Apcalis-sx: UK Status, Risks & the Licensed Equivalent
Apcalis-sx is not a UK-licensed product in the United Kingdom. It can still show up in some listings, but the MHRA has not evaluated it.
Talk to a doctor or pharmacist before deciding anything about it, and be cautious of sellers making strong claims about it. A status that is not clearly stated is a reasonable thing to question.
Not UK-licensed. This medicine is not supplied through UK-registered pharmacies.
Sellers list the active ingredient as tadalafil. The MHRA has not assessed what these products actually contain.
UK-licensed equivalent: Tadalafil
The MHRA warns that medicines sold outside registered pharmacies can be counterfeit, contaminated, or contain the wrong amount of active ingredient. Buy prescription-only medicines from a pharmacy registered in the UK.
Tadalafil price estimates, the UK-licensed equivalent
Estimate, not a quote
Prices below are for Tadalafil, the UK-licensed medicine with the same active ingredient. This product itself is not UK-licensed and cannot be supplied through UK-registered pharmacies.
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2.5 mg Not UK-licensed (MHRA) NHS SPS supply disruption listed
£0.09 per tablet or capsule
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Price estimate
Where to buy -
2.5mg Not UK-licensed (MHRA) NHS SPS supply disruption listed
£25.84 per tablet or capsule
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Where to buy -
5 mg Not UK-licensed (MHRA) NHS SPS supply disruption listed
£0.08 per tablet or capsule
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Price estimate
Where to buy -
5mg Not UK-licensed (MHRA) NHS SPS supply disruption listed
£3.87 per tablet or capsule
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Price estimate
Where to buy -
10 mg Not UK-licensed (MHRA) NHS SPS supply disruption listed
£0.12 per tablet or capsule
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Where to buy -
10mg Not UK-licensed (MHRA) NHS SPS supply disruption listed
£2.35 per tablet or capsule
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Where to buy -
20 mg Not UK-licensed (MHRA) NHS SPS supply disruption listed
£0.11 per tablet or capsule
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Price estimate
Where to buy -
20mg Not UK-licensed (MHRA) NHS SPS supply disruption listed
£2.88 per tablet or capsule
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Price estimate
Where to buy -
20 mg/5 mL Not UK-licensed (MHRA) NHS SPS supply disruption listed
£9.90 per mL
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Price estimate
Where to buy
All forms and prices
| Forms | Price per unit |
|---|---|
| 2.5 mg | £0.09 / tablet or capsule |
| 2.5mg | £25.84 / tablet or capsule |
| 5 mg | £0.08 / tablet or capsule |
| 5mg | £3.87 / tablet or capsule |
| 10 mg | £0.12 / tablet or capsule |
| 10mg | £2.35 / tablet or capsule |
| 20 mg | £0.11 / tablet or capsule |
| 20mg | £2.88 / tablet or capsule |
| 20 mg/5 mL | £9.90 / mL |
as of Oct 2, 2026 · Pricing methodology
Figures shown are an estimate, based on public UK pricing references such as the NHS Drug Tariff, not a price any one pharmacy has promised. The price at any one counter can differ from this figure, so check with the pharmacy for the number that applies to you. A price that looks far too low compared with the range shown here is a red flag about the seller's license.
Pharmacies by area for Tadalafil (UK-licensed equivalent)
- North East · 884 pharmacies
- North West · 2538 pharmacies
- Yorkshire and The Humber · 1676 pharmacies
- East Midlands · 1307 pharmacies
- West Midlands · 1778 pharmacies
- East of England · 1860 pharmacies
- London · 3261 pharmacies
- South East · 2368 pharmacies
- South West · 1374 pharmacies
- Northern Ireland · 714 pharmacies
- Scotland · 1725 pharmacies
- Wales · 1050 pharmacies
Pharmacies near you
Use your location to open the pharmacies closest to you and ask them about Tadalafil, the UK-licensed medicine with the same active ingredient.
