Tadalafil is also sometimes taken once a day every day without regard to timing of sexual activity. 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. You can only get it on prescription for erectile dysfunction if you have a specific condition such as multiple sclerosis or a spinal cord injury. 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. Communicate with your partner and interact with them after you take Cialis to help the medication work.Tadalafil (Cialis) is a medicine used to treat erectile dysfunction (ED, also called impotence) and problems with urination caused by an enlarged prostate (benign prostatic hypertrophy or BPH). Tadalafil works by helping to relax the blood vessels in the penis, allowing blood to flow into the penis, and causing an erection. AdGet your ED medication shipped in an unmarked package within 4 hours at $0 delivery fee. Sorry no cure – not in our vocabulary! Find legit ED treatment affordably and conveniently. Roman is a telehealth prescription service and online pharmacy that provides prescription Cialis for ED and a host of other conditions, like hair loss, cold sores, and premature ejaculation. When.