You need to be sexually aroused for it to work. In pulmonary hypertension it works by relaxing blood vessels in the chest. The active ingredient can remain longer if you have problems with your kidneys or liver, or you are taking certain other medications. You can take it at least 30 minutes before you want to have sex. If you have erection problems, tadalafil works by temporarily increasing blood flow to the penis when you get sexually excited. It’s also sometimes used to treat pulmonary hypertension high blood pressure in the blood vessels that supply the lungs.Cialis is Food and Drug Administration (FDA) approved to treat erectile dysfunction (ED) and benign prostatic hyperplasia (BHP). Generic tadalafil became more widely available after Missing: amazon. Generic Cialis, or Tadalafil, is available in several doses in tablet form: milligrams (mg), 5 mg, 10 mg, and 20 mg. Depending on the dose for ED, you can use it as needed before sexual Missing: amazon. MNT ‘s review. Lemonaid sells Cialis in these forms: Cialis: available in doses of 5, 10, and 20 mg, starting at $65 per tablet. Daily Cialis: 5 mg tablet with pricing starting from $50 per tablet.

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