PDE5 is found in platelets. Finally, we checked customer reviews to better understand user experiences with each platform. You could get dizzy, faint or have a heart attack or stroke. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Can Cialis be used with other treatments for impotence? How should this medicine be used? Take tadalafil at around the same time every day.Optum Store offers several ED medications with free and discreet shipping. The company sells generic tadalafil in 5, 10, and 20 mg doses. People can choose from a 30, 90, or day supply, with. Patients should not use CIALIS if sex is inadvisable due to cardiovascular status ().Use of CIALIS with alpha-blockers, antihypertensives or substantial amounts of alcohol (≥5 units) may lead to hypotension (, ).CIALIS is not recommended in combination with alpha-blockers for the treatment of BPH because efficacy of the . 2 days ago · When taken once a day, CIALIS allows you to obtain an erection, when sexually stimulated, at any time point during the 24 hours of the day. Do not take once-a-day dosing and on-demand dosing.