Above are two examples of fake Fake cialis pictures bottles.. The fake one on the other hand usually has an indent on the sides and its rough when touched. Read more on male sexual health on the Sexual Health Australia site. CIALIS can cause your blood pressure to drop suddenly to an unsafe level if it is taken with any nitrate medication. Severe liver disease. The medication should be taken once daily at about the same time every day to maintain a consistent level of medicine in the body.Learn more about Cialis oral. 1. This is a generic drug. The average cost for 30 Tablet(s), 5mg each of the generic (tadalafil) is $ You can buy tadalafil at the discounted price of $ by using the MDRx coupon, a savings of 93%. Even if this drug is covered by Medicare or your insurance, we recommend you compare prices. Generic Status No lower-cost generic available Availability Prescription only How Tadalafil (Cialis) works Tadalafil (Cialis) is a phosphodiesterase-5 enzyme (PDE-5) Missing: italy. Tadalafil (Cialis) is a medicine used to treat erectile dysfunction (ED, also called impotence) and problems with urination caused by an enlarged prostate (benign prostatic hypertrophy or BPH). Tadalafil works by helping to relax the blood vessels in the penis, allowing blood to flow into the penis, and causing an erection.