This vision loss may include having vision conditions such as non-arteritic anterior ischemic optic neuropathy (NAION). Taking Cialis when you have vision loss may increase your risk of vision side effects. Your doctor may recommend a different medication than Cialis.

  • Cialis 20 mg has a rapid onset, usually effective within an hour.
  • The medication is available by prescription through pharmacies.
  • Men should avoid heavy meals before taking Cialis for quicker absorption.
  • Overdose of Cialis can cause serious health problems; seek help immediately.
  • The medication should not be used by women or children.
  • Cialis 20 mg can be taken with or without food.
  • Before using, disclose all medications you are taking to avoid interactions.
  • Regular use can help maintain erectile function over time.

If you have retinitis pigmentosa (a genetic eye condition that may cause vision loss), you should not take Cialis.

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They’ll be able to determine whether the medication is safe for you. If you have a history of liver problems, such as hepatitis or liver failure, your body may not break down Cialis quickly enough. This means that the drug can build up in your system, which may increase your risk of side effects from the medication. If you have liver problems, be sure to talk with your doctor before taking Cialis. They may have you start with a low dose. It’s possible that Cialis may increase your risk of bleeding. So if you have a history of stomach ulcers, taking Cialis may increase your risk of developing bleeding ulcers. (Stomach ulcers are sores in the lining of your stomach or intestine, and they may bleed.) Talk with your doctor before taking Cialis if you have a history of stomach ulcers. Cialis may increase your risk of bleeding. If you have a history of bleeding problems, such as hemophilia, taking Cialis may further increase your risk for bleeding.

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Cialis Professional40mg120 + 4 Pills436.68€ 415.89€
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Cialis Super Active20mg30 + 6 Pills128.09€ 121.99€
Cialis Generic10mg20 Pills48.23€ 45.93€
Cialis Soft Tabs20mg180 + 8 Pills353.17€ 336.35€
Cialis Generic10mg30 + 4 Pills63.32€ 60.30€
Cialis Generic40mg60 + 6 Pills130.98€ 124.74€
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Cialis Generic40mg120 + 8 Pills206.98€ 197.12€
Cialis Generic5mg90 + 6 Pills115.91€ 110.39€
Cialis Professional40mg90 + 2 Pills348.59€ 331.99€
Cialis Super Active20mg10 Pills55.64€ 52.99€
Cialis Black80mg90 + 6 Pills207.88€ 197.98€
Cialis Generic2.5mg120 + 6 Pills128.93€ 122.79€
Cialis Professional40mg20 Pills110.24€ 104.99€
Cialis Soft Tabs20mg270 + 10 Pills471.40€ 448.95€

Talk with your doctor before taking Cialis if you have a history of bleeding problems.

Side Effects

If you have a history of blood pressure problems, tell your doctor before you take Cialis. During your treatment, they may have you monitor your blood pressure more often to make sure it doesn’t become too high or too low. Cialis may increase your risk of stroke, especially if you have a history of stroke. In studies done after Cialis was approved, some people with a history of heart problems had strokes during Cialis treatment. If you have a history of stroke, be sure to talk with your doctor before taking Cialis. If you have a deformed penis or a history of Peyronie’s disease (a curved penis), tell your doctor before taking Cialis. You may be at an increased risk for developing a long-lasting erection if you take the drug.

  • Consult your doctor if side effects persist
  • Report any sudden hearing or vision loss
  • Your doctor may adjust your dosage

Blood may become trapped in the penis and lead to an erection lasting longer than 4 hours, which can be dangerous and cause lasting damage. Your doctor will probably have you take a low dose of Cialis or use the medication with caution. History of erections lasting longer than 4 hours. If you have a history of prolonged erections or priapism, you may be at an increased risk for developing them while taking Cialis. A prolonged erection is one that lasts more than 4 hours. And priapism is a painful erection that lasts more than 6 hours.

Overdose/Missed Dose

However, animal studies don’t always predict what will happen in humans. If you have questions about Cialis use during pregnancy, talk with your doctor. If you’re sexually active and you or your partner can become pregnant, talk with your doctor about your birth control needs while you’re using Cialis. It’s important to note that Cialis is not approved for use in females.* Use of the term “female” in this article refers to sex assigned at birth. * It’s not known if Cialis passes into breast milk or if it can be harmful to a child who’s breastfed.

Will Cialis help me keep an erection after ejaculating?

In animal studies, Cialis was present in breast milk. But animal studies don’t always predict what will happen in humans. If you have questions about Cialis and breastfeeding, talk with your doctor. Before taking Cialis, talk with your doctor about your health history. Cialis may not be right for you if you have certain medical conditions or other factors affecting your health. Both conditions are considered emergencies and need to be treated right away to prevent long-term damage.

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If you have kidney problems, such as chronic kidney disease, your body may not be able to get rid of Cialis as quickly as it should. This means that the medication may build up in your body, which can cause serious side effects. If 2.5 mg cialis daily you have kidney problems, tell your doctor before you take Cialis. They may have you start with a low dose of the medication. If you have any history of vision loss, talk with your doctor before taking Cialis. So if you’ve had prolonged erections or priapism in the past, tell your doctor before you take Cialis. They may have you carefully monitor your condition after taking Cialis. Blood cell problems can include sickle cell anemia and blood cancers such as multiple myeloma or leukemia. If you have a blood cell problem, tell your doctor before taking Cialis. You may be at an increased risk for developing a long lasting erection when taking the drug. Erections lasting longer than 4 hours can be dangerous and may cause permanent damage. Your doctor may recommend a low dose of Cialis if you have blood cell problems. If you’ve had an allergic reaction to Cialis or any of its ingredients, you should not take Cialis. Ask your doctor what other medications are better options for you.

