Let your prescriber know about your medical conditions. You're at higher risk of priapism if you have other conditions affecting your penis. The risk could also be higher if you have sickle cell anemia, multiple myeloma, or leukemia. If you have an erection that lasts longer than 4 hours or a painful erection, get medical help right away.
Comparing Side Effects
It can make your blood pressure drop too low. Your care team can make sure your medications are safe to take together. If you have an erection for more than 4 hours or a painful erection after taking tadalafil (Cialis), go to the emergency room right away. It it's left untreated, it could lead to damage to the penis. Be sure to practice safe sex and use a condom.
Grapefruit interaction warning
Tadalafil (Cialis) doesn't stop the spread of sexually transmitted infections (STIs). Tadalafil (Cialis) can cause some serious health issues. This risk may be even higher for certain groups. If this worries you, talk to your doctor or pharmacist about other options. Risk factors: History of a heart condition Heart attack in the past 3 months Stroke in the past 6 months Heart failure in the past 6 months Uncontrolled heart rhythm problems (arrhythmia) Uncontrolled high blood pressure Low blood pressure Have chest pain during sex Before taking tadalafil (Cialis), tell your prescriber if you have any heart problems. If you suddenly notice changes in your vision in one or both of your eyes, go to the emergency room or call your prescriber right away. Although this is rare, tadalafil (Cialis) might raise the risk of eye damage.
| Product | Dosage | Quantity + Bonus | Price | |
|---|---|---|---|---|
| Cialis Generic | 40mg | 360 + 10 Pills | 477.87€ 455.11€ | |
| Tadalista Super Active | 20mg | 270 + 30 Pills | 661.49€ 629.99€ | |
| Cialis Generic | 60mg | 90 + 6 Pills | 196.67€ 187.30€ | |
| Cialis Generic | 5mg | 120 + 6 Pills | 132.92€ 126.59€ | |
| Cialis Generic | 2.5mg | 20 Pills | 40.73€ 38.79€ | |
| Cialis Generic | 60mg | 360 + 10 Pills | 570.52€ 543.35€ | |
| Cialis Generic | 60mg | 30 + 2 Pills | 85.33€ 81.27€ | |
| Cialis Generic | 10mg | 120 + 6 Pills | 178.49€ 169.99€ | |
| Cialis Generic | 2.5mg | 360 + 10 Pills | 260.03€ 247.65€ | |
| Cialis Generic | 5mg | 60 + 4 Pills | 86.02€ 81.92€ |
This can potentially lead to permanent vision loss.
Select a medication above to begin.
Don't take tadalafil (Cialis) more than once per day unless your prescriber told you to. This could lead to worse side effects like low blood pressure, dizziness, and vision problems. Some people might feel muscle or back pain while taking tadalafil (Cialis). If this happens, it should get better within about 2 days. In the meantime, try placing a hot or cold compress where it hurts for some short-term relief.
High blood pressure or prostate drugs (alpha-blockers)
Reach out to your care team if the pain doesn't get better or go away. Tell your prescribers and pharmacist that you're taking tadalafil (Cialis). Also share a list of your other medications with them. Tadalafil (Cialis) can interact with a lot of medications. Some include blood pressure medications and other BPH medications. Before starting tadalafil (Cialis), tell your prescriber about your full medical history. If your eye specialist has told you that you have a "crowded" optic disc, you might be at higher risk of vision changes with this medication. Your prescriber can decide if tadalafil (Cialis) is right for you based on the risks and benefits.
- 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.
Some people who took tadalafil (Cialis) had problems with hearing.
| Side Effect | Severity | Likelihood | Recommended Action |
|---|---|---|---|
| Headache | Mild to moderate | Common | Usually resolves on its own |
| Flushing | Mild | Common | Reduce dose or discontinue |
| Indigestion | Mild | Moderate | Take with food |
| Muscle aches | Mild | Less common | Contact doctor if persistent |
| Vision changes | Rare | Serious | Seek medical advice immediately |
Sometimes, this happened along with ringing in the ears (tinnitus) and dizziness. It's not clear if these problems are directly related to the medication. If you notice any changes in your hearing in one or both of your ears, stop taking tadalafil (Cialis) and call your prescriber right away.
Interactions between Tadalafil (Cialis) and other drugs
Tadalafil (Cialis) is available as a brand-name and generic version. It works by blocking a protein in the body called PDE-5. For ED, blocking PDE-5 causes the muscles in the penis to relax. This allows the penis to fill with blood when you're sexually aroused. It helps you have an erection and maintain an erection.
Tadalafil vs. sildenafil
For BPH, it's not fully clear how the medication works to help treat symptoms. But researchers think it helps relax the muscles in the prostate (a small gland in the groin). The following side effects may get better over time as your body gets used to the medication. Let your healthcare provider know immediately if you continue to experience these symptoms or if they worsen over time. Contact your healthcare provider immediately if you experience any of the following. Risk factors: Taking nitrate medications Taking blood pressure medications Taking alpha blockers Taking certain antifungals or antivirals Tadalafil (Cialis) can interact with certain medications. These drug interactions can raise your risk of serious side effects, including dangerously low blood pressure. These include nitroglycerin (Nitrostat) and isosorbide dinitrate (Isordil). It can cause your blood pressure to drop too low. Tadalafil (Cialis) can also interact with blood pressure medications. Other drug interactions are with certain antifungals and antivirals like ritonavir (Norvir). Some interactions can raise the risk of other side effects like headaches and flushing. It's important to tell your prescriber and pharmacist about all the medications you take and plan to take. Your care team can check that they're all safe to take together.
