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Cialis® Uses, Dosages, and Savings From Canada
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What Cialis® Is and How It Works
Cialis is a prescription phosphodiesterase type 5 (PDE5) inhibitor used for erectile dysfunction (ED) and for lower urinary tract symptoms of benign prostatic hyperplasia (BPH). It is supplied as oral tablets in strengths such as 2.5 mg, 5 mg, 10 mg, and 20 mg. Many people choose to buy cialis online for convenience and access to Canadian pricing on brand and generic options.
YouDrugstore is a licensed Canadian pharmacy headquartered in Manitoba, and a licensed pharmacist reviews every prescription before dispensing. We also partner with vetted international pharmacies to supply authentic brand medicines, offering a broad selection at affordable prices.
How Cialis works: sexual stimulation triggers nitric oxide release in penile tissue, which increases cyclic GMP. PDE5 breaks down cGMP. By inhibiting PDE5, Cialis helps maintain higher cGMP levels, which supports increased blood flow and an erection. For BPH, improved smooth muscle relaxation in the prostate and bladder neck can ease urinary symptoms. Cialis tablets are taken either as needed before sexual activity or once daily at a lower dose. The active ingredient is tadalafil, also available as tadalafil tablets in generic form.
Dosage and Usage
- As-needed dosing for ED: Typical starting dose is 10 mg taken at least 30 minutes before sexual activity. Doses may be adjusted to 5 mg or 20 mg based on response and tolerability. Do not take more than once per day.
- Once-daily dosing for ED: 2.5 mg to 5 mg taken at the same time each day. This supports sexual activity at any time after the first few days of consistent use.
- Dosing for BPH or ED with BPH: 5 mg once daily, taken at the same time each day. Benefits on urinary symptoms may appear after 1–2 weeks and can continue to improve over several weeks.
- Renal or hepatic impairment: Lower doses or extended dosing intervals may be recommended. Follow your prescriber’s instructions.
- Food and timing: Cialis may be taken with or without food. Avoid taking more than the prescribed dose in any 24-hour period.
- Missed dose (daily regimen): If a dose is missed, take it when remembered unless it is close to the next dose. Do not double up.
- Alcohol: Limit alcohol to reduce the risk of dizziness or low blood pressure. Heavy drinking can decrease erectile performance.
- Grapefruit: Grapefruit or grapefruit juice can raise tadalafil levels. Ask your prescriber about potential interactions.
- Storage: Store at 20–25 °C (68–77 °F). Excursions 15–30 °C (59–86 °F) are acceptable. Keep tablets dry and in the original bottle or blister.
- Moisture: Keep away from bathrooms and humidity. Close the container tightly after each use.
- Travel: Carry your medication in your hand luggage. Keep it in the labeled pharmacy container for airport screening.
- Heat and cold: Do not leave tablets in a hot car or near a heater. Avoid freezing temperatures.
- Home storage: Store out of reach of children and pets. Check the expiry date before use.
Benefits and Savings
Cialis offers flexibility. As-needed dosing works within about 30 minutes and can last up to 36 hours. The long window supports natural timing. Once-daily tadalafil daily therapy can remove the need to plan around doses. For BPH, Cialis can help reduce urinary frequency, urgency, and weak stream in many patients.
Ordering from Canada can lower your tadalafil purchase costs. You can compare cialis price options by strength, including popular doses such as cialis 5mg and cialis 20mg. Many customers see 60–80% savings versus typical U.S. prices. Generic tadalafil is often less than brand, reducing overall cialis cost.
Buying a larger supply can lower per-month costs, and multi-month packages may be priced more competitively. You can set gentle reorder reminders so you never run out. If you prefer brand over generic cialis online, you can still compare cialis 5mg price and cialis 20mg price across options before checkout. Some customers search for cheap cialis, but be sure you purchase from licensed sources.
For occasional deals, see our promotions page for a cialis coupon.
Side Effects and Safety
- Headache
- Flushing or warmth
- Indigestion or stomach discomfort
- Nasal congestion
- Back pain or muscle aches
- Dizziness
- Limb or back discomfort
- Nausea
Serious but uncommon events include prolonged erection (priapism), sudden vision loss (including non-arteritic anterior ischemic optic neuropathy), sudden hearing loss, severe dizziness, fainting, or chest pain. Do not use Cialis with any nitrate medication (nitroglycerin, isosorbide) or with riociguat due to dangerous blood pressure drops. Use caution with alpha-blockers; doses may need to be stabilized to reduce hypotension. Ask your prescriber about cardiovascular fitness for sexual activity if you have heart disease, recent stroke or heart attack, or uncontrolled blood pressure.
