Do you know what you need and are ready to purchase? Use the medicine exactly as directed. Your doctor will discuss the best treatment plan for you. Do not change your tadalafil dose or stop taking this medicine without your doctor’s advice. This not only facilitates breathing but also rejuvenates your energy levels. Tadalafil may not be safe for people with certain medical conditions, including people who have had a stroke , have coronary heart disease or retinitis pigmentosa an eye disease. It’s not just a medication for momentary pleasure; it has a lasting impression on heart health.Cialis (tadalafil) is an oral medication that treats erectile dysfunction (ED). One dose of Cialis lasts longer than a dose of the well-known Viagra (sildenafil). You can take Cialis when you need it, typically 30 minutes before sex. If that doesn’t work for you, another option is taking a low-dose pill every day for ongoing erectile support. 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. Cialis. Cialis 40/20mg, packs of 10 – Pills. The sexual enhancer Cialis is mainly used by men with medically diagnosed erectile dysfunction. This is when the erection is not sufficient for satisfactory sexual intercourse. The drug requires a prescription and is only dispensed in pharmacies against a prescription. Check Price.