Cialis (tadalafil) online: discreet prescriptions for ED with top MDs

Our board-certified doctors are available for same-day appointments to help you get the right prescription for you, depending on your symptoms and health history.

ED is defined as the inability to keep an erection firm enough for intercourse. It's a silent battle many endure, fearing judgment or misunderstanding. With convenient, discreet virtual doctor appointments, you can get the medical treatment you deserve.

Cialis (generic name tadalafil) is a popular, proven treatment for erectile eysfunction. It’s been approved by the FDA in 2003 for sexual performance issues, showing effectiveness for up to 36 hours after a single dose. It is also approved for benign prostatic hyperplasia (BPH), a condition affecting the prostate gland in men. Cialis is a common medication used for erectile dysfunction.

Like Viagra, Cialis works by increasing blood flow to the penis during sexual arousal, making it easier to reach and maintain an erection.

Cialis and other ED drugs are all classified as a phosphodiesterase-5 (PDE5) inhibitors. In contrast to older erectile dysfunction (ED) drugs such as Viagra, Cialis lasts up action to 36 hours, a significant increase over Viagra's 4-6 hours.

Many men prefer the long-lasting effects of Cialis (tadalafil over Viagra).  While both drugs are effective for the majority of men, the extended period of action of Cialis offers greater spontaneity compared to shorter-acting alternatives. Cialis also has fewer side effects like headaches and facial flushing when compared to other ED medications.

That said, Cialis is not recommended for everyone. Consult with your local primary care doctor or schedule an online doctor visit with one of our board-certified family doctors. Your doctor will consider your medical history, possible underlying causes of ED, and your personal needs and preferences before prescribing Cialis. 

Cialis (tadalafil) also helps to relieve symptoms associated with an enlarged prostate (benign prostatic hyperplasia - BPH). By relaxing the smooth muscle in the prostate and bladder, Cialis helps treat BPH symptoms like difficulties initiating urine flow, weak stream, and frequent or urgent urination (including nighttime occurrences). 

When taken daily for ED or for symptoms of benign prostatic hyperplasia (BPH), some mild effects are more common, including:  

• Headaches 

• Nausea 

• Facial flushing and hot flashes 

• Indigestion 

• Congested nose 

• Muscle aches  

These mild side effects typically disappear upon discontinuing the medication. Stop using Cialis and get medical help if you experience any of the following:  

• Sudden vision or hearing issues - discontinue tadalafil use 

• A prolonged or painful erection lasting over 2 hours 

• Seizure or chest pain. 

Any drug, including tadalafil, may rarely trigger a severe allergic reaction known as anaphylaxis.

Contact your doctor if you experience any of the following symptoms:  

• Sudden swelling of lips, mouth, throat, or tongue 

• Rapid or difficult breathing, wheeziness, or feeling of choking 

• Tightness in the throat or swallowing difficulty 

• Bluish, gray, or pale skin, lips, or tongue (more visible in palms or soles for darker skin tones) 

• Sudden confusion, drowsiness, or dizziness 

• Inability to wake up after fainting 

• Limpness, floppiness, or unusual responsiveness in a child. Additionally, watch for a swollen, raised, itchy, blistered, or peeling rash.

If you have any symptoms of a potentially anaphylactic reaction, seek emergency medical care right away. (Please note that not all potential side effects of tadalafil are listed here. Refer to the leaflet enclosed in your medication packet for a comprehensive list.) 

When taking any prescription, always tell your doctor all medications and supplements you use. Like other ED medications, CD may interact with a wide range of drugs, including (but not limited to):  

• Rifamycins 

• Antibiotics 

• Antifungals 

• Antidepressants 

• Barbiturates  

• High blood pressure treatments 

• Prostate medications 

• HIV or AIDS prescriptions  

• Seizure medications 

Cialis can cause your blood pressure to drop suddenly to an unsafe level if it is taken with certain medicines called nitrates. Those with health conditions like sickle cell anemia or pulmonary arterial hypertension should not take Cialis without advice from a healthcare provider.  If you are under the care of a primary care doctor or specialist, always tell them if you start taking Cialis or any ED medication. Your doctor will also need to know if you need emergency medical care for a heart problem.

Enjoying a single glass of wine or a drink is unlikely to interfere with Cialis or pose health risks. Yet excessive alcohol consumption combined with Cialis can trigger serious complications. Ultimately, it’s between you and your doctor to decide if consuming alcohol while taking Cialis is safe for you. Always be open and honest with your doctor about alcohol or recreational drug use, so your doctor can make a well-informed recommendation.

Moderate drinking is defined as consuming fewer than three alcoholic beverages daily, with a “beverage” defined as 12 ounces of beer, 5 ounces of wine, or 1.5 ounces of 80-proof liquor.

Drinking more than these moderate amounts of alcohol while taking Cialis can lead to dangerous side effects, including low blood pressure, dizziness and fast heartbeat. The combination of Cialis and alcohol both act as vasodilators, relaxing and widening blood vessels, which can dangerously lower blood pressure.

Combining too much alcohol with Cialis can also result in a condition called orthostatic hypotension. Symptoms include headaches, dizziness, and fainting, possibly causing fractures or other injuries. Orthostatic hypotension may also elevate your heart rate, potentially leading to serious heart issues. Orthostatic hypotension is more prevalent with Cialis compared to some other ED medications.

If you experience symptoms such as headaches or dizziness, refrain from drinking and talk to your doctor.  Excessive alcohol intake not only increases your health risks during Cialis use, but also elevates the likelihood of health issues like heart disease, obesity, and early dementia.