Contact your medical provider if you experience any side effects during treatment. FDA encourages anyone aware of a serious side effect, including consumers or patients, to make a MedWatch report. Tadalafil was approved in in the United States for the treatment of pulmonary arterial hypertension [28] and is under regulatory review in other regions for this condition. According to the FDA, generic medications contain the same active ingredients as brand names, meaning there’s no difference in effectiveness or safety. The most common symptoms of erectile dysfunction include difficulty achieving or maintaining an erection and reduced sexual desire. The specific process for getting ED pills online depends on your chosen provider.Roman is a telehealth prescription service and online pharmacy that provides prescription Cialis for ED and a host of other conditions, like hair loss, cold sores, and premature ejaculation. When. The most commonly reported side effects in patients treated with Cialis during the testing of the product were: headache. indigestion. back pain. muscle pain. flushing. stuffy nose. Patients who. The drug comes in low-dose versions that can be taken daily. This means you can have sex at any time, rather than needing to take a pill from time to time as needed like other ED brands. The starting dose for daily-use Cialis is milligrams (mg). If that doesn’t work, you can increase your daily dose up to 5 mg.