Popularity of Cialis Pill Cutters

There are two main reasons why Cialis (and associated generic) tablets are not recommended to be cut or split:

4 Smart Ways to Split Pills

Pill splitting is a common strategy among patients looking to save money amid rising drug costs.

In fact, United Healthcare has actively urged its members to ask for more potent drugs with the intention of splitting them to reduce monthly prescription copays.

The health insurer’s “Half Tablet Program” purports to help patients lower their copays by as much as 50% on a select group of medications, including cholesterol drugs Lipitor and Crestor, as well as popular antidepressants Zoloft and Lexapro.

However, the FDA has deemed pill splitting a “risky practice” and advises against the practice unless a drug’s package insert specifically says it is approved for splitting.

An analysis from Consumer Reports offers 4 smart steps that pharmacy staff can share with patients to ensure they safely split pills.

1. Ask for a Pharmacist’s Approval.

About 8% of consumers admit to splitting pills without receiving approval from a pharmacist or physician.

Certain drugs for certain conditions—including high cholesterol medications like lovastatin (Mevacor) and rosuvastatin (Crestor), and depression medications like sertraline (Zoloft)—can be split without reducing drug efficacy or causing negative side effects.

However, other medications such as oxycodone (Oxycontin), omeprazole (Prilosec), chemotherapy drugs, and contraceptives should never be split.

2. Don’t Split Pills That Can’t Be Divided Accurately.

Dividing delayed- or extended-released tablets or pills with protective coating for the stomach can be dangerous.

Drugs with a hard coating or any sort of capsule should also be swallowed whole to avoid crumbling, leaking, or cracking into pieces.

Studies have shown that pill splitters come very close to dividing drugs exactly in half, with as little as 2% variability between the split halves.

Using a knife, scissors, or any other sharp tool could divide the pill into unequal parts, thereby reducing the efficacy of the doses. Not to mention, using those sharp tools increases the risk for injury.

Pill splitters can be found at most pharmacies and discount stores at a low cost. Some health insurers, like United Healthcare, provide pill splitters for their members.

4. Split Pills One at a Time.

Certain prescription medications deteriorate when they are exposed to air, heat, or moisture after they’re split, so it’s best to split pills one at a time to ensure that potency and dosage sizes are consistent.

Popularity of Cialis Pill Cutters

Helping control the dosage of your medication can easily be done if you buy a pill cutter. One of the common reasons a lot of men decide to get one is to cut their Cialis tablets in half. Cialis is one of the most common and popular erectile dysfunction medications on the market. And many men who take it regularly, use a Cialis pill cutter to reduce their daily dosage whenever they want.

Using a Cialis pill cutter give men the option to control their dosage, based on their needs and wants. Not all men want to take the same dosage, every time, every day. A pill cutter makes it easier to anticipate and prepare for those moments when Cialis is needed most. A lot of men take Cialis once a day, but not everyone always wants to take the same amount. But there is also a lot of other good, practical reasons to get one, as well – like mess!

Pill cutters give people the ability to carefully manage their dosage by making precise cuts in their pills. The way pills are made and their shapes make them nearly impossible to cut properly with a standard kitchen knife – even a sharp one. Often, pills get crushed, shattered, and you end up with a bunch of powdery pill residue all over your counter. It’s a waste of medicine, not to mention the increased risk for a slip up trying to cut that little pill. A knife edge is often too big to cut effectively. Also, the pill’s outer coating is often too slippery for knives to hold a good edge.

Sometimes having the right tool for the right job just makes life easier. A Cialis pill cutter is one of those handy little items to have in you medicine cabinet. It costs only a few bucks and takes up no space. Best of all, the good old fashioned technology it uses – a simple razor – can not only cut your Cialis pills much easier than a knife, it also slashes down the hassles you’d get trying to dice up your medication yourself!

IMPORTANT NOTE: The above information is intended to increase awareness of health information and does not suggest treatment or diagnosis. This information is not a substitute for individual medical attention and should not be construed to indicate that use of the drug is safe, appropriate, or effective for you. See your health care professional for medical advice and treatment.

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Why Isn’t Cialis Recommended To Be Split?

In our latest question and answer, the pharmacist discusses why Cialis tablets are not recommended to be split.

Why is it recommended to not split tablets of tadalafil? I have been splitting the 20 mg tablets and taking them daily for over a year, for ED. What are the problems that could arise if you take split tablets over an extended period of time?

Key points

• Brand Cialis tablets are not recommended to be split for a variety of reasons (e.g. they have a film-coating and an irregular shape).
• Generic tadalafil tablets are also not recommended to be split due to the tablets being film-coated.
• Nevertheless, splitting Cialis and generic tadalafil tablets is a common practice, and it generally shouldn’t result in any significant negative consequences.
• Neither brand Cialis nor generic tadalafil tablets are scored.

