If our doctors approve you for treatment, they will send a prescription to our pharmacy. The pharmacy will then dispatch your FDA-approved ED treatment direct to your door in discreet packaging.
Society and culture
Your doctor can also adjust the dose if you experience side effects or if your prescribed dose isn’t effective. The time it takes for this treatment to work varies between men. It will normally work within 30 minutes. Tadalafil can last for up to 36 hours however, this doesn't mean you'll be erect throughout this time period. After you climax, your penis will return to its flaccid state until you are aroused again.
Off-label use for Cialis
As long as Tadalafil is active in your body, you can achieve multiple erections. This is why it is sometimes called the "weekend pill". The duration of Tadalafil (Cialis) vs Placebo Can I take Tadalafil with food and alcohol? You can take Tadalafil with or without food. Taking Tadalafil with a meal does not affect its absorption.
How does tadalafil work (mechanism of action)?
Avoid drinking too much alcohol when planning to use Tadalafil as this may temporarily reduce the ability to get an erection. Heavy drinking may also increase the chance of experiencing side effects such as dizziness, headache, fast heartbeat, and low blood pressure. Grapefruit and grapefruit juice may interact with Tadalafil (Cialis) and increase the risk of side effects. Avoid grapefruit products while taking this medicine. What precautions should I take when taking Tadalafil? Written by our editorial team Last reviewed January 05, 2026 A licensed doctor checks if it’s safe. Tadalafil, sold under the brand name Cialis among others, is a medication used to treat erectile dysfunction, benign prostatic hyperplasia, and pulmonary arterial hypertension. [7] Onset is typically within half an hour and the duration is up to 36 hours. Common side effects include headache, muscle pain, flushing, and nausea. [7] Caution is advised in those with cardiovascular disease.
| Product | Dosage | Quantity + Bonus | Price | |
|---|---|---|---|---|
| Cialis Generic | 40mg | 120 + 8 Pills | 206.98€ 197.12€ | |
| Cialis Professional | 40mg | 120 + 4 Pills | 436.68€ 415.89€ | |
| Cialis Generic | 20mg | 20 Pills | 54.72€ 52.11€ | |
| Cialis Generic | 10mg | 10 Pills | 31.41€ 29.91€ | |
| Cialis Professional | 20mg | 10 Pills | 48.29€ 45.99€ | |
| Cialis Generic | 10mg | 360 + 10 Pills | 388.49€ 369.99€ | |
| Cialis Generic | 5mg | 90 + 6 Pills | 115.91€ 110.39€ | |
| Cialis Generic | 2.5mg | 20 Pills | 40.73€ 38.79€ | |
| Cialis Generic | 40mg | 20 Pills | 59.47€ 56.64€ | |
| Cialis Original | 20mg | 12 Pills | 78.32€ 74.59€ |
[7] Rare but serious side effects include a prolonged erection that can lead to damage to the penis, vision problems, and hearing loss. [7] Tadalafil is not recommended in people taking nitrovasodilators such as nitroglycerin, as this may result in a serious drop in blood pressure.
Cost of Generic Tadalafil (Cialis)
Tadalafil is a prescription drug, and whilst it is generally very tolerable, it may not be suitable for every man. You should not take Tadalafil if you: are allergic to tadalafil or any of the ingredients in this medicine have low blood pressure or uncontrolled high blood pressure are already taking other PDE-5 inhibitors including Adcirca or Cialis have non-arteritic anterior ischaemic optic neuropathy (NAION) - the loss of vision in one eye have been told by your doctor to avoid sexual activity for medical reasons take riociguat or other guanylate cyclase stimulators To ensure this medicine is safe for you, tell our doctors at SpeedyHealth if you have or have ever had any heart disease or heart surgery. a heart attack within the last 90 days heart failure within the last 6 months a stroke within the last 6 months Tadalafil should be used with caution in those with: bleeding problems or problems with your blood cells (sickle cell anemia, multiple myeloma, or leukemia) liver or kidney disease - as you might require a lower dose of Tadalafil. If any of these conditions apply to you, or if you have other medical conditions, contact your doctor to discuss other ED treatments. Are there any interactions with other medications?
