Tadalafil (Cialis®)

Proper Use
What side effects can this medication cause?
other ED treatments
What Tadalafil experts are saying
Pregnancy & Lactation
Does Either Medication Reverse ED?

If you have a history of stroke, be sure to talk with your doctor before taking Cialis.

Tadalafil is not suitable for individuals taking certain antifungal or antibiotic medications.
It may interact with blood thinning drugs, increasing bleeding risk.
The common dosage and timing depend on individual health and condition severity.
Tadalafil's shelf life is typically 2-3 years when stored properly.
The medication is a prescription-only product in most countries.
Patients should avoid using expired medication to prevent reduced efficacy or risks.
Some health insurance plans may cover tadalafil depending on the diagnosis.
Always check with a healthcare provider before combining tadalafil with other treatments.
Tadalafil can help restore sexual confidence and improve intimacy quality.

They’ll be able to determine whether the medication is safe for you. If you have a history of liver problems, such as hepatitis or liver failure, your body may not break down Cialis quickly enough.

Proper Use

This means that your doctor and insurance company will need to communicate about your prescription before the insurance company will cover the drug. The insurance company will review the request and let you and your doctor know if your plan will cover Cialis. If you’re not sure whether you’ll need to get prior authorization for Cialis, contact your insurance company. For more information about the cost of Cialis, see this in-depth article. If you need financial support to pay for Cialis, or if you need help understanding your insurance coverage, reach out to your insurance company.

Dosing Modifications

They can help you and tell you if there are any financial assistance options available. You can also see below for price estimates of Cialis based on the use of Optum Perks coupons. Note: Optum Perks coupons cannot be used with insurance copays or benefits. Cialis is available in a generic form called tadalafil. And generics tend to cost less than brand-name drugs.

Warnings for other groups

If your doctor has prescribed Cialis and you’re interested in using tadalafil instead, talk with your doctor. They may have a preference for one version or the other. You’ll also need to check your insurance plan, as it may only cover one or the other. Cialis is not approved for use in females. * It’s not known if Cialis is safe or effective for use during pregnancy. This means that the drug can build tadacip 20 mg tadalafil up in your system, which may increase your risk of side effects from the medication. If you have liver problems, be sure to talk with your doctor before taking Cialis. They may have you start with a low dose.

Product	Dosage	Quantity + Bonus	Price
Cialis Generic	2.5mg	60 + 4 Pills	83.43€ 79.46€
Cialis Generic	40mg	180 + 10 Pills	277.29€ 264.09€
Cialis Generic	60mg	120 + 8 Pills	240.18€ 228.74€
Cialis Generic	20mg	10 Pills	31.49€ 29.99€
Cialis Generic	5mg	20 Pills	41.99€ 39.99€
Cialis Generic	10mg	360 + 10 Pills	388.49€ 369.99€
Tadalista Super Active	20mg	120 + 16 Pills	382.15€ 363.95€
Cialis Generic	5mg	120 + 6 Pills	132.92€ 126.59€
Cialis Generic	5mg	10 Pills	29.39€ 27.99€
Cialis Generic	60mg	270 + 10 Pills	443.96€ 422.82€
Cialis Generic	20mg	120 + 8 Pills	188.15€ 179.19€

If you have kidney problems, such as chronic kidney disease, your body may not be able to get rid of Cialis as quickly as it should.

What side effects can this medication cause?

Animal studies showed no problems with development of the fetus when pregnant animals were given Cialis. However, animal studies don’t always predict what will happen in humans. If you have questions about Cialis use during pregnancy, talk with your doctor. If you’re sexually active and you or your partner can become pregnant, talk with your doctor about your birth control needs while you’re using Cialis. It’s important to note that Cialis is not approved for use in females.* Use of the term “female” in this article refers to sex assigned at birth.

What is tadalafil, and what is it used for?

* It’s not known if Cialis passes into breast milk or if it can be harmful to a child who’s breastfed. In animal studies, Cialis was present in breast milk. But animal studies don’t always predict what will happen in humans. If you have questions about Cialis and breastfeeding, talk with your doctor. Before taking Cialis, talk with your doctor about your cheap tadalafil health history.

