Cialis® (tadalafil) Tablets for Erectile Dysfunction and BPH

What Cialis® Is and How It Works

Cialis® is a branded form of tadalafil, a phosphodiesterase type 5 (PDE5) inhibitor. It treats erectile dysfunction (ED) and symptoms of benign prostatic hyperplasia (BPH) in adult men. Many patients search to buy cialis online for convenient access through a licensed channel. CanadianInsulin is a prescription referral service. Prescriptions are verified with your clinic, and orders are filled by licensed Canadian pharmacies.

Tadalafil increases blood flow to the penis during sexual stimulation by blocking PDE5, which helps maintain erections. For BPH, it relaxes smooth muscle in the prostate and bladder, improving urinary flow and reducing symptoms like frequency, urgency, and weak stream. Cialis tablet strengths include 2.5 mg, 5 mg, 10 mg, and 20 mg. Common regimens are on-demand dosing (as needed) or daily low-dose use.

For ED, on-demand tadalafil tablets are often taken before sexual activity. For ED or BPH managed daily, a lower dose is taken at the same time each day. Tadalafil has a long half-life, with effects that may last up to 36 hours after a dose, supporting flexibility for sexual activity. Discuss dosing choices with a healthcare professional when starting a tadalafil prescription.

Dosage and Usage

• ED, on-demand: Start with 10 mg at least 30 minutes before sexual activity. Adjust to 20 mg (cialis 20mg) or down to 5 mg based on efficacy and tolerability. Do not take more than once daily.
• ED, daily: 2.5 mg to 5 mg once daily (cialis 5mg daily). Take at the same time each day, regardless of timing of sexual activity.
• BPH: 5 mg once daily. For ED with BPH, 5 mg once daily is common.
• Missed daily dose: Take when remembered if still the same day. Skip if the next day is near. Do not double doses.
• Swallow tablets whole with water. With or without food is acceptable. Limit heavy alcohol intake, which may increase dizziness or lower blood pressure.
• Allow 30 minutes to 2 hours for onset with on-demand use. Sexual stimulation is required for efficacy.
• Drug interactions: Do not use with nitrates (e.g., nitroglycerin) or guanylate cyclase stimulators (e.g., riociguat) due to severe hypotension risk. Use caution with alpha-blockers and adjust timing/dose per clinician guidance.
• Use lower doses or avoid in severe renal or hepatic impairment as advised by a clinician.

• Storage: Keep at 15–30°C (59–86°F), dry, and away from excess heat and moisture.
• Packaging: Store in original bottle or blister to protect from humidity.
• Travel: Keep tablets in carry-on, with prescription and original labels. Avoid leaving in hot cars or freezing conditions.
• Handling: Keep out of reach of children and pets. Check expiry before use.

Benefits and Savings

Cialis medication provides flexible dosing options for ED. On-demand dosing supports spontaneity, while a daily schedule offers steady readiness. For BPH, many men experience improved flow and reduced nocturia. The long duration up to 36 hours distinguishes tadalafil from some alternatives.

Convenience matters for many patients choosing generic or brand options. Tadalafil daily can help those with frequent sexual activity or ED plus BPH. On-demand dosing may fit those with less frequent needs or who prefer intermittent use. Generic cialis (tadalafil) offers the same active ingredient as the brand.

Many customers save 60–80% vs typical U.S. prices. If comparing cialis cost or checking a cialis price range, consider strength, quantity, and whether choosing brand or generic. See our promotions page for current offers, including any cialis for sale online if available.

Side Effects and Safety

• Common: Headache, flushing, nasal congestion, indigestion, back pain, muscle aches, limb pain.
• Less common: Dizziness, vision changes (color tinge), mild low blood pressure, palpitations.
• GI: Nausea, reflux, abdominal discomfort.
• Skin: Rash, itching.
• Rare but serious: Prolonged or painful erection (priapism), sudden vision loss (possible nonarteritic anterior ischemic optic neuropathy), sudden hearing loss.

Do not use tadalafil with nitrates or riociguat due to dangerous blood pressure drops. Use caution with alpha-blockers and antihypertensives. Avoid excess alcohol. Seek urgent care for chest pain, syncope, sudden vision or hearing loss, or an erection lasting more than four hours. Patients with recent heart attack or stroke, unstable angina, severe hypotension, uncontrolled hypertension, or retinitis pigmentosa may not be candidates.

Onset Time

On-demand dosing may start working in 30 minutes, with peak effect near 2 hours. The effect can last up to 36 hours, allowing a wider window for sexual activity. With daily dosing, steady-state levels form after several days, and consistent response is often seen within 2–5 days. For BPH symptoms, improvement often appears within 2–4 weeks.

Compare With Alternatives

Sildenafil (brand Viagra) and vardenafil (brand Levitra) are other PDE5 inhibitors for ED. Onset for sildenafil and vardenafil is about 30–60 minutes, with a shorter duration than tadalafil. Some patients prefer tadalafil’s longer window. Others prefer medicines with shorter action due to personal timing or side-effect patterns.

If comparing options, consider how food affects them. A heavy, high-fat meal may delay onset for sildenafil and vardenafil more than for tadalafil. Tadalafil can be taken with or without food. A single dose of cialis 10mg or cialis 20 mg may be tried to find an effective on-demand dose, while tadalafil 5mg daily suits frequent activity or coexisting BPH.

Explore alternatives like Viagra if a shorter duration fits better. Discuss personal history, medications, and goals with a clinician before switching. Individual response and side-effect profiles vary.

Combination Therapy

• BPH and alpha-blockers: Use careful timing and dosing to reduce hypotension risk; tamsulosin is often preferred when combined.
• BPH and 5-alpha-reductase inhibitors (finasteride/dutasteride): May be used together for symptom relief and prostate size reduction.
• ED and antihypertensives: Monitor for additive blood pressure lowering.
• Contraindicated combinations: Nitrates (any form) and riociguat must not be combined with tadalafil.

Patient Suitability and Cost-Saving Tips

Adults with ED, BPH, or both may be candidates for tadalafil after evaluation. Those with severe cardiovascular disease, recent major cardiac events, significant hypotension, or certain vision disorders may not be suitable. Renal or hepatic impairment may require dose changes or avoidance. CYP3A4 inhibitors (e.g., ketoconazole, ritonavir) can raise tadalafil levels; dose limits or avoidance may be needed. Grapefruit juice can increase exposure.

To manage cialis cost while maintaining access, consider generic tadalafil tablets. Choose strengths that match the regimen, such as tadalafil 5mg for daily use or tadalafil 20 mg for on-demand dosing as prescribed. Multi-month quantities can reduce per-tablet costs and limit repeat shipping fees. Reorder before supplies run low to avoid gaps.

For site actions, ordering is simple: add to cart, upload the prescription, and choose quantity. Canadian partner pharmacies provide authentic brand and generic options from licensed and vetted sources, with value-focused pricing and a broad selection. Orders ship with prompt, express, cold-chain shipping.

Authoritative Sources

FDA Prescribing Information for Cialis (tadalafil)

Health Canada Product Monograph: Tadalafil

Manufacturer information for Cialis

Order Cialis from CanadianInsulin: add to cart, upload your prescription, and we ship with prompt, express, cold-chain handling.

This page is educational and does not replace medical advice. Always consult a qualified professional for diagnosis and treatment decisions, including dosing, interactions, and suitability.