Cialis for erectile dysfunction (ED)
Tadalafil can interact with both prescription medicine and over-the-counter medicine. You should not take Tadalafil with medications containing nitrates, as your blood pressure could become dangerously low. Nitrates are usually prescribed to treat chest pain. Also, avoid drugs known as “poppers” which contain amyl nitrite and butyl nitrite. A sudden drop in blood pressure cialis 5mg generique could occur and make you feel dizzy, faint, or have a heart attack or stroke.
Who should not use tadalafil?
medications known as alpha-blockers (including doxazosin, tamsulosin, or alfuzosin) This is not a comprehensive list of interactions. For a full list, refer to the medicines information sheet included with your order. When completing your consultation, tell your doctor about all medications or supplements you are taking. This includes over-the-counter medications purchased without a prescription. What are the side effects of Tadalafil? [7] Tadalafil is a PDE5 inhibitor which increases blood flow to the penis. [7] It also dilates blood vessels in the lungs, which lowers the pulmonary artery pressure. Tadalafil was approved for medical use in the United States in 2003. [7] It is available as a generic medication. [8] In 2022, it was the 172nd most commonly prescribed medication in the United States, with more than 3 million prescriptions. Tadalafil is used to treat erectile dysfunction, benign prostatic hyperplasia, and pulmonary arterial hypertension. [7] In the United States, tadalafil (as Cialis) is indicated for the treatment of erectile dysfunction and the signs and symptoms of benign prostatic hyperplasia;[4] and (as Adcirca) for the treatment of pulmonary arterial hypertension to improve exercise ability.
- Tadalafil is classified as a prescription-only medication in most countries.
- It is not a controlled substance and does not have significant abuse potential.
- Pharmacists can provide valuable counseling on proper use and potential interactions.
- Patients should inform their doctor if they experience any sudden decrease or loss of vision.
- Hearing loss or tinnitus (ringing in the ears) are rare but require prompt medical attention.
- Allergic reactions (rash, itching, swelling) are possible, though uncommon.
- Seek immediate medical attention for symptoms of a heart attack (chest pain, nausea) or stroke.
- The medication's effects may be less pronounced in men who have had prostate surgery.
- For men with spinal cord injury, the efficacy and dosing may be different.
- It is important to distinguish between generic Tadalafil for ED and other Tadalafil products for PAH.
- Patients should never take a double dose to make up for a missed one.
- Keeping a medication diary can help track effectiveness and side effects for doctor review.
A meta‐analysis found that tadalafil is an effective treatment for lower urinary tract symptoms due to benign prostatic hyperplasia and that such treatment had a low rate of adverse effects.
Where to Get Treatment for ED in NYC?
To order Tadalafil or Cialis online, you will need to complete an online consultation. This is a quick and cialis free trials easy process, and is completely confidential. Simply go to the checkout page for your chosen dosage, and follow the instructions on screen. Once completed, our doctors will assess if Tadalafil or Cialis is appropriate for you. If our doctors believe this treatment is unsuitable for you, you will not be charged. [11] Tadalafil is FDA-approved for males as a therapy to treat and prevent symptoms of benign prostatic hyperplasia, such as urinary urgency, hesitancy, weak stream, dribbling, and incontinence.
How Effective are Cialis and Tadalafil?
Tadalafil is the generic drug name, while Cialis is a branded version. While they contain the same active ingredient and work in the same way to treat erectile dysfunction, they may differ in manufacturer, packaging, and price. Tadalafil works to treat erectile dysfunction by increasing the blood flow to the penis during sexual stimulation. It belongs to a class of medications called phosphodiesterase type-5 inhibitors (PDE-5). An erection occurs when sexual arousal stimulates the brain.
Does Cialis work and is it safe?
Tadalafil inhibits PDE-5, leading to increased levels of the substance cGMP within the chambers of the penis, known as the corpus cavernosum. This causes the smooth muscle in the penis to relax and an inflow of blood to the area. This increased blood flow causes an erection. Tadalafil can only cause an erection when sexual stimulation occurs. An erection will not occur just by taking a pill.
