Combined use could lead to additional lowering of blood pressure, possibly to unsafe levels. Society and culture[ edit ] Marketing[ edit ] Cialis 5mg UK pack of 28 tablets In the United States, the FDA relaxed rules on prescription drug marketing in , allowing advertisements targeted directly to consumers. Pearlman says. Also tell your doctor if you have or have ever had pulmonary veno-occlusive disease PVOD; blockage of veins in the lungs ; any condition that affects the shape of the penis; diabetes; high cholesterol; high or low blood pressure; irregular heartbeat; a heart attack or heart failure; angina chest pain ; a stroke; ulcers in the stomach; a bleeding disorder; blood circulation problems; blood cell problems such as sickle cell anemia a disease of the red blood cells , multiple myeloma cancer of the plasma cells , or leukemia cancer of the white blood cells ; or heart, kidney, or liver disease. If you have certain health conditions or are taking certain medications, your doctor may tell you to take tadalafil less often or may prescribe a lower dose to be taken once a day. Pearlman says it can often take months to get an appointment with a healthcare provider who can prescribe the medications commonly used to treat ED.Roman is a telehealth prescription service and online pharmacy that provides prescription Cialis for ED and a host of other conditions, like hair loss, cold sores, and premature ejaculation. When. Tadalafil (Cialis) is one of the most popular erectile dysfunction (ED) drugs. Its major appeal? The drug comes in low-dose versions that can be taken daily. This means you can have sex at any time, rather than needing to take a pill from time to time as needed like other ED brands. The starting dose for daily-use Cialis is milligrams (mg). The most commonly reported side effects in patients treated with Cialis during the testing of the product were: headache. indigestion. back pain. muscle pain. flushing. stuffy nose. Patients who.