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Description

Table Of Contents show

What is Cialis? | Buy cialis online | Generic cialis

Cialis is a brand-name prescription medication. It’s FDA-approved to treat the following in men:

Cialis comes as a tablet that you swallow. It’s available in four strengths: 2.5 mg, 5 mg, 10 mg, 20 mg. Depending on your situation and what condition Cialis is treating, you’ll take the drug either before sexual activity or once a day. Buy cialis online | Generic cialis.

Cialis contains the active drug ingredient tadalafil and belongs to a group of medications called phosphodiesterase 5 (PDE5) inhibitors. For ED, Cialis relaxes the blood vessels leading to the penis so that more blood can flow into it. For BPH symptoms, Cialis relaxes muscles in your bladder, allowing you to urinate more easily. Buy cialis online | Generic cialis.

Cialis is available only by prescription. It’s not available over the counter.

Effectiveness | Buy cialis online | Generic cialis

For information on the effectiveness of Cialis in treating these conditions, please see the “Cialis uses” section below.

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 above 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. Buy cialis online | Generic cialis.

However, if you take Cialis each day for either benign prostatic hyperplasia (BPH) or ED, you’ll always have medication in your system. Therefore, it will continue to work throughout the day. Buy cialis online | Generic cialis.

Cialis uses

The Food and Drug Administration (FDA) approves prescription drugs such as Cialis to treat certain conditions. Cialis may also be used off-label for other conditions. Off-label use is when a drug that’s approved to treat one condition is used to treat a different condition. Buy cialis online | Generic cialis.

Cialis for benign prostatic hyperplasia (BPH) | Buy cialis online | Generic cialis

Cialis is approved by the FDA to treat the symptoms of benign prostatic hyperplasia.

BPH is a condition that occurs in men 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 bladder. 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 if their BPH symptoms improved. The symptoms included urinary urgency (sudden need to urinate), weak urine stream, and straining to urinate. Buy cialis online | Generic cialis.

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 a decrease in their IPSS score of 4.8 to 5.6 points
  • a placebo had a decrease in their IPSS score of 2.2 to 3.6 points

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 man may have trouble having or maintaining an erection so they can have sex. There are many different causes of ED, including:

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.Buy cialis online | Generic cialis.

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 improved. The people in the study took the survey after 4 weeks.Buy cialis online | Generic cialis.

One trial looked at people who took 20 mg of Cialis or a placebo only when needed to treat their ED.

  • People who took Cialis had their IIEF scores improve by 6.9 to 9.3 points. This means that their ED symptoms eased while they were taking Cialis.
  • People who took a placebo either lost points or improved by a maximum of only 0.3 points. Losing points on the scale means that their ED symptoms worsened.Buy cialis online | Generic cialis.

In another trial, people took 2.5 mg or 5 mg of Cialis, or a placebo on an everyday basis to treat their ED.

  • The study showed that for people who took any strength of Cialis, their IIEF scores improved by 6.1 to 9.7 points. This means that their ED symptoms eased while they were taking Cialis.Buy cialis online | Generic cialis.
  • In comparison, people who took a placebo had improvements of only 0.9 to 1.2 points.

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.Buy cialis online | Generic cialis.

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.Buy cialis online | Generic cialis.

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.Buy cialis online | Generic cialis.

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 if their BPH symptoms improved. The symptoms included urinary urgency (sudden need to urinate), weak urine stream, and straining to urinate.Buy cialis online | Generic cialis.

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.Buy cialis online | Generic cialis.

Researchers found the following:

  • People with both ED and BPH who took Cialis had a decrease in their IPSS scores of 6.1 points.
  • In comparison, people who took a placebo had a decrease in their score of about 3.8 points.

This means that, on average, people who took Cialis noticed a larger decrease in their BPH symptoms than people who took a placebo.Buy cialis online | Generic cialis.

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.Buy cialis online | Generic cialis.

