FULL PRESCRIBING INFORMATION: CONTENTS*

However, animal studies don’t always predict what will happen in humans.

Ingredient	Quantity Per Tablet	Function	Source
Tadalafil	20 mg	Main active component	Lilly Laboratories
Croscarmellose	1.5 mg	Disintegrant	Pharmaceutical Grade
Microcrystalline Cellulose	2 mg	Filling agent	Pharmaceutical Supplier
Magnesium Stearate	0.2 mg	Lubricant	Chemical Manufacturer

If you have questions about Cialis use during pregnancy, talk with your doctor.

• Comparison with other PDE5 inhibitors: Sildenafil (Viagra) and Vardenafil (Levitra).
• Key difference: Tadalafil's duration of action is much longer (up to 36 hours).
• Sildenafil and vardenafil typically last 4-5 hours.
• Tadalafil is less affected by food, especially high-fat meals.
• Sildenafil absorption is significantly delayed by a high-fat meal.
• Onset of action is similar for all (30-60 minutes), though sildenafil can be faster.
• Side effect profiles are similar, but tadalafil is more associated with back pain.
• Tadalafil is the only PDE5 inhibitor approved for daily use and for BPH.
• Choice depends on individual response, lifestyle, frequency, and cost.
• Do not take tadalafil within 24-48 hours of taking another PDE5 inhibitor.
• Consult a doctor to determine the most suitable medication.

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.

Overdose/Missed Dose

So if you’re taking other medications to reduce your blood pressure, taking Cialis along with them may cause a larger drop in blood pressure. Before you start Cialis treatment, tell your doctor if you’re taking any blood pressure drugs. They may give you a lower dose of Cialis or monitor you more often. If you’re taking Cialis and use antacids to treat heartburn, the antacids may decrease the level of Cialis that your body absorbs. 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.

Higher dosages of Cialis

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. So if the enzyme is unable to break down Cialis, the level of Cialis in your body may get too high.

Warnings and Precautions

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. Cialis is broken down in your liver by an enzyme called CYP3A4. 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.

Product	Dosage	Quantity + Bonus	Price
Cialis Professional	40mg	180 + 4 Pills	618.23€ 588.79€	Buy
Cialis Generic	10mg	360 + 10 Pills	388.49€ 369.99€	Buy
Cialis Professional	20mg	360 + 6 Pills	807.03€ 768.60€	Buy
Cialis Generic	10mg	270 + 10 Pills	308.71€ 294.01€	Buy
Cialis Black	80mg	270 + 10 Pills	502.88€ 478.93€	Buy
Cialis Professional	40mg	30 Pills	148.94€ 141.85€	Buy
Cialis Generic	5mg	90 + 6 Pills	115.91€ 110.39€	Buy
Cialis Professional	40mg	60 + 2 Pills	262.32€ 249.83€	Buy
Cialis Soft Tabs	20mg	60 + 4 Pills	159.37€ 151.78€	Buy
Cialis Super Active	20mg	10 Pills	55.64€ 52.99€	Buy
Cialis Super Active	20mg	180 + 20 Pills	521.59€ 496.75€	Buy
Cialis Original	20mg	4 Pills	41.99€ 39.99€	Buy
Cialis Generic	10mg	30 + 4 Pills	63.32€ 60.30€	Buy
Cialis Original	20mg	22 + 2 Pills	129.20€ 123.05€	Buy
Cialis Professional	20mg	10 Pills	48.29€ 45.99€	Buy

* 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 health history. Cialis may not be right for you if you have certain medical conditions or other factors affecting your health.

Further information

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. Animal studies showed no problems with development of the fetus when pregnant animals were given Cialis. 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.

1.1 Erectile Dysfunction

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. If your doctor has prescribed Cialis and you’re cialis tablets interested in using tadalafil instead, talk with your doctor. 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.

6. Response and effectiveness

Tell them about all prescription, over-the-counter, and other drugs you take. Also tell them about any vitamins, herbs, and supplements you use. Sharing this information can help you avoid potential interactions. If you have questions about drug interactions that may affect you, ask your doctor or pharmacist. You can also see this detailed article about Cialis and its interactions.

Why Should I Pay More For the Same Results?