In case of emergency/overdose
Priapism: painful erection lasting for more than 4 hours Eye problems: vision loss, can't see as clearly, bloodshot eyes, burning feeling in the eye, eye swelling or pressure Dangerously low blood pressure: feeling faint, weak, or dizzy; blurry vision; racing heart; feeling confused Along with its needed effects, a medicine may cause some unwanted effects. For ED only, can take either as needed or once daily Can treat ED and BPH at the same time Can take up to 2 hours to get its full effect for ED Can cause side effects like headache, stomach upset, and back pain Not recommended if you've had a heart attack in the past 3 months, or a stroke or heart failure in the past 6 months Can't take if you've recently taken nitrates like isosorbide mononitrate (Monoket) or nitroglycerin (Nitrostat) You can take tadalafil (Cialis) with or without food. Food doesn't affect how well the medication works. If you have trouble swallowing pills whole, talk to your prescriber about your options. If you're taking tadalafil (Cialis) for ED as needed before sex: It's best to take the medication at least 30 minutes before you have sex.
Oral Administration
This gives the medication enough time to kick in. If this isn't convenient, ask your prescriber about your options. If you're taking tadalafil (Cialis) once daily either for ED, BPH, or both: Take the medication at the same time every day. This can help make it part of your daily routine so you remember to take your medication. For ED, this can give you more freedom (no need to worry about timing when to take the medication before sex). They can adjust your medications or give you specific instructions on how to take them to keep you safe.
Pros and cons of Tadalafil (Cialis)
It also includes alpha blockers like tamsulosin (Flomax). You should never take tadalafil (Cialis) when taking a nitrate medication for chest pain (angina). This combination can make your blood pressure drop dangerously low. If you have chest pain after taking tadalafil (Cialis), talk to your prescriber about safe options for relief. Tell your prescriber about all your health problems and medications.
Certain HIV drugs
They can check that tadalafil (Cialis) is safe for you to take. If you take this medication, be very careful getting up after sitting or lying down. This can help prevent you from feeling dizzy from low blood pressure and possibly falling. Risk factors: Medical conditions that affect the penis Sickle cell anemia Multiple myeloma Leukemia It's rare, but some people who took medications like tadalafil (Cialis) have had an erection that lasted more than 4 hours (priapism). If it's not treated in time, it can lead to permanent damage to the penis. Erectile dysfunction (ED) only When taken as needed: The typical starting dose is 10 mg by mouth at least 30 minutes before sexual activity. Take the medication only up to once per day, even if you have sex more than once in a day. Your prescriber will adjust your dose based on how well it's working for you and if you have side effects. When taken daily: The typical starting dose is 2.5 mg by mouth at the same time every day, without regard to timing of sexual activity. Your prescriber will adjust the dose depending on how well it's working for you and any side effects.
- Tadalafil is a selective PDE5 inhibitor, which allows it to target specific enzymes.
- It can improve erectile function, making intimacy more satisfying.
- The medication is available in several generic options besides brand names.
- Side effects may include nasal congestion, back pain, or dizziness.
- Tadalafil should be used with caution in men with bleeding disorders.
- It is recommended to avoid using tadalafil with alcohol to minimize side effects.
- Consult your healthcare provider before starting tadalafil if you have health concerns.
- Tadalafil does not protect against sexually transmitted infections.
- For optimal results, follow your doctor’s recommended dosage and schedule.
When taken as needed: The typical starting dose is 10 mg by mouth at least 30 minutes before sexual activity.
| Dosage (mg) | Common Brand Names | Duration of Effect (hours) | Notes |
|---|---|---|---|
| 10 | Cialis | Up to 36 | Suitable for daily use |
| 20 | Cialis | Up to 36 | Most prescribed strength |
| 5 | Tadalafil Generic | Up to 36 | Lower dose, for mild cases |
| 25 | Cialis Daily | Up to 36 | For continuous activity |
| 40 | Not commonly used | Up to 36 | Rarely prescribed |
Benign prostatic hyperplasia (BPH) only or BPH with ED When taken daily: The typical dose is 5 mg by mouth at the same time every day.
Society and culture
Some heart problems can make people more sensitive to the effects of the medication. And, having sex can be risky for people with certain heart conditions. Tadalafil (Cialis) is sometimes used for having sex. Because of this, it might not be the best choice for people whose prescriber has told them not to have sex to be safe. Tadalafil (Cialis) hasn't been studied in people who've had a recent heart attack, stroke, or heart failure.
Does tadalafil interact with other medicines (drug interactions)?
It also hasn't been studied in people with certain types of chest pain. If you have a heart problem, talk to your prescriber to find out if this medication is safe for you. Risk factors: Medical conditions that make you more sensitive to blood pressure changes Taking alpha blockers Taking blood pressure medications Taking medications for chest pain (angina) Taking ritonavir (Norvir) Drinking alcohol Tadalafil (Cialis) can cause temporary low blood pressure. But it can for people with health conditions that are sensitive to changes in blood pressure. Your blood pressure can also get too low if you tadalafil online take tadalafil (Cialis) with some medications. Your dose might differ if you have liver or kidney problems. It also might be different if you take certain medications that interact with tadalafil (Cialis). GoodRx has partnered with to provide reviews on the different aspects of Tadalafil (Cialis). Learn more about the effectiveness of Tadalafil (Cialis) based on real life experiences. Based on 34 people taking this medication Based on 65 people taking this medication Based on 28 people who have taken this medication Based on 80 people who have taken this medication Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. Contraindications are specific health conditions or situations in which a person should not take a medication due to safety concerns.
- 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.