How long does Cialis (tadalafil) take to work?

10 min read

Written by: 

Sonia Rebecca Menezes

Reviewed by: 

Raagini Yedidi, MD

Published: Jan 24, 2023

Updated:  Apr 17, 2025

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Reviewed By

Raagini Yedidi, MD

Raagini Yedidi, MD, is an internal medicine resident and medical reviewer for Ro.

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Key takeaways

  • Cialis typically starts working in about 30 minutes, but it can take up to six hours to reach its highest concentration in the body. Most people hit peak effects around the two-hour mark.

  • Daily doses of Cialis (2.5–5 mg) build up over time so that you’re ready for sex more spontaneously, while higher as-needed doses (10–20 mg) are taken before sex and can work for up to 36 hours.

  • Cialis helps with blood flow to the penis, but you still need to be aroused for it to work.

  • Ro’s Daily Rise Gummies offer daily tadalafil in a fruit-flavored gummy, making it an alternative to pills for treating ED.

Here's what we'll cover

Here's what we'll cover

Key takeaways

  • Cialis typically starts working in about 30 minutes, but it can take up to six hours to reach its highest concentration in the body. Most people hit peak effects around the two-hour mark.

  • Daily doses of Cialis (2.5–5 mg) build up over time so that you’re ready for sex more spontaneously, while higher as-needed doses (10–20 mg) are taken before sex and can work for up to 36 hours.

  • Cialis helps with blood flow to the penis, but you still need to be aroused for it to work.

  • Ro’s Daily Rise Gummies offer daily tadalafil in a fruit-flavored gummy, making it an alternative to pills for treating ED.

If you’ve tried Cialis, you know it doesn’t work right away. It only takes Cialis (tadalafil) about 30 minutes to work, but can take up to two hours to start working. You’ll still need to be sexually aroused first, but once it kicks in, the effects can often last up to 36 hours. Of course, the effects will vary from one person to another.

Cialis is an FDA-approved medication for treating erectile dysfunction (ED). Depending on how you take Cialis (whether as needed or daily), it can help improve blood flow and make it easier to get and maintain an erection. In this article, we’ll discuss how long Cialis takes to work and how to use it for the best results.

Cialis Important Safety Information: Read more about serious warnings and safety info.

How long does it usually take Cialis to work?

Cialis doesn’t work instantly. For as-needed doses, Cialis typically starts working about 30 minutes after many people take it. However, on average, it takes 1 to 2 hours to feel the full effects of Cialis. 

How long Cialis lasts in your body may depend on your age, kidney or liver function, and if you’re taking certain other medications. In these situations, your healthcare provider may recommend a different dosage of Cialis to adjust for differences in how your body processes the medication.

Food doesn’t significantly slow down its absorption so you can take it with or without meals and it won’t affect how quickly it works. 

How long does tadalafil take to work by dose?

How long does tadalafil take to work? Here’s a quick summary based on the dose:

Dose (tadalafil)

How it’s used

When it may start working

2.5 mg

Daily use

Builds steady levels in about five days

5 mg

Daily use or as needed

Daily: builds steady levels in about five days

As needed: can start working in as little as 30 minutes, but it may take up to six hours for some people.

10 mg

As needed

Can start working in as little as 30 minutes, but it may take up to six hours for some people.

20 mg

As needed

Can start working in as little as 30 minutes, but it may take up to six hours for some people.

If you’re taking Cialis only when you need it, plan to give it at least 30 minutes to kick in, just to be safe. With daily Cialis, you won’t need to time it. Daily doses are designed to keep a steady amount of tadalafil in your system, so you can be ready whenever the moment feels right.

When does Cialis peak?

Many people who use Cialis might have questions about it, like “How quickly does Cialis kick in?” or “How long does it last?” It usually reaches its highest effect around two hours after you take it. At that time, you’re likely to feel the full benefit of the medication.

But for most people, Cialis starts working in about 30 minutes and may continue to build for a bit before it peaks.

Whether you’re taking Cialis as needed or as a daily medication, it tends to follow a similar pattern:

  • As needed: It typically takes about two hours to feel the peak effects, but you may notice results sooner or later.

  • Daily use: A daily dose keeps tadalafil levels more stable in your system, so it’s meant to help you stay ready consistently.

Keep in mind, while Cialis builds up to its peak, it doesn’t mean you’ll feel nothing until then. Many people experience results earlier, and because sexual stimulation is required, your experience can naturally vary.

How long does Cialis last?

One of the reasons Cialis is so popular is its long-lasting effect. After you take it, the effects of Cialis can last up to 36 hours, helping you get and maintain an erection when you're in the mood.

That’s why it’s sometimes nicknamed the "weekend pill"—one dose can cover you for well over a day. Its exact duration depends on the dose and how your body processes the medication. With daily dosing, Cialis keeps a steady amount of medication in your system, so you don’t need to think about timing. You can have sex whenever the opportunity comes up.

It’s also worth remembering that Cialis won’t give you an erection automatically or keep you hard for 36 hours straight. You still need sexual stimulation for it to work. What it does is help your body respond more easily when you’re aroused during that time.

