Your provider will help determine which drug for erectile dysfunction is most appropriate for you. Use caution with natural alternatives to Cialis. Can you take Viagra or other PDE5s with a heart condition? Those with a history of blood pressure or heart issues, hormonal imbalances, mental health issues, and diabetes should consult their doctor before trying PDE5 inhibitors. Common side effects include headache, facial flushing, indigestion, and dizziness. If you suffer from high blood pressure, heart disease and erectile dysfunction, talk to a medical provider to learn which ed treatments are appropriate and which are not. This allows the smooth muscles in the penis to relax and fill with blood.Whether you opt for brand name Cialis or generic tadalafil. The price of brand name Cialis can range from $12 to upwards of $70 per tablet, depending on the . The price for tadalafil is $ per month, while Cialis is $ Hims also offers a free consultation for those who may need prescription medicines. from $/dose 2-in-1 personalized pill—Tadalafil can help you get and stay hard, while Rosuvastatin reduces the risk of heart disease or stroke. Get started Rx.