When purchasing via boots. 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 pulmonary hypertension it works by relaxing blood vessels in the chest. Tadalafil is available on prescription only. As a pharmacy medicine, patients need to have a consultation with a pharmacist in person when buying in store.Cialis comes in several different strengths, including: milligrams (mg) 5 mg. 10 mg. 20 mg. The cost for these different strengths depends on whether you have insurance, your individual plan. About tadalafil Brand names: Cialis, Adcirca. About tadalafil. Tadalafil is a medicine used to treat erection problems (erectile dysfunction) and symptoms of an enlarged prostate (benign prostate enlargement). It’s also sometimes used to treat pulmonary hypertension (high blood pressure in the blood vessels that supply the lungs). Tadalafil 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). It is sometimes known by its generic name tadalafil, and sometimes known by its trade name, Cialis. There are also other brands of this medicine available.