Onset Time
As-needed Cialis usually begins to work in about 30 minutes, with peak effect around two hours for many users. The window of efficacy can last up to 36 hours. With once-daily dosing, steady effects generally develop after 2–5 days. For BPH, noticeable urinary symptom relief may appear in 1–2 weeks, with continued improvement up to 4 weeks.
Compare With Alternatives
Generic tadalafil provides the same active ingredient as brand Cialis at a lower cost, often improving access and adherence. You can review strengths such as Tadalafil to compare pricing and supply sizes.
Viagra (sildenafil) is another PDE5 inhibitor with a shorter duration of effect, often around 4–6 hours. Some prefer its faster onset, while others prefer the longer window of Cialis. You can compare labeling and options for Viagra®.
For BPH, non-PDE5 alternatives include alpha-blockers (e.g., tamsulosin) and 5-alpha-reductase inhibitors such as finasteride. These differ in onset and side-effect profiles, and they do not treat ED. Some patients use tadalafil together with other BPH therapies under medical supervision.
Combination Therapy
- ED with daily tadalafil: Continue 2.5–5 mg daily and avoid additional as-needed doses unless advised by your prescriber.
- With alpha-blockers: Stabilize the alpha-blocker first at the lowest effective dose. Introduce tadalafil cautiously to reduce dizziness or low blood pressure.
- With 5-alpha-reductase inhibitors for BPH: Tadalafil 5 mg daily may be used alongside finasteride when directed by your prescriber.
- With antihypertensives: Monitor for additive blood pressure lowering. Report symptoms like lightheadedness.
- Avoid: Nitrates and riociguat with any tadalafil dose; potent CYP3A4 inhibitors may require dose adjustments.
Patient Suitability and Cost-Saving Tips
Cialis may be suitable for adult men with ED, and for adults with BPH symptoms such as frequency, urgency, or slow stream. It is not indicated for use in women or children. People with recent heart attack or stroke, severe liver disease, uncontrolled blood pressure, or those taking nitrates should not use Cialis. Those with anatomical penile changes or conditions that predispose to priapism should use caution.
To save on therapy, compare brand and generic cialis medication options before checkout. Consider tadalafil tablets in multi-month supplies to reduce shipping fees and monthly costs. Per-tablet pricing often improves with larger quantities. You can order cialis online or purchase cialis online after your prescriber provides a valid cialis prescription. If you prefer support by phone during office hours, our team can help complete your order.
Authoritative Sources
Cialis (Eli Lilly) Official Product Information
Health Canada Drug Product Database: Cialis and Tadalafil Listings
FDA Prescribing Information for Cialis (tadalafil)
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This content is for educational purposes only and does not replace advice from your healthcare professional. Always follow your prescriber’s directions and the medication guide that comes with your prescription.
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How long does Cialis last and how quickly does it work?
Cialis usually starts working in about 30 minutes, with many people seeing peak effect around two hours. Its effect can last up to 36 hours, enabling a longer window. With daily dosing, benefits build over 2–5 days. For BPH symptoms, improvements may appear in 1–2 weeks and continue over several weeks.
What is the difference between Cialis 5mg and Cialis 20mg?
Cialis 5mg is commonly used once daily for ED, BPH, or both, providing steady coverage. Cialis 20mg is typically taken as needed before sexual activity. Your prescriber tailors the dose to your health, other medicines, and response. Do not exceed one dose per day with any strength.
Can I take Cialis with alcohol, tamsulosin, or other blood pressure medicines?
Limit alcohol with Cialis to reduce dizziness or low blood pressure. If you take alpha-blockers like tamsulosin, your clinician may stabilize that therapy first and add tadalafil cautiously. Blood pressure medicines can add to hypotension. Never combine Cialis with nitrates or riociguat.
Do I need a prescription to order Cialis online from Canada?
Yes. A valid prescription is required to dispense Cialis, and a licensed pharmacist reviews each order. You can submit your script during checkout to order Cialis online. If you have questions about dose or interactions, speak with your prescriber before placing an order.
Are brand Cialis and generic tadalafil the same?
Brand Cialis and generic tadalafil contain the same active ingredient and work the same way. Generic products must meet strict quality and bioequivalence standards. Many people choose generic to reduce cost while maintaining efficacy. Your prescriber can advise on switching between brand and generic.
How should I store and travel with Cialis tablets?
Store Cialis at 20–25°C (68–77°F); short excursions 15–30°C are acceptable. Keep tablets dry, in the original container, and away from moisture. When traveling, carry them in your hand luggage, keep the labeled bottle for screening, and avoid leaving medication in a hot car or freezing conditions.
What side effects can occur with Cialis and when should I seek help?
Common side effects include headache, flushing, indigestion, nasal congestion, back pain, and dizziness. Serious issues are rare but include chest pain, sudden vision or hearing loss, fainting, or an erection lasting more than four hours. Seek immediate medical care if serious symptoms occur or if side effects persist.