If you’re looking for a treatment that gives you more flexibility about when you have sex, Cialis can be a good option, especially compared to other medications that may not last as long.

What’s the difference between Cialis vs. daily Cialis?

Cialis (tadalafil) can be taken in two ways: as needed or as a daily low-dose pill. Both options help treat ED, but they fit into your routine a little differently. Here’s how they compare side by side:

Category

Cialis as needed

Daily Cialis

When to take

Take only when you plan to have sex

Take once a day, every day, at the same time

Onset timing

Usually starts working in about 30 minutes, but it may take up to six hours for some people

Builds steady levels in your system in about five days

Effectiveness duration

Effects can last up to 36 hours

Maintains steady effects, so you're ready whenever the moment feels right

Ideal use

Good if you have sex less frequently or prefer to plan ahead

Good if you have sex several times a week or want to be ready without planning

Dosage

Higher doses, usually 10 mg or 20 mg

Lower doses, usually 2.5 mg or 5 mg

Food considerations

Take with or without food. Meals don’t affect how well it works

Take with or without food. Meals don’t affect how well it works

Frequency

Do not take more than once a day

Take once daily for best results

If you choose Cialis as needed, you’ll take a pill before you plan to have sex. Most people take it at least 30 minutes beforehand, and it can help you get and keep an erection for up to 36 hours after it starts working. You may find your body takes shorter or longer to respond than 30 minutes, since results can vary at the individual level.

Daily Cialis, on the other hand, is taken once each day, at a lower dose: usually 2.5 mg or 5 mg. If you’re wondering how long it takes for Cialis to work at a 5 mg or 2.5 mg dose, it typically takes about five days of daily use for the medication to build up to steady levels in your system.

This way, you don’t have to think about timing the pill around sex. Once it builds up in your system, you’ll have steady levels of the medication, so you’re covered whenever you’re aroused and want to have sex.

As-needed Cialis or daily Cialis, which one is right for you?

The right type of Cialis for you mostly comes down to how often you have sex and how much you value spontaneity. If you only have sex once in a while, as-needed Cialis can work well, and you won’t need to take a daily pill. But if you have sex more frequently, or you prefer not to plan ahead, daily Cialis may make more sense.

Daily Cialis keeps you ready without having to time the medication, which can feel more natural and less stressful. Some people also find that the lower daily dose may come with fewer side effects compared to taking a higher, as-needed dose.

Whichever option you choose, you’ll still need sexual stimulation for Cialis to work. The medication helps improve blood flow to the penis, but it doesn’t automatically cause an erection. Whether you take it daily or as needed, you’ll want to give it time to do its job and to make sure you’re in the mood.

If you’re unsure which option best fits your lifestyle, it’s a good idea to talk it over with your healthcare provider. They can help you weigh the pros and cons and pick the right approach for you.

Cialis drug interactions and side effects

Like any prescription medication, Cialis (tadalafil) comes with potential side effects and interactions to keep in mind. Some of the more common ones include:

  • Headaches

  • Back pain

  • Muscle aches

  • Indigestion

  • Nasal congestion and cold-like symptoms

  • Facial flushing

  • Cough

  • Mild dizziness

  • Diarrhea

A rare but serious risk includes priapism, a painful erection lasting more than four hours. This is a medical emergency that requires immediate attention to prevent lasting damage.

Since these effects can vary from person to person, it’s important to try different options and figure out the one that works best for you by continuing to discuss with your healthcare provider.

It’s also important to let your healthcare provider know if you have:

  • Low blood pressure

  • Bleeding disorders

  • Current or past heart problems (like angina or heart attack), as sexual activity may add strain on the heart

Certain drugs that affect the CYP3A4 enzyme can interfere with how your body processes Cialis and Viagra, potentially increasing the risk of side effects. These include antifungals like ketoconazole, some HIV medications, and antibiotics like erythromycin.

Medications that can lower your blood pressure, including nitrates and antihypertensive medications can be dangerous when taken alongside Cialis as taking these medications together could result in blood pressure that is too low. 

If you’re taking medications that may potentially interact with Cialis, your healthcare provider may limit your dosage of Cialis. Remember that this list is not exhaustive and you should always give your healthcare provider updated information regarding your medical conditions and other medications. Be sure to follow their instructions.

How many pills come in a pack of Cialis?

According to the manufacturer, Cialis comes in different package sizes:

Dosage

Pack Size

2.5 mg pills

Blister packs of 30 (2 x 15 blister)

5 mg pills

Bottles of 30 

10 mg pills

Bottles of 30 

20 mg pills

Bottles of 30 

If you’re using Cialis daily, the per-tablet cost is lower compared to as-needed doses. However, since you’re taking it every day, you might end up using more pills overall.

With as-needed Cialis, the per-tablet price is higher, but because you’re only taking it when you plan to have sex, you may end up using fewer pills depending on your needs and frequency.

Your healthcare provider can help you choose the option that makes the most sense for your lifestyle and budget.

Are there alternatives to Cialis?

If Cialis isn’t the right fit for you, there are several other effective treatments for ED. Here’s a quick overview of some of those options.

