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Cialis is a brand-name medication with approval to treat erectile dysfunction and other sexual health conditions in males. It is available to buy from some online telehealth companies but requires a prescription.

This article explores Cialis in more detail and lists some companies that offer this drug. It also looks at some safety considerations, frequently asked questions, and when to speak with a doctor for erectile dysfunction.

A quick look at the best places to buy Cialis online:

  • Best affordable Cialis: Roman
  • Best for insurance coverage: Lemonaid
  • Best subscription with free consultations: Hims
  • Best for discreet packaging: K Health
  • Best for affordability: Optum Perks

Cialis is a medication that doctors may prescribe to people who have difficulty maintaining an erection.

Its main ingredient is tadalafil, which helps increase blood flow to the penis to cause an erection. Tadalafil is also useful for treating pulmonary hypertension and symptoms of an enlarged prostate.

Tadalafil tablets are available with a prescription. Individuals can take them with or without food.

Depending on how the body responds to the medication, doctors may adjust a person’s Cialis prescription dosage. If a person experiences side effects such as dizziness, headaches, and a rapid heartbeat, they should inform their doctor and stop taking Cialis immediately.

Learn more about Cialis here.

Viagra is another brand of medication that can treat erectile dysfunction. It contains sildenafil, whereas Cialis contains tadalafil.

Learn more about Viagra here.

FDA approval

Both Cialis and Viagra belong to a group of medications that researchers call phosphodiesterase 5 (PDE5) inhibitors. These include sildenafil, tadalafil, vardenafil, and avanafil, which have the Food and Drug Administration (FDA)’s approval to treat erectile problems.

Side effects

Tadalafil, or Cialis, does not usually cause significant side effects. However, some people may develop mild side effects, including:

Cialis may not suit those with chest pain and take nitrates, as this combination can lower blood pressure to a dangerous level.

Individuals who take Viagra or sildenafil may experience:

Available forms and administration

Viagra and Cialis are both available as tablets.

People may take tadalafil once daily or 30 minutes before engaging in sexual activity.

People can take sildenafil up to 4 hours before sexual intercourse.

Medical News Today chooses ED products that meet the following criteria:

  • Company reputation: MNT selects products from brands that have undergone internal vetting of medical and business standards. The brands we choose are reputable and reliable, with positive reviews and transparent business practices.
  • Product transparency: MNT selects products that state ingredients, side effects, and recommended dosage clearly.
  • Safety: MNT selects brands that require a doctor’s prescription before customers can order Cialis. This ensure that a person can safely take Cialis and that the provider is responsible.
  • Price:MNT selects products that suit a range of budgets, including choosing brands that offer both brand-name and generic Cialis.

Please note that the writer of this article has not tried these products. All information presented is purely research-based and correct at the time of publication.

Medical News Today follows a strict product selection and vetting process. Learn more here.

Best affordable Cialis: Roman

Roman sells the following versions of Cialis:

  • Generic: This is available in tablets of 2.5, 5, 10, and 20 mg, starting from $11.
  • Daily Generic: This is available in doses of 2.5 and 5 mg at $8.
  • Branded Cialis: This is available in doses of 2.5, 5, 10, and 20 mg, starting from $17.
  • Daily branded Cialis: This version comes in doses of 2.5 and 5 mg, costing $13.

Roman’s doctors do not currently treat BPH, so the medication is only available from this company for individuals with erectile dysfunction.

The company requires people to have an online consultation with a doctor before issuing a prescription, which occurs within 24 hours of a person enquiring. The consultation costs $15 and is currently available to people in the United States.

If the doctor thinks the medication is not suitable for the individual and they do not issue a prescription, a customer will receive a full refund. Please note that there is no insurance coverage for consultations.

Roman also offers free 2-day shipping and follow-up visits.

Learn more about Roman.

Also, the platform’s services come with pros and cons:

Pros

  • refunds when prescriptions do not apply
  • free shipping
  • free follow-up visits
  • option to cancel a subscription at any time

Cons

  • only available to U.S. residents
  • possible shipping delays

Best for insurance coverage: Lemonaid

Lemonaid sells Cialis in these forms:

  • As needed: Pricing starts at $65 per tablet. This is available in doses of 5 milligrams (mg), 10 mg, and 20 mg.
  • Daily: A 5-mg tablet with brand pricing starting from $50 per tablet.
  • Generic tadalafil: A 20-mg tablet starting at $2 per tablet and higher doses starting at $25 per tablet.

