Is Cialis approved for ED?
Yes. Cialis is approved by the FDA to treat erectile dysfunction (ED). Our medical team can prescribe Cialis 5mg, 10mg, and 20mg. The starting dose we generally recommend is 10mg.
Tadalafil is the name for the active chemical ingredient in Cialis. PDE-5 inhibitors is the name of the group of medicines. Cialis is the brand name.
How do I make sure to get genuine Cialis?
You don’t have to worry about getting counterfeit Cialis when you use Lemonaid because we deliver it to you from the Lemonaid Pharmacy in St Louis, Missouri. All US based pharmacies must follow FDA regulations to ensure safe and high quality medicine. A large proportion of the Cialis available online is counterfeit, so it’s important to get your Cialis from a reputable pharmacy you trust that is based in the US.
Why do I need a prescription for Cialis?
Cialis is only available by prescription because it’s not appropriate or safe for everyone to take it. Certain health conditions and other medicines can make it unsafe to take Cialis. It’s important that you know your blood pressure and provide it to our medical team when you answer our health questions.
Does generic Cialis exist?
Yes, it does exist. Our medical team can prescribe it online and our pharmacy can mail it to you in 5mg, 10mg and 20mg dose.
An even lower cost option for ED medicines is generic sildenafil 20mg tablets. Sildenafil is the active ingredient in Viagra. Our medical team can give you a prescription for sildenafil 20mg. The Lemonaid Pharmacy can deliver it to you for $2/pill, including FREE delivery. Our medical team can prescribe it in a 20mg, 60mg or 100mg dose.
Cialis is a brand-name oral tablet that’s prescribed for erectile dysfunction (ED) and benign prostatic hyperplasia (BPH). Cialis contains the active ingredient tadalafil.
The Food and Drug Administration (FDA) has approved Cialis for use in adults to treat ED, BPH, and ED and BPH symptoms together.
Drug details
You’ll find key information about Cialis below.
- Drug class: phosphodiesterase 5 (PDE5) inhibitor
- Drug form: oral tablet
- Generic available? yes
- Prescription required? yes
- Controlled substance? no
- Year of FDA approval: 2003
How long does Cialis last?
Cialis can work for up to 36 hours in your body.
To treat erectile dysfunction (ED), your doctor may have you take Cialis only as needed before sexual activity. (See the “Cialis dosage” section below to learn more.) In this case, Cialis may keep working for up to 36 hours in helping you have and maintain erections during that time.
However, if you take Cialis each day for either benign prostatic hyperplasia (BPH) or ED, you’ll consistently have medication in your system. Therefore, it will continue to work throughout the day.
Cialis vs. Viagra
You may wonder how Cialis compares with other medications that are prescribed for similar uses. Here we look at how Cialis and Viagra are alike and different.
Note: Sex and gender exist on spectrums. Use of the term “male” in this article refers to sex assigned at birth.
Ingredients
The active ingredient in Cialis is tadalafil. The active ingredient in Viagra is sildenafil. Both Cialis and Viagra belong to a group of medications called phosphodiesterase 5 (PDE5) inhibitors.
Uses
The FDA has approved Cialis and Viagra to treat erectile dysfunction (ED) in males. ED is a condition in which you can’t get or maintain an erection.
Cialis is also FDA-approved to treat:
- symptoms of benign prostatic hyperplasia (BPH), a prostate condition that may cause problems with urination
- ED and symptoms of BPH together
Drug forms and administration
Both Cialis and Viagra come as tablets that you swallow. Cialis may be taken once a day or just when needed for sexual activity. Usually, Viagra is taken only as needed for sexual activity.
Side effects and risks
Cialis and Viagra both contain medications to treat ED. Therefore, these medications can cause very similar side effects, but some different ones as well. Below are examples of these side effects.
Mild side effects
These lists contain up to 10 of the most common mild side effects that can occur with Cialis, with Viagra, or with both drugs (when taken individually).
- Can occur with Cialis:
- pain in your arms or legs
- heartburn
- Can occur with Viagra:
- abnormal vision
- Can occur with both Cialis and Viagra:
- headache
- flushing
- stuffy nose
- back pain
- muscle pain
- nausea
- dizziness
- rash
Serious side effects
This list contains examples of serious side effects that can occur with Cialis and Viagra when taken individually.
