cialis pill packet

The daily pill

Cialis®

Cialis® helps you get and maintain your erections with a simple, once-a-day dosage. Cialis® stays in your system for longer than other ED medications, so you can have sex when you want—with no waiting for a pill to kick in. Treat ED with either genuine Cialis® or it’s low-cost generic equivalent Tadalafil for over 50% in savings. It’s hard, made easy.

* Prescription products require an online consultation with a healthcare provider who will determine if a prescription is appropriate.

* Risks of this medication can include nausea, dizziness, chest or arm pain and in rare cases, changes in vision or loss of sight. Seek emergency care right away if you…Read more

* This page has been medically reviewed by Peter J. Stahl, MD.

What is Cialis®?

Cialis® is an FDA-approved oral erectile dysfunction treatment that helps men with ED get and keep harder erections. Cialis® is the brand name of the drug Tadalafil. Like Viagra® and Levitra®, Cialis® is a phosphodiesterase-5 inhibitor (aka, PDE5 inhibitor) that improves blood flow to specific parts of your body, including the blood vessels in your penis. With daily use, Cialis® helps you be ready for sexual activity, whenever the mood and stimulation arise.

How does Cialis® work?

Cialis® works by promoting a balance of enzymes necessary to produce and maintain an erection. When aroused, the penis produces a cascade effect of nitric oxide and an enzyme that normally gets your penis hard. Like all PDE5 inhibitors, Cialis® protects the enzyme responsible for erections—so you get more blood flow in and less blood flow out. But while most popular ED drugs last only a few hours, Cialis® stays in your system for 24-36 hours, which means that daily Cialis® can help you be ready when you need it.

How to buy Cialis® online safely

Hims offers access to prescriptions for Cialis® online, without in-person trips to the doctor’s office or copays. When you start your online medical visit through the Hims platform, you will answer questions and consult with a medical professional, who will evaluate you and prescribe the right dosage if they determine Cialis® is right for you. If prescribed, genuine, FDA-approved Cialis® from a licensed pharmacy will be shipped discreetly to your door. Why is this important? Because Cialis® is not available over the counter in the US and must be prescribed by a licensed medical provider. Any website that claims to sell Cialis® over the counter to US customers is not complying with the law and potentially selling counterfeit medication, which can contain toxic or faulty ingredients that pose risks to you.

How to take Cialis®

Hims offers once-a-day Cialis® in a 5mg tablet dose. Typically, this dosage of Cialis® is taken once a day at the same time, no matter how often you have sex. Because Cialis® stays in your system for 24-36 hours, spontaneous sex can happen when you want it 😏. It only takes 4-5 days for daily Cialis® to become fully effective and you can expect peak plasma concentration in as little as 30 minutes. Cialis® can be taken with or without food, so taking it around the same mealtime is an option. But, do not take Cialis® more than once every 24 hours. As always, read all information that comes with your prescription, including all safety information, and only take Cialis® as directed by your doctor.

Cialis® vs. Viagra®

Both Cialis® (Tadalafil) and Viagra® (Sildenafil) work to help you get it up and keep it up, but there are differences. For starters, you always have to “time” your sex after taking Viagra® — not so with daily Cialis®. Cialis® works for longer (up to 36 hours) compared with Viagra® (2 to 4 hours). Cialis® comes in 4 doses (2.5mg, 5mg, 10mg and 20mg) and Viagra® comes in 3 doses (25mg, 50mg or 100mg). Cialis® can be taken on a full stomach unlike Viagra®, which is not as effective on a full stomach (eg, delayed by 60 minutes with a high-fat meal). And finally, cost: Cialis® is less expensive per pill than Viagra® but, taken as a daily regimen, it could cost more per month. If cost is important to you, consider generic tadalafil at less than half the price.

Common side effects of Cialis®

Side effects most commonly associated with Cialis® include headaches, flushing, upset stomach, abnormal vision, stuffy nose, angina (chest pain), back pain, muscle aches, indigestion, hearing loss, and rash. If you have persistent side effects, talk to your health care professional. If you have a prolonged erection that lasts longer than 4 hours, you may have a serious medical condition called priapism. Other rare serious side effects are low blood pressure, irregular heartbeat, heart attack, heart failure. allergic reaction or NAION (sudden loss of vision). If any serious side effects occur, seek medical attention immediately.

Important Safety Information

We’ve got answers

Frequently asked questions about Cialis®

what is in Cialis?
Cialis is the brand name of tadalafil. In addition to the active ingredient, tadalafil, Cialis contains the following inactive ingredients: croscarmellose sodium, hydroxypropyl cellulose, hypromellose, iron oxide, lactose monohydrate, magnesium stearate, microcrystalline cellulose, sodium lauryl sulfate, talc, titanium dioxide, and triacetin.
is Cialis used to treat enlarged prostate?
Yes, Cialis is FDA-approved to treat enlarged prostate (benign prostatic hyperplasia or BPH). This condition is common in men over the age of 50. However, if you are suffering from symptoms of benign prostatic hyperplasia, such as a constant need to urinate, you should seek in-person treatment from a healthcare provider. Hims only offers access to online consultations for the treatment of erectile dysfunction.
how long does it take for Cialis to work?
When taken as-needed and at a higher dose, Cialis typically starts working within 30-60 minutes, so you will need to take it about an hour before sex to give it time to kick in. However, when Cialis is taken daily and at a lower dose, it may take a few days to build up in your system. After four or five days of daily use, you may find that you are able to have successful sex at your leisure.
how long does Cialis last?
The effects of Cialis can last up to 36 hours, but the highest amount of the drug can typically be found in the bloodstream between 30 minutes and six hours after taking Cialis. However, because Cialis remains in the body for longer than other ED medications, it is important not to take Cialis more than once every 24 hours.
does Cialis have any food or drug interactions?
Like many other medicines, Cialis should not be taken in combination with:
  • nitroglycerin/nitrates for heart problems or hypertension (high blood pressure)
  • riociguat
  • alpha-blockers
  • grapefruit juice
  • sildenafil
  • vardenafil
  • Adcirca
  • ritonavir
  • doxazosin
  • antifungal medicines
Additionally, the following drugs can increase the effects of Cialis by altering the drug's metabolism:
  • ketoconazole
  • erythromycin
  • Itraconazole
  • rifampin
  • clarithromycin
who should not take Cialis?
You should not take Cialis if you are taking any of the medicines listed above or have any of the following health conditions:
  • Moderate to severe liver disease
  • Moderate to severe kidney disease
  • retinitis pigmentosa
  • sickle cell anemia
  • Certain heart problems such as advanced congestive heart failure or a recent myocardial infarction
does Cialis treat anything other than ED?
Yes. Cialis is approved to aid the treatment of the following medical issues:
  • pulmonary arterial hypertension (if taken without nitrates)
  • enlarged prostate (benign prostatic hyperplasia or BPH)
what won't Cialis do?
Cialis will not protect you against sexually transmitted diseases, provide sexual stimulation, make your penis bigger, or cure other diseases than for which it was prescribed (eg, peyronie’s disease).
How much does Cialis cost?
Hims offers a daily version of Cialis via our online platform for a total of $570 per month. Additionally, hims offers a daily version of generic tadalafil at a price of $240 per month. Tadalafil contains the same active ingredient as Cialis, but is available at a lower price.

If you are interested in a prescription, Hims will match you with an independent physician who will evaluate whether or not you are an appropriate candidate for the prescription product and if appropriate, may write you a prescription for the product.

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