Medication

Time to start working

Lasts for*

Viagra (sildenafil

Usually 30 to 60 minutes

About four to six hours

Vardenafil

About 30-60 minutes

About five to seven hours

Stendra (avanafil

About 15 to 30 minutes

Up to six hours

*How long each medication lasts in your body may depend on your age, current health conditions, and whether you’re taking certain other medications.

Another alternative is Ro Sparks. This is a dissolvable tablet you place under your tongue that combines sildenafil (55 mg) and tadalafil (22 mg). It can start working in about 15 minutes and can last up to 36 hours. While Ro Sparks isn’t FDA-approved as a combination product, its active ingredients are individually FDA-approved ED treatments.

Your healthcare provider can help you weigh the pros and cons of each option to find the one that best suits your needs and preferences.

Viagra Important Safety Information: Read more about serious warnings and safety info.

How should you take Cialis for the best results?

To get the best results from Cialis, you’ll want to take it exactly as prescribed, based on whether you’re using it daily or as needed. The right approach helps ensure the medication works effectively and lowers the chance of side effects.

If you’re taking Cialis as needed, dosage instructions are typically one pill at least 30 minutes before sex. Don’t take it more than once a day—this doesn’t make it work better and can increase your risk of side effects.

Cialis daily is one low-dose pill at the same time every day. Give it a few days to build up in your system, as daily Cialis isn’t instant—it can take about five days to reach steady levels.

How to get the maximum effect from Cialis

Cialis works by helping blood flow more easily to your penis when you’re sexually aroused, making it easier to get and maintain an erection. It won’t cause an automatic erection, so you’ll still need sexual stimulation.

For optimal results, try these tips:

1. Make sure you’re sexually aroused

Cialis can help increase blood flow to your penis, but it won’t trigger an erection on its own. You’ll still need to be sexually stimulated for it to work. Setting the right mood and making sure you feel comfortable can make a difference in how well Cialis works for you.

2. Watch your alcohol intake

Drinking heavily while taking Cialis can raise your chances of side effects like dizziness or low blood pressure. A glass of wine or a drink is usually okay, but if you’re having five or more drinks in one sitting, it may be safer to hold off. Moderate drinking is generally fine, but always check with your healthcare provider.

A standard drink equals:

  • One 12-ounce regular beer (5% alcohol)

  • One 5-ounce glass of wine (12% alcohol)

  • One 1.5-ounce shot of liquor/spirits (40% alcohol)

3. Be careful with other medications

Certain medications can interact with Cialis and may increase your risk of side effects, so it’s important to check in with your healthcare provider before starting. This especially applies to drugs like nitrates, HIV medications (such as ritonavir), some blood pressure medications, and antifungals.

Specifically, medications that affect the CYP3A4 enzyme can change how your body processes Cialis, potentially raising the chance of side effects. These include antifungals like ketoconazole, certain HIV treatments, and antibiotics like erythromycin. Other medications like nitrates and certain blood pressure medications can be dangerous to take alongside Cialis because taking these medications together can cause your blood pressure to become too low.

If you’re taking one of these medications, your healthcare provider may recommend limiting your Cialis dose to no more than once every two or three days, recommend lower dosages, or even recommend avoiding the medication altogether. Keep in mind this list is not exhaustive and any medications you are taking should be discussed with your healthcare provider. Always follow their guidance to stay safe.

4. Choose the dosing option that fits your sex life

If you prefer spontaneity, daily Cialis or Daily Rise Gummies (available through Ro) may be a great choice, as they build up in your system and help you stay ready anytime. If you’re having sex less frequently, as-needed dosing can work well too. Your healthcare provider can help you figure out what fits best with your routine.

If you’re not sure which approach is right for you, check in with your healthcare provider. They can help you choose between daily or as-needed Cialis and make sure your treatment is safe and effective.

Bottom line: how long does Cialis take to work?

Cialis is designed to give you flexibility, but knowing how long it takes to work can help you use it more confidently and effectively. Whether you’re using it as needed or every day, understanding the timing is key to getting the best results.

How long does Cialis take to work? Some things to keep in mind:

  • As-needed Cialis can start working in about 30 minutes but may take up to six hours to reach its full effect. Planning for this range can help you feel more prepared for sex. Daily Cialis builds up over several days to keep you ready at any time.

  • If you prefer to skip pills, Ro’s Daily Rise Gummies are a similar option with the same active ingredient in an easy, once-a-day gummy form. 

  • The effects of Cialis as needed can last up to 36 hours. This gives you a long window of opportunity, making it easier to enjoy sex without rushing.

  • No matter the dose, Cialis needs sexual stimulation to work. It helps improve blood flow, but arousal is still required to get an erection.

  • Talk to your healthcare provider to match your timing needs to the right option. If you want spontaneity or have specific timing goals, your provider can help you choose between daily or as-needed use.

The more you understand how Cialis works with timing, the better you can use it to support your sex life with less stress and more confidence.

DISCLAIMER

If you have any medical questions or concerns, please talk to your healthcare provider. The articles on Health Guide are underpinned by peer-reviewed research and information drawn from medical societies and governmental agencies. However, they are not a substitute for professional medical advice, diagnosis, or treatment.