Whether or not a particular drug tablet or pill can be split is one of our most common questions.

In general, if the drug is ‘immediate-release’ (i.e. does not have some sort of extended or delayed-release mechanism), it can be split, but there are exceptions.

Cialis (tadalafil) is one of those exceptions.

Can You Split Cialis?

As you stated in your question, you are correct that the manufacturer of Cialis ( tadalafil ) recommends not to cut or split the tablets. Per the prescribing information

The labeling for both the brand name Cialis and generic tadalafil tablets (all manufacturers) explicitly states that the tablets should not be split, as shown in the image of two labels below:

There are a few reasons why it is recommended for Cialis tablets to stay intact, but overall, the potential consequence of splitting tablets is likely, not significant.

In fact, it is not uncommon for prescribers to recommend splitting Cialis tablets as a potential cost-saving measure for patients.

Why Shouldn’t Cialis Be Split?

There are two main reasons why Cialis (and associated generic) tablets are not recommended to be cut or split:

• Brand name Cialis tablets have a non-symmetrical shape.
• Generic tadalafil tablets, many of which are symmetrical, are film-coated (brand Cialis is film-coated too). Splitting these tablets will destroy the film-coating.

Aside from the two reasons above, other reasons exist for the recommendation not to split the tablets. They include:

Shape Of The Pill

Brand name Cialis tablets, like Viagra, have an odd, non-symmetrical shape. Below is an image of the 20 mg Cialis tablet:

The non-symmetrical shape of Cialis tablets would make it difficult to evenly split into two pieces. This may lead to inconsistent dosing.

Generic Cialis products (tadalafil) are recommended not to be split too, even though most of them are symmetrical in shape. The recommendation not to split these is likely mostly due to the film-coating.

It is important to point out that neither the brand nor the generic tablets are scored. Even with the use of a pill splitter, non-scored tablets can be difficult to split evenly.

Lack Of Data

During clinical trials for Cialis, the manufacturer (Eli Lilly) only looked at the use of whole tablets. There is no safety or efficacy data on the use of split tablets. Therefore, the generic products have no data on split tablets either.

Film-Coating

Brand and generic tadalafil tablets are film-coated. Splitting the tablets destroys the film coating.

There are a variety of reasons why a drug tablet may be film-coated, including:

• They are often easier to swallow and less likely to cause throat irritation than non-coated tablets.
• Some film coatings are designed to protect the tablet from dissolving in the stomach. This can not only reduce the potential of certain side effects (e.g. nausea), it can also help to make the drug more effective by preventing early degradation by stomach acid.

According to the prescribing information for both Cialis and generic tadalafil products, the film coating is not a delayed-release mechanism and is therefore likely intended only to ease swallowing and to protect the tablets from excess moisture.

What Happens If You Do Split Them?

Having said all of the above, splitting/cutting erectile dysfunction (ED) drugs like Cialis is a fairly common practice. Your doctor may even recommend you do it if you need to adjust your dose or as a cost-saving measure.

There have been no reported safety issues cutting Cialis (or generic tadalafil) tablets, and they are not listed on the ISMP list of medications that shouldn’t be crushed.

If you have the brand-name tablets, and your doctor has recommended splitting them to adjust your dose or as a cost-saving measure, take care in doing so since it can be difficult to cut the oddly shaped tablets (and they aren’t scored).

If you have a generic tadalafil tablet, most are symmetrical and should be easier to split evenly when compared to the brand-name ones.

However, be aware, if you do split the tablets, they may be slightly more difficult to swallow since the film-coating will no longer be intact. They may also have an unpleasant taste.

References

• Cialis Prescribing Information, AccessFDA
• Which drug for erectile dysfunction?, Harvard Health
• Accuracy of tablet splitting: Comparison study between hand splitting and tablet cutter., PubMed
• Oral Dosage Forms That Should Not Be Crushed, ISMP
• Tadalafil Monograph, DailyMED
• Development of an easily swallowed film formulation, PubMed

How to Cut a Cialis Pill in Half

Cialis, one of the most popular drugs for erectile dysfunction (ED), comes in various doses. Some men consider purchasing the higher dose strengths and cutting them in half to spend less money than was planned. This guide discusses the main features and dosage of Cialis. It also covers the best tips on how to cut a Cialis pill in half and a verdict on the subject.

Disclaimer: Although we discuss the said considerations, we are not encouraging men with ED to split pills. It’s paramount to always follow the physician’s advice and prescription. This guide isn’t about medical advice; it can be just the suggestions that, we think, may be useful if you’re considering saving more money or you don’t have the required dosage you need to take.

