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Cialis® Tablets for Erectile Dysfunction
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Applies to all products originating from Canada. Maximum allowable quantity equal to a 90-day supply per single order.
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Price range: $65.99 through $609.99
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What Tadalafil Is and How It Works
Tadalafil is a prescription phosphodiesterase type 5 inhibitor used for erection problems and urinary symptoms from enlarged prostate. This guide explains how it works, safe use, and common precautions, with US shipping from Canada. Many compare Tadalafil Without Insurance to local pharmacy quotes.
Cialis® is the reference brand for tadalafil. This medicine increases blood flow to the penis in response to sexual stimulation by blocking PDE5 in the corpus cavernosum. In the prostate and bladder, it may relax smooth muscle and ease lower urinary tract symptoms. Border Free Health connects U.S. patients with licensed Canadian partner pharmacies; prescriptions are verified with prescribers before dispensing.
Generic Tadalafil offers the same active ingredient as the brand. It can be used as needed for sexual activity or taken once daily depending on the condition and prescriber guidance. For more on the condition, see Erectile Dysfunction.
Who It’s For
This treatment is indicated for adult men with erectile dysfunction. It is also approved for signs and symptoms of benign prostatic hyperplasia and for men with both ED and BPH. Some adults may benefit from a steady daily regimen, while others may use it only before sexual activity.
A daily plan may use Tadalafil 5 mg Tablets for BPH or for men needing continuous support. Avoid use with any nitrate medicine or riociguat. People with recent heart attack or stroke, uncontrolled blood pressure, severe liver disease, or severe kidney disease should review risks with a clinician first. For BPH details, visit Benign Prostatic Hyperplasia.
Dosage and Usage
Follow the directions on your prescription label. For erectile dysfunction as needed, one dose is typically taken before sexual activity. Food does not significantly change absorption. Do not take more than once a day.
Common starting approaches include Tadalafil 10mg as needed, with adjustments only by the prescriber. For once-daily use, a low dose may be taken at the same time each day for ED, BPH, or both. Swallow tablets whole with water. Avoid grapefruit or grapefruit juice unless your prescriber confirms it is acceptable.
Never use with nitrates or recreational nitrites. Be cautious with alcohol, as it can increase the risk of low blood pressure or dizziness. For a deeper overview, see Cialis Dosage.
Strengths and Forms
Tadalafil is available as oral tablets in several strengths. Availability may vary by manufacturer and country of origin.
- 2.5 mg tablets
- 5 mg tablets
- 10 mg tablets
- Tadalafil 20 mg Tablets
Packaging can differ by supplier. Your order may arrive in manufacturer blisters or a pharmacy-labeled bottle, depending on sourcing and regulations.
Missed Dose and Timing
If you take it daily and miss a dose, take it when remembered unless it is close to your next dose. If it is almost time for the next dose, skip the missed dose. Do not double doses. If you use it only as needed, there is no scheduled dose to make up. Do not take more than one dose in a 24-hour period.
Storage and Travel Basics
Store tablets at room temperature and keep them dry. Protect from moisture and excess heat. Keep in the original container with the label intact and out of reach of children and pets.
When traveling, keep your medication in carry-on luggage with your prescription label. Use a small pill organizer only if it is legal where you travel and you have documentation. Do not store in a car or in direct sunlight for extended periods. Our partners use temperature-controlled handling when required.
Benefits
This treatment can support firm erections with sexual stimulation and may improve urinary flow and frequency in BPH. The long half-life can offer a longer window of responsiveness compared with some options. Daily low-dose use may provide steady symptom control for BPH and sexual function. Tablets can be taken with or without food, which simplifies routines.
Side Effects and Safety
- Headache or flushing
- Indigestion or stomach upset
- Back pain or muscle aches
- Nasal congestion
- Dizziness
Serious but less common effects include prolonged erection lasting more than four hours, sudden vision changes, sudden hearing loss, severe rash, chest pain, or fainting. Stop sexual activity and seek urgent care for chest pain. Do not use with nitrates due to the risk of dangerous drops in blood pressure. Combining with some alpha-blockers may also lower blood pressure.
Learn more in our overview of potential effects: Tadalafil Side Effects.
Drug Interactions and Cautions
Do not take with any nitrate (for example, nitroglycerin, isosorbide) or with the soluble guanylate cyclase stimulator riociguat. Strong CYP3A4 inhibitors such as ketoconazole, itraconazole, clarithromycin, ritonavir, or cobicistat can raise tadalafil levels; monitoring or dose changes may be needed per the prescriber. CYP3A4 inducers such as rifampin or carbamazepine may reduce effectiveness.
Use caution with antihypertensives, alpha-blockers, alcohol, and other PDE5 inhibitors. Grapefruit juice can increase drug exposure. People with anatomical penile deformation or conditions predisposing to priapism should discuss risks with a healthcare professional. Visual disorders such as retinitis pigmentosa warrant careful review of risks and alternatives.
