Your health information should remain between your provider and yourself. Additionally, each drug is differently affected by the ingestion of food. The purpose of your Cialis intake will affect how you take the medication. You should also call your insurance company to see if they cover erectile dysfunction medications. On the other hand, Viagra only lasts four to five hours in the system and can only be taken once a day, so once the effects have worn off, you cannot use it again until 24 hours have passed. Contact your medical provider if you experience any side effects during treatment. You will then be connected with a relevant professional who will assess the severity of your erectile dysfunction and decide if Cialis is the right treatment.Essentially, I guess. It’s hard to call a drug – one that has an actual physiological effect – a placebo, but it definitely does boost self-confidence, which is of course not physiological (in this case).  · Just get it online through good rx. Online visit bucks. Prescription with good rx coupon at walmart bucks. Express pct sucks and I have used their generic Indian shit. Customer service sucked too. Frosty_Status_ • 2 yr. ago. Expresspct’s cialis is insanely good and only $ for like 10 pills. ExpressPCT. heart attack symptoms – chest pain or pressure, pain spreading to your jaw or shoulder, nausea, sweating. Common Cialis side effects may include: headache; flushing (warmth, redness, or tingly feeling); nausea, upset stomach; stuffy nose; or. muscle pain, back pain, pain in your arms, legs, or back. This is not a complete list of side effects.