- prolonged erection (an erection that lasts more than 4 hours)
- loss of vision
- changes in hearing, such as trouble hearing or ringing in your ears
- allergic reaction
- changes in blood pressure
Effectiveness
Cialis and Viagra have different FDA-approved uses, but they’re both used to treat ED.
The use of Cialis and Viagra in treating ED has been directly compared in clinical studies.
One study’s results
One study compared people who took Cialis either once a day or as needed with people who took Viagra as needed.
- The study showed that people in the Cialis group had more improvement in their sexual confidence than those in the Viagra group.
- The Cialis group was also less concerned about how long their erection lasted than the Viagra group. This is because Cialis works longer than Viagra.
Results from a second study
In another ED studyTrusted Source, people took either Cialis as needed or Viagra as needed for 4 weeks. They then switched to the other medication for an additional 4 weeks. Finally, people decided which drug they preferred.
Researchers found that more than twice as many people preferred Cialis over Viagra. Most often, people reported that they preferred Cialis because the medication lasts longer in the body.
The study also looked at how well the drugs worked to treat ED, based on the International Index of Erectile Function (IIEF) survey. A higher IIEF score meant that erectile function was better, so ED symptoms improved.
IIEF scores increased by about the same amount (on average) in people who took Cialis or Viagra. Average scores for self-esteem and relationship quality were also about equal in the two groups.
Costs
Cialis and Viagra are both brand-name drugs. Currently, there are generic forms of both drugs. The generic form of Cialis is called tadalafil. The generic form of Viagra is called sildenafil. Brand-name medications usually cost more than generics.
The actual price you’ll pay for any of these drugs depends on your insurance plan, your location, and the pharmacy you use.
Visit Optum Perks to find coupons and savings for Cialis and Viagra.
Cialis uses
The Food and Drug Administration (FDA) approves prescription drugs such as Cialis to treat certain conditions. Cialis may also be prescribed off-label for other conditions. Off-label use is when a drug that’s approved to treat one condition is prescribed to treat a different condition.
Note: Sex and gender exist on spectrums. Use of the term “male” in this article refers to sex assigned at birth.
Cialis for benign prostatic hyperplasia (BPH)
Cialis is approved by the FDA to treat the symptoms of benign prostatic hyperplasia.
BPH is a condition that can occur in males as they age. It happens when the prostate gland slowly increases in size but isn’t cancerous. As the prostate gland gets bigger, it begins to push on your urethra. So eventually you may experience symptoms of BPH, including:
- needing to urinate often, especially at night
- straining to urinate
- producing a weak stream of urine
- being unable to urinate
- feeling that your bladder didn’t empty after urinating
Effectiveness
Cialis was an effective medication to treat symptoms of BPH in clinical trials.
Researchers used a scale called the International Prostate Symptom Score (IPSS). IPSS is a questionnaire that was given to people to determine whether their BPH symptoms improved. The symptoms included urinary urgency (sudden need to urinate), weak urine stream, and straining to urinate.
A higher score meant that symptoms of BPH were worse. The goal was to have a lower score, which indicates that people have had fewer and less severe symptoms of BPH.
The studies looked at people with BPH who took Cialis or a placebo (treatment with no active drug). Researchers found that people who took Cialis had more of a decrease in their IPSS score than people who took a placebo. This means that the Cialis group noticed a larger decrease in the number and severity of BPH symptoms than the placebo group.
Cialis for Erectile Dysfunction (ED)
Cialis is FDA-approved to treat erectile dysfunction.
ED is a condition in which a male may have trouble having or maintaining an erection so they can have sex. There are many different causes of ED, including:
- illness
- conditions that can affect the nerves or blood, such as diabetes or high cholesterol
- emotional factors, such as stress, depression, or anxiety
Sometimes ED can be helped by simply addressing the cause, such as treating an illness or anxiety. In other cases, you may need medication such as Cialis to treat your ED.
Effectiveness
Cialis was shown in clinical trials to be an effective medication to treat ED. The drug was studied using part of a survey called the International Index of Erectile Function (IIEF). A higher score on the IIEF meant that erectile function was better, so ED symptoms were reduced. The people in the study took the survey after 4 weeks.
