Because patients with recent heart attacks or stroke, heart pains angina , heart failure, uncontrolled blood pressure or uncontrolled irregular heart beats, severe liver disease, and retinal eye problems were not studied with Cialis, Cialis is not recommended for these patients. What Is Cialis? Tadalafil Adcirca is used to improve the ability to exercise in people with pulmonary arterial hypertension PAH; high blood pressure in the vessels carrying blood to the lungs, causing shortness of breath, dizziness, and tiredness. For this purpose, one dose works for up to 72 hours. Ask your pharmacist or doctor for a copy of the manufacturer’s information for the patient.Save up to 97% on tadalafil cialis with GoodRx Different pharmacies offer different prices for the same medication. GoodRx helps find the best price for you. like mg or 5 mg. The 20 mg tablet is the highest strength and is often not preferred because it has the potential to cause erections that last a full day. Dosage will vary from. 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. Home. Dandelion leaves and kale for a healthy meal. Nettle and rhubarb or proper nutrition Nettle and rhubarb are unusual greens that should be added to the diet. The season of fresh greens is. How Cialis Works. Tadalafil and other PDE5 inhibitors primarily work by inducing muscle relaxation. Tadalafil stops the breakdown of a chemical responsible for relaxing muscles. In ED and PAH, the drug targets muscle cells in blood vessels. When the blood vessel muscle cells relax, this expands the vessel and increases blood flow; this .