Is there an over-the-counter version of Cialis? Cialis is only available with a prescription. Some online pharmacies can provide prescriptions if the customer does not already have one.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. Your doctor will probably tell you not to take tadalafil if you are taking street drugs containing nitrates. What if I am taking other drugs? Tadalafil is also used to treat men who have signs and symptoms of benign prostatic hyperplasia BPH. If you are taking tadalafil to treat PAH or BPH, follow your doctor’s directions and the guidelines in this paragraph.The four main medicines taken by mouth for erectile dysfunction are: Avanafil (Stendra). Sildenafil (Viagra). Tadalafil (Cialis). Vardenafil. These medicines are called PDE5 inhibitors. They enhance the effects of a chemical the body makes that relaxes muscles in the penis, called nitric oxide. There are many ways to save on Cialis, which is available as both a brand-name and generic medication. Save with GoodRx. GoodRx can help you save over 97% off the average retail price of the generic version. Generic Cialisat certain pharmacies is less than $13 with a free GoodRx discount. Compare prices and print coupons for Cialis (Tadalafil (Cialis)) and other drugs at CVS, Walgreens, and other pharmacies. Prices start at $You should take tadalafil one time a day. This increased blood flow can cause an erection. Tadalafil does not prevent pregnancy or the spread of sexually transmitted diseases such as human immunodeficiency virus HIV. If you are already taking medication to treat BPH, your doctor may tell you to stop taking your other medication at least one day before starting treatment with tadalafil. Men with BPH usually have difficulty urinating, a decreased flow of urination, hesitation at the beginning of urination, and a need to get up at night to urinate.

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