Dosage for erectile dysfunction and benign prostatic hyperplasia (ED/BPH)

Cialis may not be right for you if you have certain medical conditions or other factors affecting your health. Sexual activity has an impact on your heart function. So if you have a history of heart problems, such as heart attack or an irregular heart rhythm, talk with your doctor before taking Cialis. They’ll be able to tell you if your heart is healthy enough for you to have sex. And if you have symptoms such as chest pain or an irregular heartbeat while taking Cialis, you should stop any sexual activity and see a doctor as soon as possible. This means that the medication may build up in your body, which can cause serious side effects. If you have kidney problems, tell your doctor before you take Cialis. They may have you start with a low dose of the medication. If you have any history of vision loss, talk with your doctor before taking Cialis.

Tadalafil is a medication used to treat erectile dysfunction and benign prostatic hyperplasia.
It works by relaxing blood vessels, increasing blood flow to the penis.
Tadalafil is commonly known by the brand name Cialis.
The typical starting dose for erectile dysfunction is 10 mg before activity.
Tadalafil can be taken with or without food; high-fat meals may delay absorption.
The medication's effects can last up to 36 hours, offering a large window of benefit.
Common side effects include headache, flushing, upset stomach, and muscle pain.
Tadalafil should be used cautiously with nitrates or certain blood pressure medications.
It is important to follow the prescribing doctor's dosage instructions carefully.

This vision loss may include having vision conditions such as non-arteritic anterior ischemic optic neuropathy (NAION). Taking Cialis when you have vision loss may increase your risk of vision side effects.

other ED treatments

This means that you may not get the full dose of Cialis, so it may not work as well to treat your ED or symptoms of BPH. Before you start using Cialis, tell your doctor if you’re taking antacids. Talk with them about how far apart to take the doses of each drug if you need to use both medications. Cialis is broken down in your body by an enzyme in your liver called CYP3A4. (An enzyme is a protein that aids chemical changes in your body.) Certain drugs can inhibit (block) this enzyme from working.

Oral antifungal drugs

So if the enzyme is unable to break down Cialis, the level of Cialis in your body may get too high. This can be dangerous and may increase your risk of side effects from Cialis. Examples of medications that can block CYP3A4 from working include: antibiotic drugs, such as: erythromycin (Ery-Tab) Before starting Cialis treatment, talk with your doctor about any medications that you’re taking. They’ll be able to determine whether the drugs are CYP3A4 inhibitors and whether they can interact with Cialis. In some cases, your doctor may recommend a lower dose of Cialis or a different medication to treat your ED, symptoms of BPH, or both.

Other Interactions

Cialis is broken down in your liver by an enzyme called CYP3A4. Certain drugs may induce (increase the activity of) CYP3A4, making it work better or faster than usual. This means that your body may break down Cialis more quickly than it should, so the drug may not work as well as it should. Examples of drugs that induce CYP3A4 include: Before you start Cialis treatment, talk with your doctor about any medications that you’re taking. They’ll be able to determine whether the drugs are CYP3A4 inducers and whether they can interact with Cialis. Your doctor may recommend a different medication than Cialis. If you have retinitis pigmentosa (a genetic eye condition that may cause vision loss), you should not take Cialis.

What Tadalafil experts are saying

If you have pulmonary hypertension (a type of high blood pressure in your lungs), talk with your doctor before taking Cialis. In some cases, you may be taking a medication called riociguat (Adempas) to treat your pulmonary hypertension. And taking this medication along with Cialis may cause your blood pressure to become dangerously low. You should not take Cialis if you’re taking riociguat for pulmonary hypertension. Cialis can cause both high blood pressure and low blood pressure. It’s possible that Cialis may increase your risk of bleeding. So if you have a history of stomach ulcers, taking Cialis may increase your risk of developing bleeding ulcers. (Stomach ulcers are sores in the lining of your stomach or intestine, and they may bleed.) Talk with your doctor before taking Cialis if you have a history of stomach ulcers.

Tadalafil comes in various tablet strengths, typically 2.5 mg, 5 mg, 10 mg, and 20 mg.
It is not intended for use recreationally or by individuals without ED or BPH.
Tadalafil can sometimes cause a sudden drop in blood pressure, so monitoring is advised.
Patients should inform their doctor of all health conditions before starting tadalafil.
Tadalafil may be used daily or as needed, depending on medical advice.
Alcohol consumption can increase the risk of side effects when taking tadalafil.
Overdose symptoms may include prolonged erection, chest pain, or dizziness.
Tadalafil is available by prescription; do not buy it from unregulated sources.
It is important to store tadalafil at room temperature, away from moisture.