Drug forms and administration
After ejaculation, the effects will wear off, but it will work if you are aroused again. Tadalafil has been proven to be extremely effective, with clinical studies showing improved erections in 81% of patients taking it, compared to 35% of patients taking a placebo (an inactive drug). Tadalafil and Cialis dosages include 10mg and 20mg tablets. This can be increased to 20mg based on its effect and your ability to cialis online pharmacies tolerate it. Take one tablet with a glass of water at least 30 minutes before having sex Take the tablet with or without food Swallow the tablets whole, do not crush, chew or halve the tablets Do not take more than one tablet within a 24-hour period Always follow the advice of your doctor and the details provided in your medication's instructions. Tadalafil was found to have similar benefits for lower urinary tract symptoms as the usually prescribed tamsulosin. Tadalafil is approved in the United States, Canada, and Japan to improve exercise ability in people with pulmonary arterial hypertension. The most common potential side effects when using tadalafil are headache, stomach discomfort or pain, indigestion, burping, acid reflux, back pain, myalgia (pain in limbs and extremities), flushing, hypertension (or uncommonly hypotension), and stuffy/runny nose. [7] Also common are dizziness, peripheral edema, fatigue, and urinary or respiratory tract infection; both diarrhea and constipation have been reported. [7] Diarrhea was reported more frequently in patients 65 or older than in younger subjects.
- Understanding the medication guide provided with the prescription is essential.
- The guide lists all known side effects, warnings, and instructions.
- Patients should not hesitate to ask their doctor or pharmacist any questions.
- Knowledge about the medication empowers patients to use it safely and effectively.
- Online health information should be sourced from reputable medical websites (e.g., Mayo Clinic, WebMD).
- Support groups, either in-person or online, can provide shared experiences and coping strategies.
- A positive attitude and patience are important as dosage or timing may need adjustment.
- Not every sexual encounter will be perfect, even with medication.
- Communication with one's partner about expectations and experiences is key.
- ED is a common medical condition, affecting millions of men worldwide.
- Effective treatments like generic Tadalafil allow men to regain an active sex life.
- The ultimate goal is improved quality of life and sexual satisfaction.
[4] These side effects reflect the ability of PDE5 inhibition to cause vasodilation (causing blood vessels to widen) and usually resolve after a few hours.
How much is generic Cialis?
Like all prescription drugs, Tadalafil can cause side effects. If you experience these you should consult your doctor, who may change your dose. The most common Tadalafil (Cialis) side effects are If you experience any troublesome side effects, speak to your doctor. You should stop treatment and seek immediate medical attention if you experience more rare but serious side effects, such as: an allergic reaction (signs may include: a rash, hives, difficulty breathing or swallowing, swelling of the face, throat, tongue, or lips) a painful erection lasting more than 4 hours (priapism) sudden loss of vision, in one or both eyes sudden decrease or loss of hearing (or ringing in the ears) What are some alternatives to Cialis (Tadalafil)? Viagra is an alternative medication used to treat ED.
Other uses
It contains the active ingredient sildenafil citrate and is taken as needed, with effects lasting up to 4 hours. One advantage of Cialis over Viagra is its longer duration of action. Another option is Tadalafil Daily, which is taken once a day at a low dose. This allows for greater spontaneity, as the medication works continuously in the background, and the lower daily dose is often associated with fewer side effects. You can purchase Cialis, or the more cost-effective option, Tadalafil, online from Speedy Health. In May 2005, the US Food and Drug Administration (FDA) found that tadalafil (along with other PDE5 inhibitors) was associated with vision impairment related to NAION (non-arteritic anterior ischemic optic neuropathy).
| Storage Condition | Recommended Temperature | Humidity | Shelf Life |
|---|---|---|---|
| Cool, dry place | 15°C - 30°C | <60% | 2-3 years |
| Avoid direct sunlight | N/A | N/A | |
| Keep out of reach of children | N/A | N/A |