I've had ED problems for decades - after falling off a horse and compressing the nerves in my lower back, (I'm 59 years old now, in very good physical shape etc).  But Cialis always works to get a solid erection, although I have no sensitivity and find it hard to achieve an orgasm. Viagra also works well, but again zero sensitivity and zero orgasm. (I can achieve orgasm when not using Cialis or Viagra - but it is damn hard work to try to get the old pecker stiff!!)

 

I've read that a daily dose (lower amount of the medication) of Cialis can also be taken, to enable one to 'perform on cue' without needing to take some Cialis an hour or so prior to sexual activity.

 

The recommended dose seems to be a quarter of a tablet.

 

Genuine Ciasis is about 400 baht per tab.  So this daily dosage would be about 3,000 baht a month.

 

Is there anyway to reduce that cost by being prescribed daily Cialis by a doctor?  Additionally, what are the recommended pharmacies in Bangkok (Sukhumvit) or Pattaya where I can be sure that I am purchasing genuine Cialis?

The recommended dosage for daily use is 5mg as opposed to 20 mg when taken just before sex.

 

It comes in a 5mg preparation which is preferrable to cutting up the 20 mg tabs. I don't know how easy it is to find the 5mg dose, though. Also don't know the relative cost. Cutting up the 20 mg tabs will be extremely inexact - the tablets are not uniform in shape nor are they scored - and you will inevitably lose some of it in the cutting process.

 

Any large pharmacy not in the heart of the "red light" areas should be fine. In Patatya, Fascinoi's. In Bkk Sukhumvit area there is a large on around Soi 2 right on Sukhumvit sort of opposite to the expressway entrance.

 

I suggest you consult a doctor specializing in men's sexual health. Some suggestions:

 

https://www.bangkokhospital.com/index.php/en/find-a-doctor/doctor-profile/?id=448&doctor=Dr._SOMBOON_LEUNGWATTANAKIJ

 

https://www.bumrungrad.com/doctors/Kavirach-Tantiwongse

 

https://www.bumrungrad.com/doctors/Premsant-Sangkum

 

The first doctor listed has been well recommended by several TV members

 

 

I priced Cialis at Boots several years ago.  Close to B2000/4tabs as I recall.  Genuine Cialis has a hologram seal on the package.  

A friend bought a bunch of tablets marked "tadalafil" in Phnom Penh, less than $1 a tablet.  They seem to work similarly to genuine Cialis but there is no way, short of a lab test to really know what you are getting.  

The patent has expired on Cialis, so the generic versions should now or soon be available at much lower prices.