Cialis is an oral medication used to treat erectile dysfunction (ED) in men. It contains the active ingredient tadalafil, which helps increase blood flow to the penis during sexual stimulation. Cialis is known for its long-lasting effects and flexible dosing options.
ED is a widespread issue affecting an estimated 18 million men in the U.S., according to a study by Selvin et al., published in the American Journal of Medicine, 2007. These findings highlight the importance of accessible and effective treatments like Cialis.
The proven effectiveness of tadalafil in treating erectile dysfunction, along with its growing use in other medical conditions, is exactly why our pharmacy has made it a core part of our offering. Alongside with that, the current market still fails to meet the demand for affordable, lower-cost Cialis tablets, making access and pricing a key reason for our focus.
What are the benefits of taking Cialis?
No, you can’t buy Cialis over the counter in physical stores in the United States. However, it’s possible to order Cialis online from countries where tadalafil (the active ingredient in Cialis) is available without a prescription. Countries like the UK, Norway, and New Zealand allow over-the-counter sales, which supports the idea that it’s generally safe when used correctly.
That said, tadalafil is a vasoactive substance, meaning it affects blood vessels and circulation. This can put strain on your heart, especially if you have underlying conditions. That’s why it’s important to talk to your doctor first in order to:
Pros and Cons of Buying Generic Cialis Without a Prescription:
| Pros | Cons |
|---|---|
| Easier access | Risk of incorrect self-diagnosis |
| Faster and more discreet ordering process | Potential side effects without medical guidance |
| Lower prices when buying generic versions online | Dangerous interactions with other medications (especially for heart conditions) |
| Available in countries with proven safety records | Possibility of fake or low-quality products from unreliable sources |
Yes, generic Cialis contains the same active ingredient, tadalafil, as the brand-name version and works in exactly the same way. It has been tested and approved to meet the same standards of quality, safety, and effectiveness. The main difference is the price: generic versions are usually much more affordable because they’re produced by other manufacturers after the original patent expired. Here you can find the list of generic tadalafil manufacturers approved by the FDA.
Take Cialis by mouth with water, either as needed before sexual activity or once daily. Tadalafil can be taken with or without food, but avoid excessive alcohol, as it can increase the risk of side effects. For most men, the recommended starting dose is Cialis 10 mg before sex, but this may vary depending on your health and response to the medication.
No, crushing Cialis will not make it work faster, and it's not recommended. The tablet is designed to be absorbed gradually in its whole form. Altering it may affect how it’s absorbed and can increase the risk of side effects without improving effectiveness.
Cialis and Viagra are both used to treat erectile dysfunction, but they are not the same drug. They contain different active ingredients: Cialis has tadalafil, while Viagra contains sildenafil. Both improve blood flow to the penis, but they differ in how long they last and how quickly they work. Cialis can last up to 36 hours, hence the of nickname “the weekend pill”. Viagra, on the other hand, lasts 4 to 6 hours. Cialis also comes in a daily low-dose option, which Viagra does not.
At the end of the day, which is better, Viagra or Cialis? They are both reliable and safe drugs, each in their right. Neither of them is more powerful than the other, although its longer duration makes many believe that Cialis is more impactful. You should chose based on the demands of your sex life and individual response.
Cialis, or rather, tadalafil, since it does not matter if it is the original or a generic, is generally considered safe for most men (and women, more on this later) when taken as directed. It has been used worldwide for many years to treat erectile dysfunction and urinary symptoms, and its safety profile is well-established.
Not only is Cialis safe, but it can be used in preventing a string of widespread diseases plaguing Americans. A recent study published in The American Journal of Medicine, March 2025 titled "Benefits of Tadalafil and Sildenafil on Mortality, Cardiovascular Disease, and Dementia" found that men taking Cialis or similar medications had a lower risk of heart attacks, strokes, blood clots, and even dementia. The study also showed that Cialis offered more heart-related benefits than Viagra in men with erectile dysfunction.
Cialis is available in several strengths and forms, each suited for different needs and usage patterns.
Cialis forms:
A study published in Urology, March 2024 found that both tadalafil 5 mg tablets and a mouth-dissolving version of the same dose helped men with mild to moderate erection problems. Both forms were effective, but the dissolvable version was easier on the body, especially for older men. It caused fewer side effects like upset stomach and headaches, making it a better option for those who want something gentler and more convenient.
During the clinical trials of tadalafil efficacy, men who took 10 mg or 20 mg of tadalafil were much more successful during sex, about twice as often as those who took a placebo. Around 85% also said their erections improved, compared to less than half in the placebo group.
People with serious heart conditions, low blood pressure, or those taking nitrates should not use Cialis.
Cialis does not cause physical dependence, but some men may grow psychologically reliant on it for confidence.
No, 20 mg is the maximum recommended dose per 36 hours and should not be taken on consecutive days.
Yes, but only in moderation, as excessive alcohol can increase the risk of side effects like dizziness and low blood pressure.
Hormonal issues like low testosterone or high prolactin are common reasons why medications like tadalafil (Cialis) may not be effective in men. At New York Urology Specialists, we routinely test for these imbalances, and treating them often helps Cialis work better.
Here is what you can try when Cialis doesn’t work:
No, tadalafil helps you get an erection, but after orgasm, most men naturally lose it during the refractory period.
Cialis works by widening blood vessels, which increases blood flow to the pelvic area in both men and women. In men, this supports stronger erections, while in women it may enhance arousal, improve natural lubrication, and potentially lead to more intense orgasms. Additionally, Cialis is also prescribed for both men and women to treat pulmonary arterial hypertension (PAH), a condition involving high blood pressure in the lungs.
| COMMON SIDE EFFECTS | HOW TO REDUCE CIALIS SIDE EFFECTS |
|---|---|
| Headache | Stay hydrated and avoid alcohol |
| Indigestion | Take with food or a glass of water |
| Back pain | Use mild pain relievers if needed |
| Muscle aches | Stretch and rest, especially after activity |
| Facial flushing | Avoid spicy food and alcohol |
| Nasal congestion | Use a saline spray or stay in cool air |
| Dizziness | Stand up slowly, avoid combining with alcohol |
If side effects persist or worsen, always consult a healthcare provider.