Quick Facts
- Price in Canada: Starting from $1 per pill for generic tadalafil; brand Cialis around $15 per pill.
- Availability: Prescription only, available through licensed Canadian pharmacies and online with virtual consultations.
- Generic Name: Tadalafil.
- Delivery Speed: 3-5 business days with discreet shipping.
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What is Cialis?
Cialis, also known by its generic name tadalafil, is a prescription medication belonging to the group of phosphodiesterase 5 (PDE5) inhibitors. It is available in tablet and suspension forms.
It primarily treats erectile dysfunction (ED) in men, where the penis does not harden, expand, or maintain an erection during sexual excitement; benign prostatic hyperplasia (BPH) in men, an enlarged prostate causing urination difficulties, decreased flow, hesitation, and frequent nighttime urination; and pulmonary arterial hypertension (PAH) in both men and women, involving high blood pressure in the artery from the heart to the lungs, reducing blood flow and increasing heart workload.
Cialis works by preventing the phosphodiesterase type-5 enzyme from breaking down too quickly in the penis, lungs, and blood vessels. For ED, it increases blood flow to the penis during sexual stimulation, helping maintain an erection (requires physical stimulation like intercourse). For BPH, it reduces symptom severity and the potential need for prostate surgery. For PAH, it relaxes blood vessels in the lungs, improving blood supply and reducing heart strain.
Benefits
- Longer duration of action compared to alternatives like Viagra, lasting up to 36 hours for greater spontaneity.
- Treats multiple conditions including ED, BPH, and PAH, offering versatile use.
- Potential cardiovascular benefits, such as reduced risk of heart disease and lower mortality rates in ED patients.
- Improves urinary flow and reduces nighttime urination in men with BPH.
- May support anti-aging effects, cognitive function, and pre-workout performance by enhancing blood flow.
- Linked to lower risks of dementia and overall improved heart health based on studies.
- Daily low-dose option allows for consistent treatment without timing concerns around sexual activity.
- Enhances quality of life by addressing both sexual and prostate-related issues effectively.
Dosage & How to Take It
- Starting Dose: For ED (as needed): 10 mg single dose. For ED (daily): 2.5 mg once daily. For BPH (daily): 5 mg once daily. For ED and BPH (daily): 5 mg once daily.
- Maximum Dose: For ED (as needed): Once per day, adjustable by doctor. For BPH: 5 mg daily. For PAH: 40 mg (two 20 mg tablets) once daily.
- Timing: As needed for ED: 30 minutes before sexual activity, effects last up to 36 hours. Daily use: Same time each day, regardless of sexual activity timing.
- With/Without Food: Can be taken with or without food.
Side Effects
| Category | Side Effects |
|---|---|
| Common | Belching, heartburn, indigestion, stomach discomfort, upset, or pain. |
| Moderate (Less Common) | Arm, back, or jaw pain; blurred vision; chest pain, discomfort, tightness, or heaviness; chills; cold sweats; confusion; dizziness; fainting; faintness or lightheadedness when getting up suddenly; fast or irregular heartbeat; headache; hearing loss; increased erection; nausea; nervousness; pain or discomfort in arms, jaw, back, or neck; pounding in the ears; slow or fast heartbeat; spontaneous penile erection; sweating; unusual tiredness or weakness; vomiting; bloody nose; body aches or pain; burning, crawling, itching, numbness, prickling, “pins and needles”, or tingling feelings; burning, dry, or itching eyes; burning feeling in chest or stomach; congestion; difficulty with moving; difficulty with swallowing; dry mouth; dryness or soreness of throat; excessive eye discharge; eye pain; feeling of constant movement; feeling of warmth, redness of face, neck, arms, and occasionally upper chest; fever; hoarseness; lack or loss of strength; loose stools; muscle aching, cramping, or stiffness; neck pain; pain in arms or legs; pain or burning in throat; redness, pain, swelling of eye, eyelid, or inner lining; reduced sensitivity to touch; runny or stuffy nose; sensation of spinning; sleepiness or unusual drowsiness; stomach upset; swelling of eyelids; swelling or puffiness of eyes or face; swollen joints; tearing; tender, swollen glands in neck; tenderness in stomach area; trouble sleeping; upper stomach pain; voice changes; watering of eyes. |
| Serious (Seek Medical Help) | Painful or prolonged erection of the penis; blindness; blistering, peeling, or loosening of skin; cough; cracks in skin; decrease or change in vision; diarrhea; difficulty with speaking; double vision; fast, irregular, pounding, or racing heartbeat or pulse; headache, severe and throbbing; hives or welts, itching, skin rash; inability to move arms, legs, or facial muscles; inability to speak; joint or muscle pain; loss of heat from body; numbness or tingling of face, hands, or feet; red skin lesions, often with purple center; red, irritated eyes; red, swollen skin; redness of skin; redness or soreness of eyes; scaly skin; slow speech; sores, ulcers, or white spots in mouth or on lips; stomach pain; sudden cardiac death; swelling of feet or lower legs; changes in color vision. |
Price Comparison (Canada vs USA)
| Type | Canada Per Pill Price | USA Per Pill Price | Canada Monthly Cost (4 pills) | USA Monthly Cost (4 pills) |
|---|---|---|---|---|
| Brand (Cialis 20 mg) | $15 | $70 | $60 | $280 |
| Generic (Tadalafil 20 mg) | $1 | $2 | $4 | $8 |
*Note: Prices are approximate averages based on 2025 data from pharmacy sources like GoodRx and Canadian pharmacies. Actual costs may vary by dosage, quantity, and location. Monthly cost assumes as-needed use (e.g., 4 pills per month for 20 mg). Use coupons for savings.
