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. Tell your doctor if any of these symptoms are severe or do not go away: headache. If you are already taking medication to treat BPH, your doctor may tell you to stop taking your other medication at least one day before starting treatment with tadalafil. Take tadalafil at around the same time every day. In , Pfizer scientists discovered that sildenafil, which also inhibits the PDE5 enzyme, caused penile erection in males participating in a clinical study of a heart medicine. How should this medicine be used?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. The cost for Cialis oral tablet mg is around $ for a supply of 30 tablets, depending on the pharmacy you visit. Valid at all major chains including Walgreens, CVS Pharmacy, Target, WalMart Pharmacy, Duane Reade and 65, pharmacies nationwide. No manufacturer promotions could be found for this medication. Compare prices and print coupons for Cialis (Tadalafil (Cialis)) and other drugs at CVS, Walgreens, and other pharmacies. Prices start at $

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