Cialis (Tadalafil): Uses, Dosage, Benefits, Side Effects & Safe Buying Guide
Learn how Cialis (Tadalafil) works for ED & BPH, its dosage, benefits, side effects, safety warnings, and where to buy safely online. FDA-approved ED & BPH treatment guide. Cialis (Tadalafil) is a long-acting PDE5 inhibitor approved for ED and BPH. It begins working within 30–60 minutes and lasts up to 36 hours. It improves erectile response during stimulation and is available in daily or as-needed dosing. Medical consultation is required before use.
What is Cialis?
Cialis is an FDA-approved prescription medication used to treat:
- Erectile Dysfunction (ED)
- Benign Prostatic Hyperplasia (BPH)
Its active ingredient is Tadalafil, a Phosphodiesterase Type 5 (PDE5) inhibitor. It improves blood flow to the penis during sexual stimulation and relaxes smooth muscles in the prostate and bladder.

Cialis (Tadalafil) Uses, Dosage, Side Effects & Safe Buying Guide – Z2Meds
How Does Cialis Work?
Cialis works by blocking the PDE5 enzyme.
Mechanism Explained
- Sexual stimulation releases Nitric Oxide (NO).
- NO increases cyclic GMP (cGMP).
- cGMP relaxes smooth muscle in penile tissue.
- Increased blood flow leads to erection.
- PDE5 normally breaks down cGMP.
- Cialis inhibits PDE5 → cGMP stays active longer → stronger, sustained erection.
Important: Cialis only works with sexual stimulation. It does not increase libido.
Conditions Treated by Cialis
| Condition | How Cialis Helps |
|---|---|
| Erectile Dysfunction (ED) | Improves blood flow to achieve and maintain erection |
| Benign Prostatic Hyperplasia (BPH) | Relaxes prostate and bladder muscles to improve urine flow |
| ED + BPH | Treats both simultaneously with daily low dose |
How Long Does Cialis Take to Work?
- Starts working in 30–60 minutes
- Maximum effect: up to 2 hours
- Requires sexual stimulation
Factors affecting onset:
- Age
- Metabolism
- Diet
- Health conditions
- Alcohol intake
How Long Does Cialis Last?
Cialis lasts up to 36 hours, earning the nickname “The Weekend Pill.”
Comparison Table: Cialis vs Other ED Medications
| Medication | Active Ingredient | Onset | Duration |
|---|---|---|---|
| Cialis | Tadalafil | 30–60 min | Up to 36 hrs |
| Viagra | Sildenafil | 30–60 min | 4–5 hrs |
| Levitra | Vardenafil | 30–60 min | 4 hrs |
| Stendra | Avanafil | 15–30 min | 6 hrs |
Cialis has the longest half-life (~17.5 hours).
Cialis Dosage Guide
Cialis is available in:
- 2.5 mg
- 5 mg
- 10 mg
- 20 mg
For Erectile Dysfunction
| Usage Type | Recommended Dose |
|---|---|
| As-needed | 10 mg before intercourse |
| Adjustment | 5 mg or 20 mg |
| Daily use | 2.5 mg – 5 mg once daily |
For BPH
- 5 mg once daily at the same time each day
Do not exceed one dose in 24 hours.
Benefits of Cialis
- Long-lasting effect (36 hours)
- Available in daily and as-needed dosing
- Treats both ED and BPH
- Can be taken with or without food
- Supports multiple sexual encounters
- Clinically proven improvement in erectile function scores
- Improves sexual confidence
Common Side Effects of Cialis
Mild Side Effects
- Headache
- Back pain
- Muscle pain
- Flushing
- Upset stomach
- Dizziness
- Diarrhea
These typically resolve as your body adjusts.
Serious Side Effects (Seek Immediate Medical Help)
- Chest pain
- Irregular heartbeat
- Sudden vision or hearing loss
- Priapism (erection >4 hours)
- Severe allergic reactions
Drug Interactions
Avoid Combining Cialis With:
| Medication Type | Risk |
|---|---|
| Nitrates | Dangerous drop in blood pressure |
| Alpha-blockers | Hypotension |
| Other PDE5 inhibitors | Overdose risk |
| Riociguat | Severe BP drop |
| CYP3A4 inhibitors | Increased Tadalafil levels |
Food & Alcohol Interaction
- Avoid excessive alcohol (can cause sudden BP drop)
- Avoid grapefruit juice
- Avoid St. John’s Wort
Warning & Precautions
Consult your doctor if you have:
- Heart disease
- Liver or kidney disease
- Low or high blood pressure
- Sickle cell anemia
- Diabetes
- Deformed penis conditions
Cialis is not a cure for ED. It manages symptoms.
Where to Buy Cialis Online Safely
Cialis is a prescription medication.
You should only purchase it from licensed pharmacies.
