Cialis (Tadalafil)

Currently not available
Cialis (Rx)
2.5mg Tablet
Manufactured by Eli Lilly - Product of Canada - Shipped from Canada - May be split
This item is backorded. May require additional wait time.
Cialis (Rx)
5mg Tablet
Manufactured by Eli Lilly - Product of Turkey - Shipped from Turkey - May be split
Cialis (Rx)
10mg Tablet
Manufactured by Eli Lilly - Product of Canada - Shipped from Canada - May be split
Cialis (Rx)
20mg Tablet
Manufactured by Eli Lilly - Product of Turkey - Shipped from Turkey - May be split

Generic equivalents for Cialis...

What are generics?
Tadalafil (Rx)
2.5mg Tablet
Manufactured by Sava Medica Ltd - Product of India - Shipped from Singapore - May be split
Tadalafil (Rx)
5mg Tablet
Manufactured by Sava Medica Ltd - Product of India - Shipped from Singapore - May be split
Tadalafil (Rx)
10mg Tablet
Manufactured by Sava Medica Ltd - Product of India - Shipped from Singapore - May be split
Tadalafil (Rx)
20mg Tablet
Manufactured by Cipla Ltd - Product of India - Shipped from Singapore - May be split

(Rx) - indicates only available by prescription

To comply with Canadian International Pharmacy Association regulations you are permitted to order a 3-month supply or the closest package size available based on your personal prescription. read more


Tadalafil Information

TADALAFIL (tah DA la fil) is used to treat erection problems in men. It is also used for enlargement of the prostate gland in men, a condition called benign prostatic hyperplasia or BPH. This medicine improves urine flow and reduces BPH symptoms. This medicine can also treat both erection problems and BPH when they occur together.

This medicine may be used for other purposes; ask your health care provider or pharmacist if you have questions.

Adcirca® is another brand name, other than Cialis®, for the same generic medicine called tadalafil. In addition to treating erectile dysfunction and benign prostatic hyperplasia (BPH), tadalafil is used to treat a condition called pulmonary hypertension. Adcirca® was researched and developed for use in treating pulmonary hypertension. The generic form of both Cialis® and Adcirca® is called tadalafil and can be used interchangeably. The brand name medicines should not be substituted since they are approved for different conditions. Always take your medicine as prescribed by your doctor for your specific medical condition.

Cialis® is classed as a PDE5 inhibitor, which stands for phosphodiesterase type 5 inhibitor. This means that the medicine works by improving the blood flow to the penis to treat erectile dysfunction. The exact way the medicine works to treat prostate problems in unclear. Other agents are available, but Cialis® is the only product for erectile dysfunction that offers the convenience of once daily dosing. Some men may have both erectile dysfunction and BPH. Cialis® can be used to treat both conditions.

The brand name drug was originally approved in November of 2003. The drug was researched and developed by several companies jointly but is marketed under the current brand name by Eli Lilly and Company. The generic form will be available in the United States and Europe in 2017. Eli Lilly is taking steps to partner with Sanofi to make Cialis® available over-the-counter once it has gone off patent.

Other drugs that are currently available to treat erectile dysfunction include sildenafil citrate marketed as Viagra®, and vardenafil hydrochloride marketed as Levitra®.

Some men cannot take the drugs, or the drugs may not work for them. Other treatments are available for men that cannot take medicines for erectile dysfunction.

A medicine called alprostadil is available as a self-injection, and is marketed under two brand names, Caverject® and Muse®. Alprostadil is also made in a suppository form that is inserted into the penis. Do not mix Cialis® with alprostadil. Other options to treat erectile dysfunction include testosterone replacement medications and penis pumps. Surgical options include penile implants and blood vessel surgery.

More drug treatment options for BPH include three main groups of medicines. The medicines are divided and grouped based on a medical description of how they work. The groups are called peripherally acting antiadrenergic agents, 5-alpha-reductase inhibitors, and impotence agents, like Cialis®. Do not take Cialis® if you are taking medications that fall in the first two classes.

Examples of drugs that are considered peripherally acting antiadrenergic agents used to treat BPH include:

Some agents that are classed as 5-alpha reductase inhibitors to treat BPH include:

They need to know if you have any of these conditions: -bleeding disorders -eye or vision problems, including a rare inherited eye disease called retinitis pigmentosa -anatomical deformation of the penis, Peyronie's disease, or history of priapism (painful and prolonged erection) -heart disease, angina, a history of heart attack, irregular heart beats, or other heart problems -high or low blood pressure -history of blood diseases, like sickle cell anemia or leukemia -history of stomach bleeding -kidney disease -liver disease -stroke -an unusual or allergic reaction to tadalafil, other medicines, foods, dyes, or preservatives -pregnant or trying to get pregnant -breast-feeding

Talk to your doctor if you have other medical conditions, especially heart problems. Be sure your doctor agrees that it is safe for you to pursue sexual activity.

Cialis® starts working once you become sexually stimulated. Because of how it works, you can take your prescribed dose once a day as needed, or you may be prescribed a lower dose that is taken every day at about the same time. Cialis® stays in your blood system and starts to work when you become sexually aroused.

As with most medicines, interactions with other substances, including medicines prescribed by other doctors, over-the-counter products, vitamins, herbal supplements, and even alcohol use, can be dangerous.

When ordering Crestor® online, be sure your doctor has a complete list of everything you take.

