If you do not meet the NHS criteria for tadalafil, you may get a private prescription from a doctor. For the tablet to work properly, you’ll need to be sexually excited. Other treatments for erectile dysfunction include: a vacuum pump penile implants pelvic floor muscle exercises Some complementary therapies, such as acupuncture, have been claimed to treat erectile dysfunction. They may recommend hormone injections to bring your body’s levels back to normal. Alprostadil only available with a prescription is a synthetic hormone that helps to stimulate blood flow to the penis. Talk to your doctor or pharmacist if you’re unsure whether it’s safe for you to drive while taking tadalafil. This was the first application for a tadalafil product to be available as a pharmacy medicine.Tadalafil can help to relax the blood vessels in the penis, resulting in increased blood flow and allowing for a man to get an erection. It works in a similar way . Cialis (branded Tadalafil) Cialis is a reliable, branded ED treatment that lasts up to 36hrs. Can be taken with food. Works in 30mins, lasts up to 36hrs. Works for 80% of men. . Tadalafil is a medicine used to treat erection problems (erectile dysfunction) and symptoms of an enlarged prostate (benign prostate enlargement). It’s also sometimes used to treat .