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Price Comparison (Indicative)
| Medicine | Strength | Starting Price |
|---|---|---|
| Vidalista | 20 mg | Affordable |
| Vidalista | 60 mg | Budget-friendly |
| Generic Tadalafil | Various | Cost-effective |
(Exact prices vary by region and quantity)
This article is medically reviewed and written for educational awareness.
Z2Meds provides informational healthcare guidance and does not replace professional medical consultation.
Authority References
- FDA Drug Database: https://www.fda.gov
- PubMed Clinical Research: https://pubmed.ncbi.nlm.nih.gov
- Healthline Medical Review: https://www.healthline.com
FAQs for Cialis (Tadalafil)
1. What is Cialis used for?
Cialis (Tadalafil) is FDA-approved to treat Erectile Dysfunction (ED) and Benign Prostatic Hyperplasia (BPH). It improves blood flow to the penis for stronger erections and relaxes prostate muscles to improve urinary symptoms. It does not cure ED but helps manage symptoms effectively.
2. How long does Cialis last in the body?
Cialis can remain effective for up to 36 hours after a single dose. Its long half-life of approximately 17.5 hours allows flexibility in sexual activity, which is why it is commonly known as the “Weekend Pill.”
3. How long does Cialis take to work?
Cialis typically starts working within 30 to 60 minutes. Maximum effectiveness may take up to 2 hours. Sexual stimulation is required for it to work, as it enhances the natural erection process rather than causing automatic erections.
4. Is Cialis better than Viagra?
Cialis lasts significantly longer (up to 36 hours) compared to Viagra (4–5 hours). While both are effective PDE5 inhibitors, Cialis offers more flexibility and does not need to be timed as precisely before intercourse.
5. Can I take Cialis daily?
Yes, Cialis is approved for daily use at low doses (2.5 mg or 5 mg). Daily dosing allows spontaneous sexual activity and is also prescribed for men experiencing both ED and BPH symptoms.
6. What are the common side effects of Cialis?
Common side effects include headache, flushing, back pain, muscle pain, upset stomach, and dizziness. These are usually mild and temporary. Serious side effects like chest pain, vision changes, or prolonged erection require immediate medical attention.
7. Can Cialis cause a permanent erection?
In rare cases, Cialis may cause priapism, an erection lasting more than 4 hours. This is a medical emergency and requires immediate treatment to prevent permanent damage to penile tissue.
8. Can I drink alcohol while taking Cialis?
Small amounts of alcohol may be tolerated, but excessive drinking increases the risk of low blood pressure, dizziness, and fainting. It is recommended to limit alcohol consumption while using Cialis.
9. Is generic Tadalafil as effective as brand Cialis?
Yes, generic Tadalafil contains the same active ingredient as Cialis and works in the same way. When purchased from licensed pharmacies, it is equally safe and effective.
10. Who should not take Cialis?
Men taking nitrates, guanylate cyclase stimulators, or certain blood pressure medications should avoid Cialis. Those with serious heart, liver, or kidney conditions must consult a healthcare provider before use.
11. Does Cialis increase sexual desire?
No, Cialis does not increase libido. It improves blood flow to help achieve an erection during sexual stimulation but does not affect sexual desire or arousal levels.
12. What is the best Cialis dosage for beginners?
For most men with Erectile Dysfunction, the recommended starting dose is 10 mg taken before sexual activity. Depending on effectiveness and tolerance, the dose may be reduced to 5 mg or increased to 20 mg. Only a healthcare provider should determine the safest starting dose.
13. Can Cialis be taken with food?
Yes, Cialis can be taken with or without food. Unlike Viagra, its effectiveness is not significantly affected by meals. However, heavy or fatty meals may slightly delay absorption in some individuals.
14. Is Cialis safe for long-term use?
Clinical studies show that low-dose daily Cialis (2.5 mg or 5 mg) can be safe for long-term use under medical supervision. Regular checkups are recommended, especially for men with heart conditions, diabetes, or blood pressure issues.
15. What happens if I miss a daily Cialis dose?
If you miss a daily dose, take it as soon as you remember. If it is almost time for the next scheduled dose, skip the missed dose. Do not take two doses within 24 hours to compensate.
What does Cialis do?
Cialis is a prescription medication that treats Erectile Dysfunction and Benign Prostatic Hyperplasia by increasing blood flow to the penis and relaxing prostate muscles. It can last up to 36 hours and requires sexual stimulation to work.
Conclusion
Cialis (Tadalafil) is a clinically proven, FDA-approved treatment for Erectile Dysfunction and Benign Prostatic Hyperplasia. Its long 36-hour duration, flexible dosing, and dual action make it one of the most preferred ED medications worldwide.
When used responsibly under medical supervision, Cialis offers improved sexual performance, confidence, and urinary symptom relief.
For safe, authentic, and affordable medication access, choose Z2Meds — the trusted and largest online medicine portal.