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. Because patients with recent heart attacks or stroke, heart pains angina , heart failure, uncontrolled blood pressure or uncontrolled irregular heart beats, severe liver disease, and retinal eye problems were not studied with Cialis, Cialis is not recommended for these patients. However, if you have medications that are considered a controlled substance including some cough medicines, tranquilizers, sleeping pills, antidepressants, or stimulants, you may only bring up to 50 dosage units across the border without a prescription. Tadalafil is also sometimes taken once a day every day without regard to timing of sexual activity. Cialis will be available as oral tablets in 5mg, 10mg and 20mg strengths. The safety and effectiveness of Cialis when used with other treatments for impotence has not been studied. With a VPN you choose what server you want to use.To find out about the interactions of Cialis, see this article. Drug costs. If you want to learn about the cost of Cialis, refer to this article. A look at ED. For details on ED. The normal dosage of Cialis for occasional use in treating ED is 10 mg taken before sexual activity. If you have side effects with the mg dose, your doctor may prescribe a 5-mg dose. If the Tadalafil – STADA T20 – 20 Milligramm. Tadalafil, sold under the brand name Cialis among others, is a medication used to treat erectile dysfunction, benign prostatic hyperplasia, and pulmonary arterial hypertension. [4] [5] [7] It is taken by mouth. [7] Onset is typically within half an hour and the duration is up to 36 hours.