AdComplete the Online Consultation with our Doctor. Personalize Your Needs. If Appropriate, Get a Prescription for ED from RexMD®. Free Shipping AvailableReal Doctors · Free Shipping · Personalized Plan · Discreet Packaging.Tadalafil is sometimes taken as needed, usually at least 30 minutes before sexual activity and not more often than once every 24 hours. Be sure to mention any of the following: alpha blockers such as alfuzosin Uroxatral , doxazosin Cardura , dutasteride Avodart, in Jalyn , prazosin Minipress , silodosin Rapaflo , tamsulosin Flomax, in Jalyn , and terazosin; amiodarone Cordarone, Pacerone ; certain antifungals such as fluconazole Diflucan , griseofulvin Grifulvin, Gris-PEG , itraconazole Onmel, Sporanox , ketoconazole Extina, Ketozole, Nizoral, Xolegel , and voriconazole Vfend ; aprepitant Emend ; bosentan Tracleer ; carbamazepine Carbatrol, Epitol, Tegretol, Teril, others ; clarithromycin Biaxin, in Prevpac ; diltiazem Cardizem, Cartia,Tiazac, others ; efavirenz Sustiva, in Atripla ; erythromycin E. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. 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. You should only be treated with one of these products at a time. After taking a single tablet, some of the active ingredient of Cialis remains in your body for more than 2 days. A small number of patients taking Cialis also reported abnormal vision.Cialis is only available with a prescription. Some online pharmacies can provide prescriptions if the customer does not already have one. Can people get Cialis without visiting a doctor? AdComplete the Online Consultation with our Doctor. Personalize Your Needs. If Appropriate, Get a Prescription for ED from RexMD®. Free Shipping AvailableReal Doctors · Free Shipping · Personalized Plan · Discreet Packaging. The recommended starting dose for Cialis intended for once daily use is mg, take at the same time each day, without regard to timing of sexual activity. This may be increased to 5mg/day based on need and tolerability. May be taken with or without food. Cialis is available as a generic, under the name tadalafil. 3.What if I am taking other drugs? Physicians should discuss with patients the potential for CIALIS to augment the blood-pressure-lowering effect of alpha-blockers and antihypertensive medications. Tadalafil is in a class of medications called phosphodiesterase PDE inhibitors. The safety and effectiveness of Cialis when used with other treatments for impotence has not been studied. Tadalafil Adcirca is used to improve the ability to exercise in people with pulmonary arterial hypertension PAH; high blood pressure in the vessels carrying blood to the lungs, causing shortness of breath, dizziness, and tiredness. 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. If you are taking tadalafil for erectile dysfunction on a regular schedule, take the missed dose as soon as you remember it.
U.S. Food and Drug Administration – is cialis prescription only