CIALIS has not been administered to patients with bleeding disorders or significant active peptic ulceration. Though this growth is not cancerous, prostate cancer and BPH can co-occur. With PAH, high blood pressure develops when a blockage in the arteries within the lung limits normal blood flow. Priapism, if not treated promptly, can result in irreversible damage to the erectile tissue. Cialis is a brand-name prescription medication. In BPH, the medication relaxes the urinary tract and bladder muscles, allowing for more effortless urine flow. The table below summarizes the typical dosages for tadalafil: Indications of Tadalafil:.*for free flu shot & for $5 off $20 coupon: Flu vaccine is no cost with most insurance plans. Available at most CVS Pharmacy ® and MinuteClinic ® locations when a certified immunizer is on duty. Restrictions apply. RxSaver can be used in place of insurance, in cases where the coupon price is less than your insurance copay. RxSaver is also a great benefit for individuals who do not have insurance. Tadalafil: 20 MG / 30 tablets *Lowest online price at national pharmacy chains Costco, CVS, RiteAid, Walgreens and Walmart as of 1/11/ The cost of the medication is from $ per month for Cialis and from $40 per month for tadalafil. Online consultations are free of charge. Insurance does not cover product fees, but Hims writes.