Use Case Description Benefits Notes
Erectile Dysfunction Treatment Prescribed to improve erectile function Increased confidence, improved relationships Used as needed before sexual activity
Pulmonary Arterial Hypertension Management of high blood pressure in lungs Reduces symptoms, improves exercise capacity Off-label but related use
Duration of Effect Up to 36 hours Long-lasting effect Allows flexibility in timing
Onset of Action 30-60 minutes Quick relief Take on an empty stomach for faster response

It’s not known if Cialis is safe to take during pregnancy. For more information, please see the “Cialis and pregnancy” section above. It’s not known if Cialis is safe to take while breastfeeding. For more information, please see the “Cialis and breastfeeding” section above. Note: For more information about the potential negative effects of Cialis, see the “Cialis side effects” section above. Disclaimer: Medical News Today has made every effort to make certain that all information is factually correct, comprehensive, and up to date.

What About Other ED Medications?

Sexual activity has an impact on your heart function. So if you have a history of heart problems, such as heart attack or an irregular heart rhythm, talk with your doctor before taking Cialis. They’ll be able to tell you if your heart is healthy enough for you to have sex. And if you have symptoms such as chest pain or an irregular heartbeat while taking Cialis, you should stop any sexual activity and see a doctor as soon as possible. If you have pulmonary hypertension (a type of high blood pressure in your lungs), talk with your doctor before taking Cialis.

How to avoid Cialis side effects

In some cases, you may be taking a medication called riociguat (Adempas) to treat your pulmonary hypertension. And taking this medication along with Cialis may cause your blood pressure to become dangerously low. You should not take Cialis if you’re taking riociguat for pulmonary hypertension. Cialis can cause both high blood pressure and low blood pressure. So if you already have either of these conditions, Cialis may make it worse. However, this article should not be used as a substitute for the knowledge and expertise of a licensed healthcare professional.

  • Onset time is typically 30 to 60 minutes
  • Do not take if you are not aroused
  • Maximum effect is reached in 2 hours

You should always consult your doctor or another healthcare professional before taking any medication.

Country/Region Prescription Requirement Legal Status Notes
United States Yes Prescription-only Sold at pharmacies with doctor's prescription
European Union Yes Prescription-only Regulations vary by country
Australia Yes Prescription-only Strict regulation, available through pharmacies
Canada Yes Prescription-only Accessible via licensed pharmacies
Over-the-Counter (Some countries) No Varies Limited sale in some regions; check local laws

The drug information contained herein is subject to change and is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects.

Contraindication Explanation Alternatives or Precautions
Nitrates use Can cause severe hypotension when combined Consult your doctor before use
Severe Cardiovascular Disease Increased risk during sexual activity Medical assessment required
Liver or Kidney Problems May affect drug clearance Dose adjustment or alternative treatments suggested
Allergy to Tadalafil Risk of hypersensitivity reactions Discontinue use and seek medical advice

The absence of warnings or other information for a given drug does not indicate that the drug or drug combination is safe, effective, or appropriate for all patients or all specific uses. Compare Cialis prices from accredited international online pharmacies, U.S. mail-order pharmacies, and discount coupon programs. The lowest available price for Cialis 20 mg is .

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You can also see below for price estimates of Cialis based on the use of Optum Perks coupons. Note: Optum Perks coupons cannot be used with insurance copays or benefits. Cialis is available in a generic form called tadalafil. And generics tend to cost less than brand-name drugs. If your doctor has prescribed Cialis and you’re interested in using tadalafil instead, talk with your doctor.

Financial and insurance assistance

They may have a preference for one version or the other. You’ll also need to check your insurance plan, as it may only cover one or the other. Cialis is not approved for use in females. * It’s not known if Cialis is safe or effective for use during pregnancy. Animal studies showed no problems with development of the fetus when pregnant animals were given Cialis. 30 Tablets in ZIP Code 10605 - Edit Sign up for free price alerts for this drug. Ships worldwide except Canada from 6 countriesStandard shipping: $14.95 (Free for first order)$11.82 per tablet(for 88 tablets)$11.82 per tablet (for 88 tablets)Standard shipping: $14.95 (Free for first order)Ships worldwide except Canada from 6 countries.

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While you take Cialis, it’s best to avoid eating grapefruit and drinking grapefruit juice. As with all medications, the cost of Cialis can vary. The actual price you’ll pay depends on your insurance plan, your location, and the pharmacy you use. Before approving coverage for Cialis, your insurance company may require you to get prior authorization. This means that your doctor and insurance company will need to communicate about your prescription before the insurance company will cover the drug.

What should I tell my healthcare provider before using tadalafil?

The insurance company will review the request and let you and your doctor know if your plan will cover Cialis. If you’re not sure whether you’ll need to get prior authorization for Cialis, contact your insurance company. For more information about the cost of Cialis, see this in-depth article. If you need financial support to pay for Cialis, or if you need help understanding your insurance coverage, reach out to your insurance company. They can help you and tell you if there are any financial assistance options available. Ships worldwide except Canada from 6 countries Ships worldwide from MauritiusStandard shipping: $9.95*Additional import duty fees detected at checkout.$19.75 per tablet(for 4 tablets)$19.75 per tablet (for 4 tablets)Standard shipping: $9.95Ships worldwide from Mauritius. *Additional import duty fees detected at checkout. Ships worldwide from United KingdomStandard shipping: $9.95*Additional import duty fees detected at checkout.$24.75 per tablet(for 4 tablets)$24.75 per tablet (for 4 tablets)Standard shipping: $9.95Ships worldwide from United Kingdom. Ships worldwide from MauritiusStandard shipping: $9.95*Additional import duty fees detected at checkout.$18.50 per tablet(for 12 tablets)$18.50 per tablet (for 12 tablets)Standard shipping: $9.95Ships worldwide from Mauritius.