One trial looked at people who took Cialis or a placebo only when needed to treat their ED. People who took Cialis had their IIEF scores improve significantly. This means their ED symptoms eased while they were taking Cialis.
People who took a placebo either lost points or had their score improve by less than a point. Losing points on the scale means their ED symptoms worsened.
In another trial, people took Cialis or a placebo on an everyday basis to treat their ED. The study showed that for people who took Cialis, their IIEF scores improved significantly. This means their ED symptoms eased while they were taking Cialis. In comparison, people who took a placebo had their scores improve by a much lower amount.
Cialis for ED and BPH
Cialis is FDA-approved to treat both ED and the symptoms of BPH together. These are two different conditions and aren’t usually caused by the same issues. For details on ED and BPH, see the “Cialis for benign prostatic hyperplasia (BPH)” and “Cialis for erectile dysfunction (ED)” sections above.
In some cases, medications for BPH, such as dutasteride (Avodart), may cause a lower libido (sex drive) and result in ED. However, ED and BPH are common in aging males, and aren’t necessarily related.
Effectiveness
Cialis was an effective medication in clinical trials for people with both ED and BPH. The studies used two different questionnaires, one for ED symptoms and one for BPH symptoms, to determine how well the medication worked.
Measuring results for BPH symptoms
To measure improvement of BPH, researchers used a scale called the International Prostate Symptom Score (IPSS). IPSS is a questionnaire that was given to people to determine whether their BPH symptoms improved. The symptoms included urinary urgency (sudden need to urinate), weak urine stream, and straining to urinate.
A higher score meant that symptoms of BPH were worse. The goal was to have a lower score, which indicates that people have had fewer and less severe symptoms of BPH.
Researchers found that people with ED and BPH who took Cialis reported a more significant decrease in their IPSS scores than people who took a placebo. This means that, on average, people who took Cialis noticed a larger decrease in their BPH symptoms than people who took a placebo.
Measuring results for ED
To measure the improvement of ED symptoms, researchers used part of a survey called the International Index of Erectile Function (IIEF). People with both ED and BPH took the survey after 4 weeks. A higher score on the IIEF meant that erectile function was better, so ED symptoms improved.
Researchers found that people who took Cialis had a more significant increase in their IIEF scores (on average) than people who took a placebo. This means that people who took Cialis usually had greater erectile function than people who took a placebo.
Off-label use for Cialis
In addition to the uses listed above, Cialis may be prescribed off-label for other purposes. Off-label drug use is when a drug that’s approved for one use is prescribed for a different one that’s not approved. Below is an example of an off-label use for Cialis.
Cialis for ureteral stones
Cialis isn’t FDA-approved to treat ureteral stones (a type of kidney stone). However, it may be prescribed off-label for this purpose. A clinical trialTrusted Source compared Cialis with tamsulosin (Flomax), a drug that’s often used to treat ureteral stones. The study showed that more people who took Cialis were able to pass their stones than people who took tamsulosin.
Ureteral stones usually start out as kidney stones and then move into the ureter (the tube that urine travels in from the kidney to the bladder). Kidney stones are minerals that form a stone inside a kidney.
Cialis may work to treat ureteral stones by relaxing the ureter muscles. This makes the ureter wider, which can help you pass the stones more easily.
If you have questions about taking Cialis for ureteral stones, talk with your doctor.
Cialis generic
Cialis is available as a generic drug called tadalafil. A generic drug is an exact copy of the active drug in a brand-name medication. The generic is considered to be as safe and effective as the original drug. Generics tend to cost less than brand-name drugs.
In some cases, the brand-name drug and the generic version may come in different forms and strengths.
Cialis dosage
The Cialis dosage your doctor prescribes will depend on several factors. These include:
- the type and severity of the condition you’re taking Cialis to treat
- your age
- other medical conditions you may have
- how often you’re taking Cialis
Typically, your doctor will start you on a low dosage. Then they’ll adjust it over time to reach the amount that’s right for you. Your doctor will ultimately prescribe the smallest dosage that provides the desired effect.
If you have certain conditions, such as kidney or liver problems, your doctor may have you start with a low dose of Cialis. This is done so that the medication doesn’t affect your other conditions.
The following information describes dosages that are commonly used or recommended. However, be sure to take the dosage your doctor prescribes for you. Your doctor will determine the best dosage to fit your needs.
