If you take nitrates in any form, or are on treatment for pulmonary hypertension , you should not take tadalafil. Young shoots of this plant are used to prepare salads, soups, sauces, baking, and are also fermented like cabbage. Alternatively, Cialis may be prescribed as an as-needed treatment for ED, to be taken before sexual activity. 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. Sexual activity may be a strain on your heart, especially if you have heart disease. Follow your doctor’s directions carefully, and ask your doctor or pharmacist to explain any part you do not understand. With PAH, high blood pressure develops when a blockage in the arteries within the lung limits normal blood flow.Brand names for tadalafil include Cialis. The cost for tadalafil oral tablet 5 mg is around $27 for a supply of 90 tablets, depending on the pharmacy you visit. Quoted prices are for . Published on October 12, Medically reviewed by Femi Aremu, PharmD Table of Contents View All Understanding ED What Is Cialis? How Cialis Works Efficacy Dosing . It is necessary to collect nettles in ecologically clean places, as far as possible from roads. Cialis 20mg in its generic form is used for the treatment of ED. Get ready to find the best prices for different doses, including 5mg. Fast shipping.