It may be taken with or without food. 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. This increased blood flow can cause an erection. Sexual activity may be a strain on your heart, especially if you have heart disease. Talk to your doctor about which dosing schedule is right for you. Tadalafil is also sometimes taken once a day every day without regard to timing of sexual activity. Also tell your doctor if you or any of your family members have or have ever had an eye disease such as retinitis pigmentosa an inherited eye condition that causes loss of vision or if you have ever had sudden severe vision loss, especially if you were told that the vision loss was caused by a blockage of blood flow to the nerves that help you see.El tadalafilo (Cialis) se usa para tratar la disfuncion erectil (DE, impotencia; incapacidad de conseguir o mantener una ereccion), y los sintomas de la hiperplasia prostatica benigna (HPB; prostata agrandada) que incluyen dificultad para orinar (vacilacion, goteo, chorro debil y vaciado incompleto de la vejiga), dolor al orinar, y frecuencia y urgencia urinaria . Cialis is a prescription drug used to treat erectile dysfunction and benign prostatic hyperplasia. Learn how to lower long-term drug costs and test1.rug: precio. Tendras que pedirle a tu farmaceutico que calcule el precio de Cialis con seguro, ya que los copagos varian segun el plan de seguro medico. Con SingleCare, Cialis cuesta .