Tadalafil is also used in both men and women to treat the symptoms of pulmonary arterial hypertension to improve your ability to exercise. The following information includes only the average doses of this medicine. Those who don’t feel comfortable discussing ED with an in-person provider or lack time to visit a doctor’s office may find online ED prescriptions beneficial. Therefore the use of such treatments in combination with Cialis is not recommended. They have the same benefits and risks as their brand-name counterparts. Your primary care doctor should always know what medications you’re taking, including ED pills prescribed by another provider.heart attack symptoms – chest pain or pressure, pain spreading to your jaw or shoulder, nausea, sweating. Common tadalafil side effects may include: headache; flushing (warmth, redness, or tingly feeling); nausea, upset stomach; stuffy nose; or. muscle pain, back pain, pain in your arms, legs, or back. This is not a complete list of side. For the as-needed dose, plan to take Cialis at least 30 minutes before sexual activity, but bear in mind it may take as long as 2 hours to take effect. Also, Cialis requires sexual stimulation to. Your provider can prescribe medications like brand name and generic Cialis, Viagra, Stendra, or Levitra if necessary. Your prescription is then sent to the pharmacy of your choice. The company also offers 24/7 per-visit urgent care or an unlimited membership option, but ED requires a primary care appointment for long-term treatment and regular.