Cities with the most pharmacies
- London · 724 pharmacies
- Birmingham · 265 pharmacies
- Nottingham · 180 pharmacies
- Glasgow · 177 pharmacies
- Leeds · 173 pharmacies
- Sheffield · 162 pharmacies
- Bristol · 148 pharmacies
- City of London · 144 pharmacies
- Manchester · 134 pharmacies
- Edinburgh · 131 pharmacies
- Bolton · 124 pharmacies
- Belfast · 122 pharmacies
- Hampstead · 121 pharmacies
- Coventry · 115 pharmacies
- Cardiff · 112 pharmacies
About Apcalis-sx
Apcalis-sx is not a licensed medicine in the United Kingdom and cannot legally be sold there as a medicine. It is marketed as an oral product containing the same active ingredient as tadalafil.
The product’s quality, contents and safety have not been independently verified. Anyone considering treatment should speak with a doctor or pharmacist about suitable licensed options.
Claimed strengths are manufacturer claims, but no strength is listed for Apcalis-sx. The product information does not provide a verified strength, tablet description or dosing schedule.
This section is not a dosing instruction. A doctor or pharmacist can explain the authorised tadalafil options and their appropriate use.
What Apcalis-sx is used for
Apcalis-sx is marketed for helping adults with erectile difficulties, meaning difficulty getting or keeping an erection suitable for sexual activity. This is a marketing claim, not proof that the product is effective or suitable for any individual. Erectile difficulties can have physical or emotional causes and may be linked with other health problems.
A doctor can assess possible causes and discuss licensed treatments. Do not use this product as a substitute for medical assessment or prescribed treatment.
How Apcalis-sx works
The active ingredient is tadalafil, a phosphodiesterase type five inhibitor. This medicine class supports the natural erection process by helping blood vessels relax when sexual stimulation is present. This can increase blood flow into the penis and help an erection develop.
Sexual stimulation is still needed, and these medicines do not increase sexual desire. They do not protect against sexually transmitted infections or pregnancy. The claimed contents and strength of Apcalis-sx have not been independently verified, so the effect of this product cannot be assumed to match a licensed tadalafil medicine.
Main interactions
- Nitrate medicines, including some used for chest pain, can cause a dangerous fall in blood pressure.
- Riociguat and similar medicines can also lower blood pressure excessively with tadalafil-class medicines.
- Alpha blockers and other blood-pressure medicines may increase dizziness or low blood pressure.
- Some medicines that affect liver enzymes can alter tadalafil levels and effects.
- Other erectile difficulty medicines should not be combined with tadalafil-class products.
- Large amounts of alcohol can increase dizziness and may make an erection more difficult.
Key warnings
- Apcalis-sx is not a licensed medicine in the United Kingdom and cannot legally be sold there as a medicine.
- The product’s contents, quality and strength have not been independently verified.
- Tadalafil-class medicines can cause a prolonged or painful erection requiring urgent medical care.
- Seek urgent help for chest pain, fainting or sudden changes in vision or hearing.
- These medicines may lower blood pressure and can cause dizziness or headache.
- Do not use tadalafil-class products with nitrate medicines because blood pressure may fall dangerously.
- People with significant heart or blood-vessel problems should seek medical advice before considering this class of treatment.
Pregnancy and breastfeeding
The marketing material does not specify pregnancy or breastfeeding data for Apcalis-sx. Tadalafil-class medicines are intended for erectile difficulties and are not generally used during pregnancy.
Anyone who is pregnant, planning a pregnancy or breastfeeding should discuss the product with a doctor or pharmacist before use. The contents and strength of this product have not been independently verified.
Missed dose
A missed dose is not usually relevant when a tadalafil-class medicine is used for erectile difficulties, because use is generally linked to sexual activity rather than a regular daily schedule. Do not take extra product to make up for a missed dose.
Follow advice from a doctor or pharmacist for any prescribed tadalafil medicine. If too much may have been used, seek medical advice, particularly if dizziness, chest pain or a prolonged erection occurs.
Storage
No storage conditions are listed for this product. Keep the product in its original packaging, in a cool, dry place away from direct heat and sunlight, and out of the reach of children. Follow any storage directions on the packaging to maintain quality.
Related medicines
- Tadalafil · UK-licensed equivalent
- Finasteride
- Avanafil
- Sildenafil
- Minoxidil
- Vardenafil
First published October 2, 2026 · Last updated · Report an error on this page