Take this medicine by mouth with a glass of water. Follow the directions on the prescription label. You may take this medicine with or without meals. When this medicine is used for erection problems, your doctor may prescribe it to be taken once daily or as needed. If you are taking the medicine as needed, you may be able to have sexual activity 30 minutes after taking it and for up to 36 hours after taking it. Whether you are taking the medicine as needed or once daily, you should not take more than one dose per day. If you are taking this medicine for symptoms of benign prostatic hyperplasia (BPH) or to treat both BPH and an erection problem, take the dose once daily at about the same time each day. Do not take your medicine more often than directed. Talk to your pediatrician regarding the use of this medicine in children. Special care may be needed.

Overdosage: If you think you have taken too much of this medicine contact a poison control center or emergency room at once. NOTE: This medicine is only for you. Do not share this medicine with others.

If you are taking this medicine as needed for erection problems, this does not apply. If you miss a dose while taking this medicine once daily for an erection problem, benign prostatic hyperplasia, or both, take it as soon as you remember, but do not take more than one dose per day.

Do not take this medicine with any of the following medications: -nitrates like amyl nitrite, isosorbide dinitrate, isosorbide mononitrate, nitroglycerin -other medicines for erectile dysfunction like avanafil, sildenafil, vardenafil -other tadalafil products (Adcirca) -riociguat This medicine may also interact with the following medications: -certain drugs for high blood pressure -certain drugs for the treatment of HIV infection or AIDS -certain drugs used for fungal or yeast infections, like fluconazole, itraconazole, ketoconazole, and voriconazole -certain drugs used for seizures like carbamazepine, phenytoin, and phenobarbital -grapefruit juice -macrolide antibiotics like clarithromycin, erythromycin, troleandomycin -medicines for prostate problems -rifabutin, rifampin or rifapentine

This list may not describe all possible interactions. Give your health care provider a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine.

  • nitrates like amyl nitrite, isosorbide dinitrate, isosorbide mononitrate, nitroglycerin
  • other medicines for erectile dysfunction like avanafil, sildenafil, vardenafil
  • other tadalafil products (Adcirca)
  • riociguat

This medicine may also interact with the following medications:

This list may not describe all possible interactions. Give your health care provider a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine.

Some examples of drugs that can cause serious and possibly life-threatening interactions are listed here. Do not take tadalafil if you are taking any of the following medicines. This is not a complete list. Always check with your doctor or pharmacist if you have questions.

Some drug interactions can be life-threatening. Other interactions can worsen side effects or cause the medicine to be more or less effective. Some interactions can go unnoticed even though they are still happening. A drug interaction happens when one drug causes another drug to change how it works in the body.

Sometimes drug interactions can cause a medicine to exceed safe levels in the blood, similar to taking an overdose. This can happen all at once or gradually over time.

Many processes are at work in your body and interactions can happen at different places and for different reasons. Some processes involve how your gut absorbs the medicine, others involve the way your liver works to alter medicines. Some interactions occur at the exact place in your body where the drugs connect to do their job, and others involve changes with the way drug is eliminated from your body.

Cialis®, or tadalafil, is no exception. There are many medicines that interact with tadalafil as well as alcoholic beverages and herbal products including St John’s wort.

Some examples of medicines that may become stronger when combined with Cialis® are listed here. This can mean that you may have side effects or an unwanted increase in the effect of the medication. A drop in your blood pressure is one of the unwanted effects of combining Cialis® with some of these agents. This is not a complete list.

A few examples of drugs that can decrease the effectiveness of Cialis® include the following.

The pharmacists that fill your prescriptions from a Canadian Pharmacy Referral Service need a complete list of your medicines. This includes prescription medicines, including herbal supplements and vitamins, to be sure there are no serious drug interactions. Always request a review for possible drug interactions when a medication is added to your regular prescription regimen.

If you notice any changes in your vision while taking this drug, call your doctor or health care professional as soon as possible. Stop using this medicine and call your health care provider right away if you have a loss of sight in one or both eyes. Contact your doctor or health care professional right away if the erection lasts longer than 4 hours or if it becomes painful. This may be a sign of serious problem and must be treated right away to prevent permanent damage. If you experience symptoms of nausea, dizziness, chest pain or arm pain upon initiation of sexual activity after taking this medicine, you should refrain from further activity and call your doctor or health care professional as soon as possible. Do not drink alcohol to excess (examples, 5 glasses of wine or 5 shots of whiskey) when taking this medicine. When taken in excess, alcohol can increase your chances of getting a headache or getting dizzy, increasing your heart rate or lowering your blood pressure. Using this medicine does not protect you or your partner against HIV infection (the virus that causes AIDS) or other sexually transmitted diseases.

Side effects that you should report to your doctor or health care professional as soon as possible: -allergic reactions like skin rash, itching or hives, swelling of the face, lips, or tongue -breathing problems -changes in hearing -changes in vision -chest pain -fast, irregular heartbeat -prolonged or painful erection -seizures Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome): -back pain -dizziness -flushing -headache -indigestion -muscle aches -nausea -stuffy or runny nose

This list may not describe all possible side effects. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

Side effects that you should report to your doctor or health care professional as soon as possible:

  • allergic reactions like skin rash, itching or hives, swelling of the face, lips, or tongue
  • breathing problems
  • changes in hearing
  • changes in vision
  • chest pain
  • fast, irregular heartbeat
  • prolonged or painful erection
  • seizures

Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome):

  • back pain
  • dizziness
  • flushing
  • headache
  • indigestion
  • muscle aches
  • nausea
  • stuffy or runny nose

This list may not describe all possible side effects. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088 FREE.

Keep out of the reach of children. Store at room temperature between 15 and 30 degrees C (59 and 86 degrees F). Throw away any unused medicine after the expiration date.

NOTE: This sheet is a summary. It may not cover all possible information. If you have questions about this medicine, talk to your doctor, pharmacist, or health care provider.

Tadalafil Oral tablet