We look forward to serving you soon. Tadalafil (generic Cialis®) is used to treat erectile dysfunction (impotence or an inability to get or keep an erection) in men.1 Tadalafil can also be used to treat premature ejaculation.2 Tadalafil (generic Cialis®) is used to treat erectile dysfunction (impotence or an inability to get or keep an erection) in men.1 Tadalafil can also be used to treat premature ejaculation.2 Tadalafil is in a class of medications called phosphodiesterase (PDE) inhibitors and treats erectile dysfunction by increasing blood flow to the penis during sexual stimulation.3 This may also help treat premature ejaculation.4 Tadalafil is in a class of medications called phosphodiesterase (PDE) inhibitors and treats erectile dysfunction by increasing blood flow to the penis during sexual stimulation.3 This may also help treat premature ejaculation.4 You may be able to have sexual activity as soon as 30 minutes after taking tadalafil.5 You may be able to have sexual activity as soon as 30 minutes after taking tadalafil.5 When using tadalafil for erectile dysfunction, the ability to have sexual activity may be improved for up to 36 hours after taking it.6 When using tadalafil for erectile dysfunction, the ability to have sexual activity may be improved for up to 36 hours after taking it.6 Tadalafil can stay in your system up to two days after taking it.7 Tadalafil can stay in your system up to two days after taking it.7 Tadalafil is prescribed in doses of 2.5 mg, 5 mg, 10 mg, 15 mg and 20 mg, with 10 mg being the most common initial dosage. Whether you are taking the medication as needed or once daily, you should not take more than one dose per day or exceed 20 milligrams in one day.8 Tadalafil is prescribed in doses of 2.5 mg, 5 mg, 10 mg, 15 mg and 20 mg, with 10 mg being the most common initial dosage. Whether you are taking the medication as needed or once daily, you should not take more than one dose per day or exceed 20 milligrams in one day.8 When this medication is used for erectile dysfunction, your healthcare team may prescribe it to be taken once daily or as needed before sexual activity.9 The most common initial dosage is 10 mg, but that may be lowered based on the patient’s overall health.10 When this medication is used for erectile dysfunction, your healthcare team may prescribe it to be taken once daily or as needed before sexual activity.9 The most common initial dosage is 10 mg, but that may be lowered based on the patient’s overall health.10 Tadalafil should not be taken more than once per day, with a maximum dosage of 20 milligrams per day.11 Tadalafil should not be taken more than once per day, with a maximum dosage of 20 milligrams per day.11 Take this medication by mouth with a glass of water, with or without a meal.

Clinical Fact Box

Tadalafil: what you need to know

When this medication is used for erection problems, your care team may prescribe it to be taken once daily or as needed. If you are taking the medication as needed, you may be able to have sexual activity 30 minutes after taking it and for up to 36 hours after taking it.Whether you are taking the medication as needed or once daily, you should not take more than one dose per day. If you think you have taken too much of this medicine, contact a poison control center or emergency room at once.12 Take this medication by mouth with a glass of water, with or without a meal. If you think you have taken too much of this medicine, contact a poison control center or emergency room at once.12 Tadalafil comes as 2.5 mg, 5 mg, 10 mg and 20 mg tablets.13,14 Tadalafil comes as 2.5 mg, 5 mg, 10 mg and 20 mg tablets.13,14 The cost will vary based on the strength of the medicine and the amount you are prescribed. But without insurance, tadalafil can cost up to $13 per tablet.15 RedBox Rx offers tadalafil for as low as $1 per tablet.

