If you do not meet the NHS criteria for tadalafil, you may get a private prescription from a doctor. The dose may be increased to 20 mg or decreased to 5 mg, based on individual efficacy and tolerability. Because patients with recent heart attacks or stroke, heart pains angina , heart failure, uncontrolled blood pressure or uncontrolled irregular heart beats, severe liver disease, and retinal eye problems were not studied with Cialis, Cialis is not recommended for these patients. In a clinical pharmacology study, tadalafil 20 mg resulted in a mean maximal decrease in supine blood pressure, relative to placebo, of 1. If you need emergency medical care for a heart problem, it will be important for your health care provider to know when you last took Cialis. Patients with left ventricular outflow obstruction, e. They include dutasteride Avodart, Jalyn and finasteride Propecia, Proscar.Looking for Cialis products online? Buy Cialis products & get great deals & offers up to 70% Off* on a large variety of products to select from. Check out now! Get Cialis and Tadalafil pill online. Try the generic Cialis option for a fraction of the cost, after speaking with one of our online medical test1.rug: dubai. Tadalafil (Cialis). This medication is taken with or without food an hour before sex. It works for up to 36 hours. You can take it in a small dose daily or in a larger dose as needed. Treatments for erectile dysfunction are big business, and online scams abound. If you do buy medicines over the internet: Check to see if an online .