Main Features and Dosage of Cialis

Tadalafil is an approved active ingredient that’s sold under the trade name Cialis® among others. It’s a powerful medication used to treat impotence. It is available in tablet form and is taken by mouth. It’s a longer-acting med compared to the famous ED remedy – Viagra® (sildenafil). It’s available in various strengths: 2.5 mg, 5 mg, 10 mg, & 20 mg. To take it daily, opt for lower doses. The working effect of Cialis is to provide quality erections, thus negating ED.

There are several instances in which you may not be able to use tadalafil, & you should talk to your physician about whether it’s safe for you. This med can cause some side effects as well as disease interaction. It’s best to use it wisely having consulted a physician.

Cialis works relatively swift but not as fast as Viagra. It can take about 30 minutes to 2 hours for the full effects of tadalafil to kick in, though it only takes about an hour for sildenafil to work fully. Studies depict that Cialis is absorbed rapidly, and this is not influenced by the timing of meals [1]. On the other hand, the effects of Cialis last clearly longer – normally up to 36 hours (1.5 days) or so. This is one of the reasons why some men prefer this remedy. It awesomely allows for more spontaneous intercourse. However, sexual stimulation must exist for this pill to work anytime within 36 hours after ingestion.

Regarding the Cialis dosage, you need to follow safe, advisable doses. In this case, you’ve got two options: you can ingest one of the higher-dose tabs on an as-needed basis or you can consume the smaller-dose tab once daily regardless of intercourse. A 10 mg tab is usually an advisable daily dose taken as needed, though some men might realize that a lower dose of 5 mg or a higher dose of 20 mg works better. According to research, there is no significant difference in safety or efficacy between these two options [2].

The maximum recommended dose of Cialis is 20 mg once daily. What happens if you ingest above 20 mg? It’s extremely risky to increase the dose to 40 mg or so. The med affects other parts of the body, which can result in unwanted negative effects [3]. However, some men with severe ED may find the 40 mg dose strength to be most effective & well-tolerated. If higher doses don’t work or aren’t well-tolerated, you can consider ingesting a lower-dose tab every day. This might be ideal if you prefer to be more spontaneous.

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Splitting Cialis Pills: Any Sense?

Because the Cialis tabs come in 4 distinct strengths, some of them can be cut in half, as they are not coated in any extended-release coating. Contemplate that it’s not advisable to cut either branded Cialis or generic tadalafil tabs for a variety of considerations. Nonetheless, splitting a tablet in half is a regular practice for most men, which generally shouldn’t have notable negative consequences. Indeed, it’s not uncommon for physicians to recommend cutting Cialis tabs as a cost-saving measure for patients.

The core reasons why Cialis® & associated generic tabs shouldn’t be split are as follows:

• Cialis® tabs have a non-symmetrical shape;
• generic tadalafil tabs, several of which are symmetrical, are usually film-coated. Cutting these pills will obliterate the film coating:
• split Cialis® tablets have not been tested for efficacy or safety;
• neither branded nor generic tabs are scored.

Branded Cialis® pills, like Viagra, come in an odd, non-symmetrical shape, which makes it hard for a user to evenly split a tab into two pieces. This may potentially result in inconsistent dosing. Besides, generic Cialis meds shouldn’t be split too, even though most of the tabs (from various pharmaceutical companies) come in a symmetrical shape. The core recommendation not to split these meds is mostly because of the film coating.

Various reasons why a tablet may be film-coated exist. Such pills are generally easier to swallow & less likely to trigger throat irritation than non-coated ones. Besides, some film coatings are intended to protect the tab from dissolving in the stomach. This reduces the risk of certain negative effects such as nausea & can also assist in making the medicine more efficacious by averting early degradation by stomach acid [4]. Generally, the film coating of tadalafil medicine is intended only to ease swallowing as well as to protect the tabs from excess moisture.

It is paramount to point out that neither original Cialis® tabs nor generic versions are scored. Even with the use of a pill splitter, the non-scored tablets can be difficult to split evenly. Besides, during clinical trials for tadalafil, Eli Lilly and Company (a maker of branded Cialis) only looked at the use of whole tabs. There is no documented safety or efficacy info on the use of split tabs. Therefore, the generic versions have no info on split tabs either.

Best Ways to Cut Cialis Tablet in Half

Can you fathom the best ways to cut your ED remedy in half? Why not? Having discussed all of the above info, splitting ED meds like Cialis is a fairly regular practice. Your physician may even advise you to do it if dose adjustment is needed or as a cost-saving strategy. No reported safety issues have been made if cutting either the original Cialis® or generic tadalafil tabs. Besides, they are not on the Institute for Safe Medication Practices (ISMP) list of meds that should not be crushed [5].