A doctor or nurse practitioner will message you within 1 day

The cost will vary based on the strength of the medicine and the amount you are prescribed. Tadalafil is not available over the counter and requires a prescription.16 Get started with an online consult for erectile dysfunction or premature ejaculation. Yes, tadalafil can be prescribed for women, particularly to treat certain types of high blood pressure.17 Yes, tadalafil can be prescribed for women, particularly to treat certain types of high blood pressure.17 PDE5 inhibitors such as sildenafil, tadalafil, avanafil and vardenafil all work in the same basic way by relaxing blood vessels to increase blood flow to the penis. They are all effective for treating erectile dysfunction, but they differ mainly in how quickly they start working and how long their effects last.18 Read our Complete Guide to Compare ED Medications to learn more. PDE5 inhibitors such as sildenafil, tadalafil, avanafil and vardenafil all work in the same basic way by relaxing blood vessels to increase blood flow to the penis. Follow the directions on the prescription label. When this medication is used for erection problems, your care team may prescribe it to be taken once daily or as needed.

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If you are taking the medication as needed, you may be able to have sexual activity 30 minutes after taking it and for up to 36 hours after taking it.Whether you are taking the medication as needed or once daily, you should not take more than one dose per day. If you think you have taken too much of this medicine, contact a poison control center or emergency room at once.12 Take this medication by mouth with a glass of water, with or without a meal. If you think you have taken too much of this medicine, contact a poison control center or emergency room at once.12 Tadalafil comes as 2.5 mg, 5 mg, 10 mg and 20 mg tablets.13,14 Tadalafil comes as 2.5 mg, 5 mg, 10 mg and 20 mg tablets.13,14 The cost will vary based on the strength of the medicine and the amount you are prescribed. But without insurance, tadalafil can cost up to $13 per tablet.15 RedBox Rx offers tadalafil for as low as $1 per tablet.

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Product	Dosage	Quantity + Bonus	Price
Cialis Generic	20mg	90 + 6 Pills	154.71€ 147.34€
Tadalista Super Active	20mg	60 + 8 Pills	230.32€ 219.35€
Cialis Generic	60mg	120 + 8 Pills	240.18€ 228.74€
Cialis Generic	60mg	270 + 10 Pills	443.96€ 422.82€
Cialis Generic	40mg	180 + 10 Pills	277.29€ 264.09€
Cialis Generic	40mg	360 + 10 Pills	477.87€ 455.11€
Cialis Generic	10mg	30 + 4 Pills	63.32€ 60.30€
Cialis Generic	20mg	30 + 4 Pills	68.05€ 64.81€
Cialis Generic	60mg	90 + 6 Pills	196.67€ 187.30€
Tadalista Super Active	20mg	20 + 4 Pills	92.35€ 87.95€
Cialis Generic	60mg	10 Pills	41.22€ 39.26€
Cialis Generic	20mg	20 Pills	54.72€ 52.11€

They are all effective for treating erectile dysfunction, but they differ mainly in how quickly they start working and how long their effects last.18 Read our Complete Guide to Compare ED Medications to learn more.

Cialis Generic over the Counter

Also tell your doctor if you have or have ever had pulmonary veno-occlusive disease (PVOD; blockage of veins in the lungs); any condition that affects the shape of the penis; diabetes; high cholesterol; high or low blood pressure; irregular heartbeat; a heart attack or heart failure; angina (chest pain); a stroke; ulcers in the stomach; a bleeding disorder; blood circulation problems; blood cell problems such as sickle cell anemia (a disease of the red blood cells), multiple myeloma (cancer of the plasma cells) or leukemia (cancer of the white blood cells); or heart, kidney or liver disease. Also tell your doctor if you or any of your family members have or have ever had an eye disease such as retinitis pigmentosa (an inherited eye condition that causes loss of vision) or if you have ever had sudden severe vision loss, especially if you were told that the vision loss was caused by a blockage of blood flow to the nerves that help you see. If you are having surgery, including dental surgery, tell the doctor or dentist that you are taking tadalafil. Talk to your doctor about the safe use of alcoholic beverages during your treatment with tadalafil. If you drink a large amount of alcohol (more than five glasses of wine or five shots of whiskey) while you are taking tadalafil you are more likely to experience certain side effects of tadalafil such as dizziness, headache, fast heartbeat and low blood pressure.

