Finding an online ED provider can feel overwhelming. There are two different ways to take tadalafil, either daily or on an as needed basis. You take one 2. Because patients with recent heart attacks or stroke, heart pains angina , heart failure, uncontrolled blood pressure or uncontrolled irregular heart beats, severe liver disease, and retinal eye problems were not studied with Cialis, Cialis is not recommended for these patients. Your doctor will probably tell you not to take tadalafil if you are taking street drugs containing nitrates. Tadalafil was approved in in the United States for the treatment of pulmonary arterial hypertension [28] and is under regulatory review in other regions for this condition. A phone or video consultation is sometimes required for legal purposes.When to take Cialis for best results. Cialis treats ED in 80% of cases. If you have drunk more than units of alcohol, you may find Cialis is less effective. Food does not impact how Cialis works. We advise trying an ED treatment 8 times before giving up, considering a higher dose, or seeking an alternative. Fastest Delivery: Blink Health: Sesame Sign Up Now Key Specs Cost: Consultation prices vary based on the prescriber; $5 generic prescriptions Medical . The recommended starting dose for Cialis intended for once daily use is mg, take at the same time each day, without regard to timing of sexual activity. This may be increased to 5mg/day based on need and tolerability. May be taken with or without food. Cialis is available as a generic, under the name tadalafil. 3.