This is a serious condition that requires immediate medical attention. If you ever need emergency medical treatment for a heart problem, the health care providers who treat you will need to know when you last took tadalafil. Be sure to mention any of the following: alpha blockers such as alfuzosin Uroxatral , doxazosin Cardura , dutasteride Avodart, in Jalyn , prazosin Minipress , silodosin Rapaflo , tamsulosin Flomax, in Jalyn , and terazosin; amiodarone Cordarone, Pacerone ; certain antifungals such as fluconazole Diflucan , griseofulvin Grifulvin, Gris-PEG , itraconazole Onmel, Sporanox , ketoconazole Extina, Ketozole, Nizoral, Xolegel , and voriconazole Vfend ; aprepitant Emend ; bosentan Tracleer ; carbamazepine Carbatrol, Epitol, Tegretol, Teril, others ; clarithromycin Biaxin, in Prevpac ; diltiazem Cardizem, Cartia,Tiazac, others ; efavirenz Sustiva, in Atripla ; erythromycin E. Tadalafil Adcirca is used to improve the ability to exercise in people with pulmonary arterial hypertension PAH; high blood pressure in the vessels carrying blood to the lungs, causing shortness of breath, dizziness, and tiredness. If you are taking tadalafil on a regular schedule, take it at around the same time every day. Tell your doctor if tadalafil is not working well or if you are experiencing side effects. How can I buy tadalafil?N Main St Chase City, VA mi Closed () Get Coupon Add to Pricing Basket FOOD LION PHARMACY AS LOW AS $ Use this coupon to get this . CIALIS for Use as Needed. Creatinine clearance 30 to 50 mL/min: A starting dose of 5 mg not more than once per day is recommended, and the maximum dose is 10 mg not more than once in every 48 hours. Creatinine clearance less than 30 mL/min or on hemodialysis: The maximum dose is 5 mg not more than once in every 72 hours [see . Yes. Cialis is approved by the FDA to treat erectile dysfunction (ED). Our medical team can prescribe Cialis 5mg, 10mg, and 20mg. The starting dose we generally recommend is 10mg. Tadalafil is the name for the active chemical ingredient in Cialis. PDE-5 inhibitors is the name of the group of medicines.