You should not take Cialis if you’re taking a medication called a nitrate. This type of drug may be used for chest pain. Taking nitrates along with Cialis can cause a serious decrease in your blood pressure. However, in some cases, your doctor may give you a nitrate: for example, if you have chest pain and your life is at risk, and it’s been at least 48 hours since your last dose of Cialis. After you receive the nitrate, your doctor will likely monitor you to make sure your blood pressure doesn’t drop to an unsafe level.

Taking Cialis with food

Both Cialis and medications called alpha-blockers can cause a decrease in blood pressure. So taking these medications together can cause blood pressure to drop further. If you have benign prostatic hyperplasia (BPH) and are taking a medication called an alpha-blocker, you should not use Cialis. And if you have erectile dysfunction (ED) and are taking an alpha-blocker, your doctor will likely lower your dose of Cialis. Before taking Cialis, tell your doctor about any medications that you use, including alpha-blockers. 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.

• Myths and misconceptions: Cialis is not a hormone or testosterone replacement.
• It will not increase sexual desire (libido) on its own.
• It is not a "party drug" and should not be used recreationally.
• Taking a higher dose will not necessarily give you a "better" erection.
• More frequent dosing than prescribed increases risk of serious side effects.
• It is not addictive, but psychological dependence on medication can develop.
• Natural or herbal "ED cures" are not regulated and can be dangerous.
• ED is a common medical condition, not a reflection of masculinity or age.
• Successful treatment often requires addressing underlying health issues.
• Open discussion with a healthcare professional is the first step to effective treatment.
• Reliable information sources include urologists, cardiologists, and official drug websites.

So if you already have either of these conditions, Cialis may make it worse.

• Cialis 20mg provides discreet and effective ED treatment.
• The medication’s long-lasting effects are a major advantage.
• Tadalafil was discovered through research into angina treatments.
• Cialis is often used as a first-line medication for ED.
• The drug’s effectiveness depends on individual health factors.
• Cialis can improve sexual performance and satisfaction.
• It is important to hydrate and avoid alcohol during use.
• Cialis 20mg is a trusted medication with a proven track record.
• Contraindications include certain heart conditions.
• The medication is available only through licensed pharmacies.
• Cialis can be part of a broader sexual health management plan.
• Always keep medical history updated with your doctor.

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 20mg dosage is often recommended once daily.
• It’s crucial to adhere to the prescribed dosage for safety.
• Cialis can be effective for both single and ongoing use.
• The medication improves blood flow, aiding in erection quality.
• Cialis 20mg may interact with certain medications, so consult your doctor.
• It is important to avoid alcohol when using Cialis for better results.
• Certain health conditions like hypertension may affect usage.
• Cialis 20mg has been studied for its cardiovascular effects.
• Patients should disclose other medications to their healthcare provider.
• Cialis 20mg is classified as a phosphodiesterase inhibitor.
• The drug is stored at room temperature away from moisture.
• Regular medical check-ups are recommended while on Cialis.

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

Country	Legal Classification	Prescription Required	Sales Channels
USA	Prescription medication	Yes	Pharmacies, online with script
European Union	Prescription drug	Yes	Licensed pharmacies
Australia	Schedule 4 (Prescription Only)	Yes	Authorized pharmacies
India	OTC and prescription (varies)	Usually prescription	Authorized outlets

This means that the drug can build 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.

5.13 Counseling Patients About Sexually Transmitted Diseases

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 cialis without a doctor prescription 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. In some cases, your doctor may recommend a different medication to treat your ED, symptoms of BPH, or both.

Alternatives for ED and BPH

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 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. Before taking Cialis, talk with your doctor about any medications you’re using for pulmonary hypertension.

How should I store tadalafil?

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. For more information, see the “Cialis and alcohol” section above. 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. 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.

Standard	Description	Certification	Frequency of Inspection
Good Manufacturing Practice (GMP)	Ensures purity and efficacy of medicines	Yes	Annually
ISO 9001	Quality management system	Yes	Every 2 years
Active Ingredient Testing	Confirm potency and purity	Yes	Before batch release
Packaging Validation	Ensures safety and integrity of packaging	Yes	Per batch

They may have you start with a low dose of the medication.

2.3 Use in Special Populations

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. This means that your doctor and insurance company will need to communicate about your prescription before the insurance company will cover the drug.

Integrated statistical analysis

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. They can help you and tell you if there are any financial assistance options available. If you have any history of vision loss, talk with your doctor before taking Cialis. This vision loss may include having vision conditions such as non-arteritic anterior ischemic optic neuropathy (NAION).