What to Expect Over Time
As-needed dosing can work within a few hours and may support responsiveness for an extended window, though individual results vary. Daily dosing aims to maintain steady levels and may allow consistent function and urinary symptom control with routine use. Give the regimen time and stay consistent with timing. Track how you respond and raise concerns with your prescriber if you notice side effects, bothersome symptoms, or reduced benefit.
Compare With Alternatives
Many patients start with the branded option and later move to a generic. Some prefer sildenafil-based therapy, while others respond better to vardenafil. Strength and timing preferences differ among individuals and situations.
We carry the brand version Cialis® and the sildenafil brand Viagra®. Discuss whether a switch within the class could help you meet your goals. Some men remain on Cialis 20 mg when they need a stronger as-needed dose, while others use a daily low dose for steadier support.
Pricing and Access
Canadian pharmacy sourcing can offer meaningful savings compared with many U.S. cash-pay quotes. Review Tadalafil Price ranges on this page and compare package sizes. We provide US delivery from Canada and clear checkout steps so you can place your order confidently.
Looking for seasonal savings or limited-time offers? See our current Promotions. Your prescription is verified before dispensing, and checkout is encrypted to protect your information.
Availability and Substitutions
Stock status can vary by strength and manufacturer. If a specific presentation is unavailable, a prescriber may recommend an appropriate alternative. We cannot guarantee restock dates, but comparable options within the PDE5 class are often suitable when approved by your clinician.
Patient Suitability and Cost-Saving Tips
Adults with ED, BPH, or both may be candidates when there are no contraindications. People using nitrates, riociguat, or who have unstable cardiovascular disease should avoid this therapy unless a specialist advises otherwise. Kidney or liver problems, eye conditions, or blood pressure concerns require a careful review with your healthcare professional.
To manage costs, consider larger fills when appropriate, choose the generic over the brand, and align refills to reduce separate fees. You can set refill reminders in your calendar so you do not run out unexpectedly. Explore options across Men’s Health to see related therapies your prescriber may consider.
Questions to Ask Your Clinician
- Which dosing schedule best fits my needs and health status?
- Is daily dosing appropriate or should I use it as needed?
- Could my other medicines interact with this treatment?
- What signs mean I should stop and seek medical care?
- How do alcohol or heavy meals affect my response?
- What are safe options if I also treat BPH?
Authoritative Sources
Ready to proceed? Add tadalafil to your cart for prompt, express shipping. Ships from Canada to US. This information is educational and does not replace advice from your healthcare professional.
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How long does tadalafil usually remain active?
Many people find the effect window lasts longer than with some alternatives. The active period can extend into the next day for some users. Results vary by dose, timing, food, and other medicines. It still requires sexual stimulation to work. If you need a very predictable window or a shorter duration, discuss options in the same class with your prescriber. Avoid more than one dose in a day unless directed by your clinician.
Can I take tadalafil with alpha-blockers for BPH?
Using both can increase the risk of low blood pressure, especially when starting or changing doses. Some combinations are used carefully under medical supervision. If your prescriber recommends both, they may suggest specific timing and monitoring. Stand up slowly to reduce dizziness and report fainting or lightheadedness. Do not combine the medicine with nitrates or riociguat. Review your current regimen with your healthcare professional before starting.
What if I do not respond to my current dose?
Response can vary with timing, sexual stimulation, meals, and other medicines. Do not change your dose on your own. Track when you take it, what you ate, and side effects. Share that information with your clinician to decide next steps. Alternatives in the PDE5 class or a different dosing schedule may be considered by your prescriber based on your medical history.
Is daily tadalafil safe for long-term use?
Some adults use low-dose daily therapy for ED, BPH, or both. Long-term safety has been evaluated in clinical studies, but individual risks differ. Your clinician will consider cardiovascular health, kidney and liver function, and potential interactions. Report vision or hearing changes, chest pain, or prolonged erections immediately. Regular follow-up helps confirm that therapy remains appropriate for your needs.
Can I drink alcohol while taking tadalafil?
Alcohol can increase the chance of dizziness or low blood pressure when combined with this therapy. Light to moderate intake may be tolerated for some, but effects vary. Avoid heavy drinking near dosing. If you notice flushing, palpitations, or lightheadedness, sit or lie down and seek help if symptoms persist. Your healthcare professional can provide guidance based on your health status and other medicines.
Does food affect how tadalafil works?
Tablets can be taken with or without food. Very heavy or high-fat meals may slow onset for some people. Consider consistent timing to make responses easier to interpret. Hydration, stress levels, and other medicines also play roles. If timing is critical for an event, discuss planning tips with your clinician ahead of time.
Is tadalafil used for pulmonary hypertension?
Tadalafil is also approved for pulmonary arterial hypertension under a different brand in some markets. Doses and monitoring for that condition are distinct from erectile dysfunction or BPH use. Do not switch indications or dosing without prescriber direction. If your clinician is evaluating pulmonary hypertension therapy, they will determine the appropriate product and follow-up schedule.
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