You have a regular, symmetrical pattern of hair thinning
Your hair loss is not due to another medical condition
Exclusion Criteria
This service is not suitable for:
Women (finasteride is not for female use)
Men under 18 years old
Anyone with hair loss caused by another condition (e.g. cancer treatment, illness)
Anyone with liver problems, certain urinary conditions, or psychiatric disorders (such as depression, anxiety, psychosis, schizophrenia)
Anyone already taking finasteride or other treatments for the same condition
Your consultation: what to expect
Your appointment is private and discreet. During the consultation, our pharmacist will:
- Ask about your symptoms
- Check your medical history and medications
- Ensure tadalafil is safe and appropriate
Provide lifestyle advice that may improve erectile function
If suitable, treatment can be supplied on the same day.
Tadalafil increases blood flow to the penis to help you achieve and maintain an erection when sexually stimulated.
Unlike other ED medicines, tadalafil can last up to 36 hours, giving more flexibility.
Take one 10mg tablet, at least 30 minutes before sexual activity
The effects can last for up to 36 hours
- Do not take more than one tablet in 24 hours
- Avoid taking with grapefruit juice, as this affects absorption
- This treatment is designed for occasional use, not daily continuous dosing
If you find you need ED medication frequently (e.g., twice weekly or more), this may indicate an underlying health issue and we may advise a GP review.
Tadalafil must not be used if you take:
- Nitrates for heart problems (GTN spray, tablets, patches etc.)
- Recreational nitrates (“poppers”)
- Alpha-blockers for prostate or urinary issues (e.g., doxazosin, tamsulosin)
- Finasteride (for prostate or hair loss)
- Certain antibiotics / antifungals that alter how tadalafil works
- HIV medicines such as ritonavir
Other erectile dysfunction medicines (e.g., sildenafil/Viagra)
- Riociguat for lung disease
You will be asked about all medications you currently take, including over-the-counter and recreational drugs.
Most side effects are mild and short-lived.
These may include: Headache • Indigestion • Back pain or muscle aches • Flushing • Nasal congestion
Seek urgent medical help if you experience:
• An erection lasting more than 4 hours • Sudden vision problems • Sudden hearing changes or hearing loss • Chest pain
These reactions are rare but require immediate attention.
If suitable, our pharmacists can supply:
Medicine: Finasteride
Dose: Take 1mg once daily (one tablet), with or without food.
Consistency matters: Take it at the same time every day.
Long-term treatment: Results usually take 3–6 months. You need to continue taking finasteride to maintain benefits. If you stop, hair loss may return within 9–12 months.
Supply: You will usually be given a 1-month pack (30 tablets), including a patient information leaflet.
Most side effects are mild, but it’s important to be aware of them. Common side effects may include: Reduced sex drive or difficulty maintaining an erection, Breast tenderness or enlargement (rare), Headache, dizziness, tiredness, Stomach upset, diarrhoea, or back pain
Seek medical advice if you notice:, Mood changes (low mood, anxiety, suicidal thoughts), Breast lumps, pain, nipple discharge, or swelling
Mental health: Finasteride has been linked to mood changes, including depression and rarely suicidal thoughts. Report any changes to mood immediately.
Breast changes: Rarely, men taking finasteride have developed breast lumps, tenderness, pain, or discharge. Report these symptoms promptly.
Prostate tests: Finasteride can affect the results of PSA blood tests used to check for prostate problems.
Pregnancy risk: Women who are pregnant should not handle crushed/broken tablets. Small amounts of finasteride may also be present in semen — use a condom if your partner is pregnant or may become pregnant.
Lactose intolerance: The tablets contain lactose.
This short course is designed to quickly target the bacterial cause of diarrhoea, helping to reduce both severity and duration of symptoms.

Book your ED consultation
Discreet • Professional • Same-day supply available – Click below to book your confidential erectile dysfunction assessment.
Book online now or call us on 01889 562063 to speak with a member of our pharmacy team.



