While in some cases the condition may improve over time, it can be permanent in other cases. However, this is not considered to be serious and is thought to be a mild side effect. Both medications are PDE5 inhibitors, meaning that they are extremely useful for the treatment of erectile dysfunction. It may be difficult to remain firm despite wanting to have sex. Some platforms have a digital pharmacy that ships the medication to your home, while others send an electronic prescription to your local pharmacy. Nitrate-containing medications: Cialis Tadalafil should never be taken with any medications that contain nitrates.Tadalafil, or generic Cialis, is most commonly used to treat erectile dysfunction (ED). However, it’s also used to treat benign prostatic hyperplasia (BPH) and pulmonary arterial hypertension.  · Generic Cialis is called Tadalafil and you could save up to 90% on the price of your medication by buying brand or generic Cialis online through Canadian Pharmacy Meds. Buying Tadalafil may offer even better savings and comes in the same strengths of 20mg, 10mg, 5mg or mg. You do not need a Cialis coupon to pay our great price.  · Drugs including Viagra and Cialis lead to an average improvement of 4 to 8 points on the scale used by researchers and clinicians. The team behind the new study suggests that exercise should be more regularly prescribed for people with ED. Not everyone wants to take pills for ED, and some aren’t comfortable with the side effects, .