Using a mail-order pharmacy

If you are taking tadalafil to treat erectile dysfunction, tell your doctor if you have ever been advised by a healthcare professional to avoid sexual activity for medical reasons or if you have ever experienced chest pain during sexual activity. Sexual activity may be a strain on your heart, especially if you have heart disease. If you experience chest pain, dizziness or nausea during sexual activity, call your doctor immediately or get emergency medical treatment, and avoid sexual activity until your doctor tells you otherwise. Tell all your healthcare providers that you are taking tadalafil. If you ever need emergency medical treatment for a heart problem, the healthcare providers who treat you will need to know when you last took tadalafil.20 Tell your doctor and pharmacist if you are allergic to tadalafil, any other medications or any of the ingredients in tadalafil tablets.

Are there significant price differences for tadalafil across different geographic regions?

Tell your doctor and pharmacist if you are allergic to tadalafil, any other medications or any of the ingredients in tadalafil tablets. If you ever need emergency medical treatment for a heart problem, the healthcare providers who treat you will need to know when you last took tadalafil.20 Tell all your healthcare providers that you are taking tadalafil. If you ever need emergency medical treatment for a heart problem, the healthcare providers who treat you will need to know when you last took tadalafil.20 Talk to your doctor about eating grapefruit and drinking grapefruit juice while taking this medicine, as it may change the amount of medicine that is absorbed by your body.21 Talk to your doctor about eating grapefruit and drinking grapefruit juice while taking this medicine, as it may change the amount of medicine that is absorbed by your body.21 If you are taking tadalafil for erectile dysfunction on a regular schedule, take the missed dose as soon as you remember it. PDE5 inhibitors such as sildenafil, tadalafil, avanafil and vardenafil all work in the same basic way by relaxing blood vessels to increase blood flow to the penis. Check your medication’s bottle for a specific date and always dispose of expired medication.19 Check your medication’s bottle for a specific date and always dispose of expired medication.19 Before taking tadalafil: Tell your doctor and pharmacist if you are allergic to tadalafil, any other medications or any of the ingredients in tadalafil tablets. Ask your pharmacist for a list of the ingredients.

What are the Regulatory Considerations and Market Access Challenges?

Check your medication’s bottle for a specific date and always dispose of expired medication.19 Check your medication’s bottle for a specific date and always dispose of expired medication.19 Before taking tadalafil: Tell your doctor and pharmacist if you are allergic to tadalafil, any other medications or any of the ingredients in tadalafil tablets. Ask your pharmacist for a list of the ingredients. Tell your doctor if you are taking or have recently taken riociguat (Adempas) or nitrates such as isosorbide dinitrate (Isordil), isosorbide mononitrate (Monoket) and nitroglycerin (Minitran, Nitro-Dur, Nitromist, Nitrostat, others). Nitrates come as tablets, sublingual (under the tongue) tablets, sprays, patches, pastes and ointments. Ask your doctor if you are not sure whether any of your medications contain nitrates.

More common

Discreet Packaging

Tell your doctor and pharmacist what other prescription and nonprescription medications, vitamins and nutritional supplements you are taking or plan to take. Your doctor may need to change the doses of your medications or monitor you carefully for side effects. Tell your doctor what herbal products you are taking, especially St. John's wort. Tell your doctor if you smoke; if you have ever had an erection that lasted more than four hours; and if you have recently had diarrhea, vomiting, not been drinking enough fluids or sweating a lot, which may have caused dehydration (loss of a large amount of body fluids). Tell your doctor if you are taking or have recently taken riociguat (Adempas) or nitrates such as isosorbide dinitrate (Isordil), isosorbide mononitrate (Monoket) and nitroglycerin (Minitran, Nitro-Dur, Nitromist, Nitrostat, others). Nitrates come as tablets, sublingual (under the tongue) tablets, sprays, patches, pastes and ointments.

How To Get Tadalafil

Ask your doctor if you are not sure whether any of your medications contain nitrates.