Researchers found the following:

  • People who took Cialis had an increase in their IIEF scores of about 6.5 points.
  • In comparison, people who took a placebo had an increase of only 1.9 points.

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 used off-label for other purposes. Off-label drug use is when a drug that’s approved for one use is used for a different one that’s not approved. Below is an example of an off-label use for Cialis.Buy cialis online | Generic cialis.

Cialis for ureteral stones

Cialis isn’t FDA-approved to treat ureteral stones. However, it may be used 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.Buy cialis online | Generic cialis.

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.Buy cialis online | Generic cialis.

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 using 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.

Drug forms and strengths: 2.5 mg, 5 mg, 10 mg, 20 mg

Cialis comes as a tablet that you swallow. It’s available in four strengths: 2.5 mg, 5 mg, 10 mg, and 20 mg.

Dosage for benign prostatic hyperplasia (BPH)

For symptoms of benign prostatic hyperplasia, 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 erectile dysfunction.

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. They 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 have you take two 5 mg tablets of Cialis at once. This will increase the 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 shouldn’t take Cialis more than once a day. In clinical trials, Cialis helped people 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 to use 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 use this drug long term?

If you’re using Cialis to treat BPH, this medication may be a long-term treatment. Cialis may also be used 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 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.

Mild side effects

Mild side effects of Cialis can include:*

Most of these side effects may go away within a few days or a couple of weeks. But if they become more severe or don’t go away, talk with your doctor or pharmacist.

* This is a partial list of mild side effects from Cialis. To learn about other mild side effects, talk with your doctor or pharmacist, or see Cialis’s Patient Package Insert.

Serious side effects

Serious side effects from Cialis aren’t common, but they can occur. Call your doctor right away if you have serious side effects. Call 911 if your symptoms feel life threatening or if you think you’re having a medical emergency.

Serious side effects and their symptoms can include:

  • Changes in hearing. Symptoms can include:
    • trouble hearing
    • ringing in your ears
    • dizziness

Other serious side effects, explained in more detail below in “Side effect details,” include:

Side effect details

You may wonder how often certain side effects occur with this drugHere’s some detail on certain side effects this drug may cause.

Allergic reaction

As with most drugs, some people can have an allergic reaction after taking Cialis. Allergic reactions did occur in clinical trials of Cialis, but it wasn’t reported how many people had them. The allergic reactions included a serious rash and skin conditions such as Stevens-Johnson syndrome (a life threatening rash that causes painful blisters).

Symptoms of a mild allergic reaction can include:

  • skin rash
  • itchiness
  • flushing

A more severe allergic reaction is rare but possible. Symptoms of a severe allergic reaction can include:

  • swelling under your skin, typically in your eyelids, lips, hands, or feet
  • swelling of your tongue, mouth, or throat
  • trouble breathing

Call your doctor right away if you have a severe allergic reaction to Cialis. Call 911 if your symptoms feel life threatening or if you think you’re having a medical emergency.

Headache

Headache is a common side effect that may occur with Cialis. In clinical trials, depending on the condition being treated:

  • between 3% and 15% of people who took Cialis had headaches
  • between 2.3% and 5% of people who took a placebo (treatment with no active drug) had headaches

If you have headaches that are bothersome to you while using Cialis, talk with your doctor. They may be able to recommend ways to help ease this side effect.

Changes in blood pressure

Changes in blood pressure are a possible side effect of taking Cialis. Low blood pressure occurs most often while taking this medication. But high blood pressure can occur as well.

Low blood pressure

Clinical trials looked at blood pressure in people who took 20 mg of Cialis or a placebo. Blood pressure decreased by an average of 1.6/0.8 mm Hg more in the Cialis group than in the placebo group.

A decrease in blood pressure may be more likely if you’re taking Cialis along with other medications that can also lower blood pressure.

Symptoms of low blood pressure can include:

If you have these symptoms while taking Cialis, tell your doctor right away. They’ll help determine what’s causing the low blood pressure and the best way to treat it.

