Tadalafil may not be safe for people with certain medical conditions, including people who have had a stroke , have coronary heart disease or retinitis pigmentosa an eye disease. Your primary care doctor should always know what medications you’re taking, including ED pills prescribed by another provider. That’s not to say there aren’t just as many illegitimate sites. Other warning signs of an unsafe online pharmacy include outdated medication, no customer service, or suspiciously low prices. Cialis tadalafil : This ED medication works with the same principle as Viagra, but lasts up to 36 hours. Most online providers require a picture of a valid ID, a selfie showing your face, and a recent blood pressure reading taken with a home blood pressure monitor or by a medical provider. According to the FDA, generic medications contain the same active ingredients as brand names, meaning there’s no difference in effectiveness or safety. · The most promising supplement for boosting testosterone, according to Dr. Desai, is ashwagandha. A study in the American Journal of Men’s Health examined overweight men, ages 40 to 70, with. The recommended starting dose for Cialis intended for once daily use is mg, take at the same time each day, without regard to timing of sexual activity. This may be increased to 5mg/day based on need and tolerability. May be taken with or without food. Cialis is available as a generic, under the name tadalafil. 3. Sildenafil, or generic Viagra ®, is the active ingredient in Viagra ® and the name of the generic version used by Hims and other pharmacies. Hims At-a-Glance Cialis ®, Levitra ®, and.

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