Cialis may increase your risk of bleeding.

Country	Average Price (per pill)	Cheapest Price	Most Expensive Price	Notes
USA	$10 - $20	$8	$25	Brand vs generic
UK	£8 - £15	£6	£18	Prescription required
India	$1 - $3	$0.5	$5	Generic options available
Australia	AUD 15 - AUD 25	AUD 12	AUD 30	Higher regulation prices

If you have a history of bleeding problems, such as hemophilia, taking Cialis may further increase your risk for bleeding. Talk with your doctor before taking Cialis if you have a history of bleeding problems. If you have a deformed penis or a history of Peyronie’s disease (a curved penis), tell your doctor before taking Cialis. You may be at an increased risk for developing a long-lasting erection if you take the drug. Blood may become trapped in the penis and lead to an erection lasting longer than 4 hours, which can be dangerous and cause lasting damage.

Pregnancy & Lactation

In some cases, your doctor may recommend a different medication to treat your ED, symptoms of BPH, or both. You should not take Cialis if you’re using a type of drug called a guanylate cyclase stimulator. This kind of medication is used to treat pulmonary sublingual tadalafil hypertension (a type of high blood pressure in your lungs). Using a guanylate cyclase stimulator along with Cialis may cause your blood pressure to become dangerously low. This medication can be used to treat pulmonary hypertension (PH) that happens in the arteries of your lungs (pulmonary arterial hypertension) or PH that happens due to a blood clot in your lungs.

Effectiveness by condition:

Before taking Cialis, talk with your doctor about any medications you’re using for pulmonary hypertension. If you’re taking riociguat, they’ll likely recommend a different medication to treat your ED, BPH symptoms, or both. There aren’t any herbs or supplements that have been specifically reported to interact with Cialis. However, you should still check with your doctor or pharmacist before using any of these products while taking Cialis. Here’s some information about how Cialis may interact with alcohol and grapefruit.

Duration of action

For more information, see the “Cialis and alcohol” section above. While you take Cialis, it’s best to avoid eating grapefruit and drinking grapefruit juice. As with all medications, the cost of Cialis can vary. The actual price you’ll pay depends on your insurance plan, your location, and the pharmacy you use. Before approving coverage for Cialis, your insurance company may require you to get prior authorization. Your doctor will probably have you take a low dose of Cialis or use the medication with caution.

Interaction / Contraindication	Description	Risk Level	Recommended Action
Nitrates	Can cause severe hypotension	High	Avoid use together
Alpha-blockers	Risk of blood pressure lowering	Moderate	Consult doctor for dosage
Grapefruit Juice	Affects drug metabolism	Moderate	Limit intake during therapy
Cardiovascular conditions	Risks vary depending on condition	Variable	Medical consultation required
Liver or Kidney Disease	May affect drug clearance	High	Medical advice necessary

History of erections lasting longer than 4 hours. If you have a history of prolonged erections or priapism, you may be at an increased risk for developing them while taking Cialis.

Tadalafil can also be used for pulmonary arterial hypertension under medical supervision.
It's important to adhere to prescribed doses to prevent adverse effects.
Tadalafil is less affected by eating fat compared to similar medications.
The medication's onset is typically within 30 to 60 minutes.
Tadalafil can be beneficial for men with both ED and BPH symptoms.
It is possible to develop a dependence on tadalafil if used improperly.
A healthcare provider may recommend periodic blood pressure monitoring.
Tadalafil should not be taken with grapefruit juice; interactions may occur.
Always complete the full course of treatment as prescribed by the doctor.

A prolonged erection is one that lasts more than 4 hours. And priapism is a painful erection that lasts more than 6 hours. Both conditions are considered emergencies and need to be treated right away to prevent long-term damage. So if you’ve had prolonged erections or priapism in the past, tell your doctor before you take Cialis.

Does Either Medication Reverse ED?

So if you already have either of these conditions, Cialis may make it worse. If you have a history of blood pressure problems, tell your doctor before you take Cialis. During your treatment, they may have you monitor your blood pressure more often to make sure it doesn’t become too high or too low. Cialis may increase your risk of stroke, especially if you have a history of stroke. In studies done after Cialis was approved, some people with a history of heart problems had strokes during Cialis treatment. They may have you carefully monitor your condition after taking Cialis.