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Your doctor will probably tell you not to take tadalafil if you are taking nitrates. Tell your doctor if you are taking street drugs containing nitrates (“poppers”) such as amyl nitrate, butyl nitrate or nitrite while taking tadalafil. Your doctor will probably tell you not to take tadalafil if you tadalafil 10mg daily are taking street drugs containing nitrates. You should know that tadalafil is available under the brand names Adcirca and Cialis. You should only be treated with one of these products at a time. Tell your doctor and pharmacist what other prescription and nonprescription medications, vitamins and nutritional supplements you are taking or plan to take. Your doctor may need to change the doses of your medications or monitor you carefully for side effects. Tell your doctor what herbal products you are taking, especially St. John's wort. Tell your doctor if you smoke; if you have ever had an erection that lasted more than four hours; and if you have recently had diarrhea, vomiting, not been drinking enough fluids or sweating a lot, which may have caused dehydration (loss of a large amount of body fluids). Also tell your doctor if you have or have ever had pulmonary veno-occlusive disease (PVOD; blockage of veins in the lungs); any condition that affects the shape of the penis; diabetes; high cholesterol; high or low blood pressure; irregular heartbeat; a heart attack or heart failure; angina (chest pain); a stroke; ulcers in the stomach; a bleeding disorder; blood circulation problems; blood cell problems such as sickle cell anemia (a disease of the red blood cells), multiple myeloma (cancer of the plasma cells) or leukemia (cancer of the white blood cells); or heart, kidney or liver disease. Also tell your doctor if you or any of your family members have or have ever had an eye disease such as retinitis pigmentosa (an inherited eye condition that causes loss of vision) or if you have ever had sudden severe vision loss, especially if you were told that the vision loss was caused by a blockage of blood flow to the nerves that help you see.

Month	Average Price (USD)	Price Change (%)	Notable Events
January	19	0	New generic entry
April	17	-10	Sale promotion in major outlets
July	20	+15	Price stabilization after supply increase
October	18	-10	End of promotional discounts

If you are having surgery, including dental surgery, tell the doctor or dentist that you are taking tadalafil. Talk to your doctor about the safe use of alcoholic beverages during your treatment with tadalafil. If you drink a large amount of alcohol (more than five glasses of wine or five shots of whiskey) while you are taking tadalafil you are more likely to experience certain side effects of tadalafil such as dizziness, headache, fast heartbeat and low blood pressure. If you are taking tadalafil to treat erectile dysfunction, tell your doctor if you have ever been advised by a healthcare professional to avoid sexual activity for medical reasons or if you have ever experienced chest pain during sexual activity. Sexual activity may be a strain on your heart, especially if you have heart disease. If you experience chest pain, dizziness or nausea during sexual activity, call your doctor immediately or get emergency medical treatment, and avoid sexual activity until your doctor tells you otherwise.

What If You Miss a Scheduled Dose?

Tell all your healthcare providers that you are taking tadalafil. If you ever need emergency medical treatment for a heart problem, the healthcare providers who treat you will need to know when you last took tadalafil.20 Tell your doctor and pharmacist if you are allergic to tadalafil, any other medications or any of the ingredients in tadalafil tablets. Tell your doctor and pharmacist if you are allergic to tadalafil, any other medications or any of the ingredients in tadalafil tablets. If you ever need emergency medical treatment for a heart problem, the healthcare providers who treat you will need to know when you last took tadalafil.20 Tell all your healthcare providers that you are taking tadalafil. If you ever need emergency medical treatment for a heart problem, the healthcare providers who treat you will need to know when you last took tadalafil.20 Talk to your doctor about eating grapefruit and drinking grapefruit juice while taking this medicine, as it may change the amount of medicine that is absorbed by your body.21 Talk to your doctor about eating grapefruit and drinking grapefruit juice while taking this medicine, as it may change the amount of medicine that is absorbed by your body.21 If you are taking tadalafil for erectile dysfunction on a regular schedule, take the missed dose as soon as you remember it.