High blood pressure

Although rare, Cialis may also increase your blood pressure. This was a side effect that was reported only in people who took Cialis once a day for erectile dysfunction (ED). In this trial, depending on the condition being treated:

  • between 1% and 3% of people who took the medication had high blood pressure
  • no one who took a placebo had high blood pressure

If you have any symptoms of high blood pressure, such as headaches or chest pain, tell your doctor right away. They’ll help determine what’s causing the increase in blood pressure and the best way to treat it.Buy cialis online | Generic cialis.

Back pain

Back pain is a common side effect with Cialis. In clinical trials, depending on the condition being treated, back pain was reported in:

  • 2% to 6% of people who took Cialis
  • 1% to 3% of people who took a placebo

Back pain usually occurs between 12 and 24 hours after taking Cialis. Usually, back pain goes away within 2 days of taking your dose.

While taking Cialis, if you have back pain that’s bothersome to you or doesn’t go away, talk with your doctor. They may be able to recommend ways to help ease this side effect. Your doctor may also do more testing to see what’s causing your back pain.Buy cialis online | Generic cialis.

Heartburn

Heartburn is a common side effect of Cialis. In clinical trials, depending on the condition being treated, heartburn occurred in:

  • 1% to 10% of people who took Cialis
  • 0.2% to 2% of people who took a placebo

If you have heartburn that’s bothersome to you while taking Cialis, talk with your doctor. They may be able to recommend ways to treat this side effect.

Prolonged erection

It’s possible to get a prolonged erection that lasts more than 4 hours while taking Cialis. It wasn’t reported how many people had a prolonged erection in clinical trials.

This side effect can lead to priapism, which is a painful erection lasting longer than 4 hours. It’s considered an emergency because it can cause permanent damage to your penis, such as being unable to have erections at all.Buy cialis online | Generic cialis.

If you have an erection that lasts longer than 4 hours while using Cialis, see a doctor or go to the hospital right away. The prolonged erection should be treated as soon as possible so that it doesn’t cause lasting damage.Buy cialis online | Generic cialis.

Loss of vision

Very rarely, Cialis may cause a loss of vision in either one eye or both eyes. It’s not known how many people had a loss of vision in clinical trials. Also, it’s not known if Cialis was the cause of vision loss or if other factors play a role.Buy cialis online | Generic cialis.

While taking Cialis, if you have any changes in vision, such as decreased vision or loss of vision, tell your doctor right away. They’ll help determine what’s causing the vision change and how to best treat it.Buy cialis online | Generic cialis.

How to avoid Cialis side effects

The best way to take Cialis is to use it exactly as your doctor directs, either once a day at the same time each day or only as needed. You shouldn’t take any other medications to treat erectile dysfunction (ED) while you’re using Cialis, unless your doctor says that it’s OK. And you should never take Cialis more than once a day.Buy cialis online | Generic cialis.

It’s also important to avoid drinking too much alcohol while you’re using Cialis. (See the “Cialis and alcohol” section below to learn more.)

In addition, be sure to talk with your doctor or pharmacist about any other medications that you’re taking. They’ll be able to determine if the drugs may interact with Cialis and if that may lead to an increased risk of side effects. If you have any questions about the best way to avoid specific side effects from Cialis, talk with your doctor.Buy cialis online | Generic cialis.

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.

Ingredients

The active drug ingredient in Cialis is tadalafil. The active drug ingredient in Viagra is sildenafil. Both Cialis and Viagra belong to a group of medications called phosphodiesterase 5 (PDE5) inhibitors.Buy cialis online | Generic cialis.

Uses

The Food and Drug Administration (FDA) has approved Cialis and Viagra to treat erectile dysfunction (ED) in men. ED is a condition in which you can’t get or keep an erection.

Cialis is also FDA-approved to treat the following in men:

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.Buy cialis online | Generic cialis.

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.Buy cialis online | Generic cialis.

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
  • Can occur with Viagra:
    • abnormal vision
    • nausea
    • dizziness
    • rash
  • Can occur with both Cialis and Viagra:
    • flushing (warmth and redness in your skin)
    • muscle pain

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.Buy cialis online | Generic cialis.