If you take Cialis & your physician has advised you to split it to adjust your dose or as a cost-saving measure, be vigilant in doing so since it can be challenging to cut the oddly oblong-shaped tabs & since they aren’t scored. If you have a generic version of tadalafil that is symmetrical, then it should be easier to split evenly than the original drug.

First, contemplate that most tabs are made to have a 100% homogeneous mixture [6]. This depicts that splitting the Cialis dose in half will make each half have the same efficacy as the other half provided it was evenly cut. If you have generic Cialis tabs that are made with an extended-release coating, never crush or break them. If you buy genuine generic pills that have a score line on them, then they can be easily split into equal parts.

How sure are you that you can split the tablet into equal parts? The problem is that cutting pills with a kitchen knife or with some other household tool won’t generally divide a tab into equal halves. It’s practically best to use a pill splitter purchased at a pharmacy that can divide your medication more precisely.

The best ways to cut the Cialis tablet in half using improvised tools are as follows:

• use a nail clipper: In this case, it’s obligatory to separate its parts. Then open it (by force) until the tablet fits & press it hard. While cutting, make sure it doesn’t crumble;
• you may consider creating your own score and then snap it with your hands in half if you can. Obviously, in the process, you will lose some medicine. You can opt to use a scalpel that’s very thin & sharp in order to make this loss minimal;
• straighten out a staple, thin nail, paper clip, or piece of wire & tape it to the table so it can’t move around. Then place a tadalafil pill on top of the wire so it can remain balanced, scored side up, with the score going right over the wire. Try to press down on each side of the tab with your thumbs. The wire acts as a fulcrum & the tab splits. You need to apply enough force to split the pill;
• use nail scissors for cats/dogs. This method works like a charm, but you have to ensure you buy the ones that will fit your tadalafil pill into the jaws.

If those methods don’t seem to work well for you, you may consider purchasing a pill cutter that, you think, fits a Cialis tablet well. Some of the best brands include:

• Equadose Pill Cutter: It gives you ideal halves every time;
• Apex Deluxe Pill Splitter: It holds pills securely & makes for an easy one-handed operation;
• Ezy Dose Cut N’ Crush: Its flexible arms with ridges cut larger tabs than the other pill cutters & hold any size tab steady while it’s being cut;
• Large Swiss Pill Cutter: It’s the “Rolex” of pill cutters;
• Pillcut Multiple Pill Splitter: This tool cuts tabs efficiently.

Regarding where to purchase the said tools, consider Amazon or other reputable sellers. You might have another efficacious idea or a cheaper means of splitting the Cialis tablet in half, but make sure it won’t crumble it [7].

Conclusion

Original Cialis® comes as an oval-shaped tab without an extended-release coating on it. Because of this, it can be split in half. Nonetheless, this med doesn’t have a score line making it hard to split into equal parts. On the other hand, all approved tabs are made to have a completely homogeneous mixture, so if split in half, the outcome will be equal doses.

Overall, although the safety and efficacy of cutting Cialis into equal halves have not been studied, it’s not dangerous since you get similar meds with equal dose strengths – 50% each of the total with tadalafil active ingredient. That is, if splitting the 20 mg Cialis tab, you’ll get 10 mg each. However, though Cialis is not on the list of meds that shouldn’t be split, its maker, Eli Lilly and Company, advises users not to do so.

References:

1. Tadalafil pharmacokinetics in healthy subjects. By S. Thomas Forgue, Beverley E. Patterson, et al. Published: December 20, 2005. Ncbi.nlm.nih.gov.
2. Efficacy and Safety of Tadalafil Once-a-Day versus Tadalafil On-Demand in Patients with Erectile Dysfunction: A Systematic Review and Meta-Analyses. By Zhufeng Peng, Lu Yang, et al. Published: June 21, 2007. Pubmed.ncbi.nlm.nih.gov.
3. Can I Take 40 mg of Tadalafil (Cialis) for ED? By Malini Ghoshal, RPh, MS. Medically reviewed by Joseph Brito III, MD. Published: September 30, 2020. Healthline.com.
4. Using medication: Oral medications. Published: April 13, 2011. Updated: August 10, 2017. Retrieved: March 29, 2021. Ncbi.nlm.nih.gov.
5. Oral Dosage Forms That Should Not Be Crushed. Published: February 21, 2020. Ismp.org.
6. If 20 mg Cialis is cut in half is the pill destroyed or 10 mg each? By 2ndaddress. Published: October 1, 2009. Updated: September 10, 2020. Retrieved: March 29, 2021. Drugs.com.
7. How to cut a pill in half without a pill cutter? Retrieved: March 29, 2021. Lifehacks.stackexchange.com.

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