Why Buy From a Canadian Pharmacy?
- Lower Price: Canadian pharmacies offer significantly reduced costs compared to US prices due to government regulations and bulk sourcing, often 50-80% cheaper for generics.
- Licensed Pharmacists: All medications are dispensed by fully licensed Canadian pharmacists ensuring professional oversight and accurate fulfillment.
- Safe Formulations: Products meet strict Health Canada standards for quality, safety, and efficacy, equivalent to US FDA regulations.
- Authenticity Guarantee: Verified pharmacies provide genuine medications with seals, batch numbers, and traceability to avoid counterfeits.
Alternatives to Cialis
- Generic: Tadalafil (same active ingredient, lower cost, available in various dosages like 2.5 mg, 5 mg, 10 mg, 20 mg).
- Brand: Viagra (sildenafil), Levitra (vardenafil), Stendra (avanafil) – other PDE5 inhibitors for ED with shorter durations.
- OTC Versions: Herbal options like L-arginine, DHEA, ginkgo biloba, ginseng, yohimbine, and horny goat weed (note: effectiveness varies and not FDA-approved for ED; consult a doctor).
FAQs
- What is Cialis? Cialis (tadalafil) relaxes muscles of the blood vessels and increases blood flow to particular areas of the body. It is used to treat erectile dysfunction (impotence) and symptoms of benign prostatic hypertrophy (enlarged prostate).
- What is the generic name of Cialis? The generic name is tadalafil.
- What drug class does Cialis belong to? Cialis belongs to the drug class of impotence agents.
- Can Cialis be taken with Adcirca? Do not take Cialis while also taking Adcirca, unless your doctor tells you to. Do not take Cialis for erectile dysfunction if you are taking Adcirca for pulmonary arterial hypertension.
- What are the warnings about taking Cialis with other medicines? Do not take Cialis if you are also using a nitrate drug for chest pain or heart problems, including nitroglycerin, isosorbide dinitrate, isosorbide mononitrate, and some recreational drugs such as “poppers”. Taking tadalafil with a nitrate medicine can cause a sudden and serious decrease in blood pressure. Some medicines can cause unwanted or dangerous effects when used with Cialis. Tell your doctor about all your current medicines, especially riociguat (Adempas).
- What should I do if I have a prolonged erection while taking Cialis? Contact your doctor or seek emergency medical attention if your erection is painful or lasts longer than 4 hours. A prolonged erection (priapism) can damage the penis.
- What medical conditions should I tell my doctor about before taking Cialis? Tell your doctor if you have ever had heart disease or heart rhythm problems; a heart attack or stroke; angina (chest pain), high or low blood pressure; pulmonary hypertension (unless you are taking tadalafil for this); a condition called pulmonary veno-occlusive disease; liver or kidney disease (or if you are on dialysis); vision loss, or retinitis pigmentosa; a bleeding disorder; a blood cell disorder such as sickle cell anemia, multiple myeloma, or leukemia; a physical deformity of the penis (such as Peyronie’s disease), or an erection lasting longer than 4 hours; a stomach ulcer; or health problems that make sexual activity unsafe.
- How should I take Cialis? Cialis is usually taken only once per day. Follow all directions on your prescription label. Do not take this medicine in larger or smaller amounts or for longer than recommended. Cialis can be taken with or without food. Do not break or split a tablet. Swallow it whole. For erectile dysfunction, take Cialis just before sexual activity but not more than once per day. An erection will not occur just by taking a pill.
- What happens if I miss a dose of Cialis? As Cialis is used as needed, you are not likely to be on a dosing schedule.
- What are common side effects of Cialis? Common 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.
- Does Cialis lower blood pressure? When used alone, Cialis may cause small reductions in blood pressure, but if used with nitrates or guanylate cyclase stimulators like riociguat (Adempas) your blood pressure may dangerously drop. Do not use these drugs with Cialis. You could get dizzy, faint, or have a heart attack or stroke.
- Can you take Cialis and Viagra together? Cialis (tadalafil) and Viagra (sildenafil) are both prescription drugs used to treat erectile dysfunction (ED), but taking them together is generally not recommended. Mixing these medications can lead to dangerously low blood pressure and a higher risk of side effects.
- What should I avoid while taking Cialis? Drinking alcohol with this medicine can cause side effects. Grapefruit and grapefruit juice may interact with tadalafil and lead to unwanted side effects. Avoid the use of grapefruit products while taking this medicine.
- What should I do if I overdose on Cialis? Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.
- Is Cialis safe for pregnant or breastfeeding women? Cialis is not expected to harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant. It is not known whether tadalafil passes into breast milk or if it could affect the nursing baby. Tell your doctor if you are breast-feeding.
Safety & Legal Disclaimer
This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always consult your healthcare provider before starting or changing any medication. Cialis is a prescription drug and should only be obtained from licensed pharmacies. Purchasing from unverified sources may pose risks of counterfeit products. Compliance with local laws is required; importation of medications must follow Health Canada and FDA guidelines. We are not liable for any misuse or adverse effects.