In addition to the information below, you can see this comprehensive article about the dosages of Cialis.
Drug forms and strengths: 2.5 mg, 5 mg, 10 mg, 20 mg
Cialis comes as an oral tablet. It’s available in four strengths: 2.5 milligrams (mg), 5 mg, 10 mg, and 20 mg.
Dosage for benign prostatic hyperplasia (BPH)
For symptoms of BPH, the recommended dosage of Cialis is 5 mg once a day. You should take the drug at about the same time each day.
In some cases, your doctor may have you take 5 mg of Cialis a day along with finasteride (Proscar) to treat BPH. (See the “Cialis use with other drugs” section below to learn more.) If you take both Cialis and finasteride, you’ll usually take these two drugs for up to 26 weeks.
Dosage for erectile dysfunction (ED)
Here’s some information on the Cialis dosages for ED.
Cialis taken as needed
If your doctor recommends that you take Cialis only as needed for ED, the usual dosage is 10 mg before sexual activity.
Your doctor may reduce this to 5 mg if the medication is working too well. But if this dose doesn’t work for you, your doctor may increase your dose back to 10 mg.
If the 10-mg dose of Cialis isn’t working well enough, your doctor may increase it to 20 mg. The maximum dose of Cialis that can be taken in a day is 20 mg.
You should not take Cialis more than once a day. In clinical trials, Cialis helped with ED symptoms for up to 36 hours after their dose. So if you’re taking the medication only as needed, you shouldn’t have to take it every day.
Note: It’s very important that you take only the amount of Cialis that your doctor instructs you to take. And be sure to speak with them if you feel you need more of the drug, rather than increasing your dosage yourself.
Cialis taken once a day
Cialis can also be taken once a day to treat ED. In this case, the dosage usually starts at 2.5 mg a day. If this daily dosage doesn’t work well enough to treat your ED, your doctor may increase it to 5 mg a day.
And if your doctor recommends using Cialis every day, you should take the drug at about the same time each day. You don’t need to take Cialis before sexual activity unless your doctor says you should take the drug only as needed. (See the “Cialis taken as needed” section right above to learn more.)
Note: It’s very important that you take only the amount of Cialis that your doctor instructs you to take. And be sure to speak with them if you feel you need more of the drug, rather than increasing your dosage yourself.
Dosage for ED and BPH
To treat both ED and symptoms of BPH together, the typical dose of Cialis is 5 mg, once a day. You should try to take your dose at about the same time each day.
Higher dosages of Cialis
The approved dosages of Cialis for ED, BPH symptoms, or both, are between 2.5 mg and 20 mg a day or as needed. Dosages higher than 20 mg a day haven’t been studied, and it’s not known what side effects may occur with them.
For example, if you take your “as-needed” dose of 20 mg twice a day, you’ll end up taking 40 mg. This dose is too high and may cause serious side effects, such as decreased blood pressure.
Note: It’s very important that you take only the amount of Cialis that your doctor instructs you to take. And be sure to speak with them if you feel you need more of the drug, rather than increasing your dosage yourself.
What if I miss a dose?
If you forget to take your once-a-day dose of Cialis, take it as soon as you remember. However, never take two doses in 1 day. If you missed your dose yesterday, just skip the missed dose and continue with your once-a-day dosing.
To help make sure that you don’t miss a dose, try setting a reminder on your phone. A medication timer may be useful, too.
Will I need to take this drug long term?
If you’re taking Cialis to treat BPH, this medication may be a long-term treatment. Cialis may also be taken to treat ED long term.
But in some cases, your doctor may determine the cause of your ED, such as depression or an illness. In such instances, you may be able to stop taking Cialis after the cause of your ED has been treated.
Cialis Side Effects
Cialis can cause mild or serious side effects. The following lists contain some of the key side effects that may occur while taking Cialis. These lists don’t include all possible side effects.
For more information on the possible side effects of Cialis, talk with your doctor or pharmacist. They can give you tips on how to deal with any side effects that may be concerning or bothersome.
Note: The Food and Drug Administration (FDA) tracks side effects of drugs it has approved. If you would like to report to the FDA a side effect you’ve had with Cialis, you can do so through MedWatch.