The use of Cialis and Viagra in treating ED has been directly compared in clinical studies.Buy cialis online | Generic cialis.

One study’s results

One study compared men who took Cialis either once a day or as needed with men who took Viagra as needed.

  • The study showed that men in the Cialis group had more improvement in their 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.Buy cialis online | Generic cialis.

Results from a second study

In another ED studyTrusted Source, men 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, the men decided which drug they preferred.Buy cialis online | Generic cialis.

Researchers found that 69.1% of men preferred Cialis and 30.9% of men preferred Viagra. Most often, men reported that they preferred Cialis because the medication lasts longer in the body.Buy cialis online | Generic cialis.

The study also looked at how well the drugs worked to treat ED. This was determined by a portion of a survey the men took called the International Index of Erectile Function (IIEF). A higher score on the IIEF meant that erectile function was better, so ED symptoms improved. Scores for self-esteem and relationship quality were about equal in the two groups.Buy cialis online | Generic cialis.

IIEF scores improved by:

  • an average of 12.03 points for men who originally took Cialis
  • about 11.86 points for men who originally took Viagra

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.Buy cialis online | Generic cialis.

According to estimates on GoodRx.com, the costs of Cialis and Viagra will vary depending on your treatment plan. The generic versions of both Cialis and Viagra cost significantly less than the brand-name versions. The actual price you’ll pay for any of these drugs depends on your insurance plan, your location, and the pharmacy you use.Buy cialis online | Generic cialis.

Cialis vs. Levitra

Like Viagra (above), the drug Levitra has uses similar to those of Cialis. Here’s a comparison of how Cialis and Levitra are alike and different.

Ingredients

The active drug ingredient in Cialis is tadalafil. The active drug ingredient in Levitra is vardenafil. Both Cialis and Levitra belong to a group of medications called phosphodiesterase 5 (PDE5) inhibitors.Buy cialis online | Generic cialis.

Uses

The Food and Drug Administration (FDA) has approved Cialis and Levitra to treat erectile dysfunction (ED) in men. ED is a condition in which you can’t get or keep an erection.Buy cialis online | Generic cialis.

Cialis is also FDA-approved to treat the following in men:

Drug forms and administration

Both Cialis and Levitra come as tablets that you swallow. Cialis can be taken once a day or as needed for sexual activity. Levitra is taken only as needed for sexual activity.Buy cialis online | Generic cialis.

Side effects and risks

Cialis and Levitra both contain medications used 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.Buy cialis online | Generic cialis.

Mild side effects

These lists contain up to 10 of the most common mild side effects that can occur with Cialis, with Levitra, or with each drug (when taken individually).Buy cialis online | Generic cialis.

Serious side effects

These lists contain examples of serious side effects that can occur with Cialis, with Levitra, or with both drugs (when taken individually).Buy cialis online | Generic cialis.

  • Can occur with Cialis:
    • no unique serious side effects
  • Can occur with Levitra:
  • Can occur with both Cialis and Levitra:
    • 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

Effectiveness

Cialis and Levitra have different FDA-approved uses, but they’re both used to treat ED.Buy cialis online | Generic cialis.

The use of Cialis and Levitra in treating ED has been directly compared in a clinical study, but the results weren’t released.Buy cialis online | Generic cialis.

Studies have found both Cialis and Levitra to be effective for treating ED.Buy cialis online | Generic cialis.

Costs

Cialis and Levitra 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 Levitra is called vardenafil. Brand-name medications usually cost more than generics.Buy cialis online | Generic cialis.

According to estimates on GoodRx.com, the costs of Cialis and Levitra will vary depending on your treatment plan. The generic versions of both Cialis and Levitra cost significantly less than the brand-name versions. The actual price you’ll pay for any of these drugs depends on your insurance plan, your location, and the pharmacy you use.Buy cialis online | Generic cialis.

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