To obtain tadalafil from Lemonaid, a person fills in a private online assessment, giving details about their medical history and other medications. After this, a doctor or nurse makes contact within 1 day. Some states require a video chat, while others require a short phone call.

These consultations usually cost around $25, covering the prescription, not the medication. The company also needs a blood pressure reading, and a person can obtain this by finding a machine near them.

In addition, insurance does not cover the cost of medical consultation. However, it may cover the cost of the medication, so a person can contact their insurance provider for more information.

Learn more about Lemonaid.

Pros

  • possible insurance coverage for medications
  • the medical team gets in touch with users within 24 hours
  • discreet packaging and free shipping

Cons

  • no insurance coverage for consultations
  • requires in-person blood pressure reading test

Best subscription with free consultations: Hims

Hims sells both the brand-name and generic form of Cialis, and it offers a 5-mg dose that people can take once daily, with or without food.

Those who wish to use Hims’ services must complete a questionnaire about their medical history, lifestyle, and symptoms. The company can connect them with a qualified healthcare professional in the same state.

At Hims, Cialis is available as:

  • Daily generic: Available as a 2.5- or 5-mg daily pill.
  • Generic: Available in doses of 5 mg, 10 mg, or 20 mg for when a person needs it.
  • Branded Cialis: Available in doses of 2.5 mg, 5 mg, 10 mg, and 20 mg for when a person needs it.

The cost of the medication is $570 per month for Branded Cialis and $240 per month for generic tadalafil

Online consultations are free of charge.

Insurance does not cover product fees, but the prices are 50–80% less than the retail cost.

Learn more about Hims here.

Hims offers advantages and disadvantages that a person may consider:

Pros

  • free online consultations
  • response within 24 hours
  • different products available for men
  • works with fully-licensed doctors

Cons

  • insurance coverage may not be possible
  • requires people to upload a photo ID and enter their personal information

Best for discreet packaging: K Health

K Health offers medical care and prescription medications online like other telehealth providers. A person can use the website or app to book consultations with doctors and manage any resulting prescriptions.

K Health offers generic Cialis in doses of 5 mg, 10 mg, or 20 mg, starting from $1.80 per 10-mg dose.

According to the company’s website, a person must complete an online assessment before matching with a doctor.

Patients do not need to use medical insurance. Instead, they can pay $35 per doctor’s appointment or $49 for unlimited consultations. However, this cost only covers the appointment and not the prescription.

K Health doctors are available 24-7.

Learn more about K Health.

Pros

  • doctors are available any time
  • suitable for persons without insurance
  • unlimited chat messaging

Cons

  • may not be appropriate for all health conditions
  • does not work with any health insurance providers

Best for affordability: Optum Perks

Optum Perks is a sister site of Medical News Today. It offers discounts to help you find the lowest cost pharmacy for your prescriptions.

Optum Perks offers several medications and compiles pharmacy prices to help people find the lowest-cost drug.

The company sells generic tadalafil in 5, 10, and 20 mg doses. People can choose from a 30, 90, or 180-day supply, with each bottle containing enough for 1—6 daily doses.

Optum Perks also sells branded Cialis in 2.5, 5, 10, and 20 mg doses. People can choose from a 30 or 90-day supply, with each bottle containing enough for 1—6 daily doses.

To order from the website, a person will need a valid prescription. People can fill out an online questionnaire on the website to receive a prescription from Optum Perk’s team of pharmacists and accredited medical professionals.

An online visit costs $55. Optum Perks does not accept insurance for online visits but does accept FSA and HSA payments.

Optum Perks offers tadalafil from $15 per bottle without insurance. Cialis starts from $449.90. The price may vary depending on a person’s prescription.

Pros

  • offers a range of doses in 1—6 month supplies
  • offers competitive prices for tadalafil
  • people can access the company’s team of pharmacists and medical professionals at any time
  • people can receive a prescription for tadalafil on the website
  • the company takes insurance

Cons

  • Optum Perks may not always offer the lowest tadalafil price
  • shipping takes two weeks, which may be longer than some competitors
  • an online visit may be more expensive than some competitors

The table below compares the above brands for buying Cialis online:

LemonaidRomanHimsK HealthOptum Perks
Pricegeneric: between $2 and $25 per tablet

branded as needed: $65 per tablet

branded daily: $50 per tablet
generic: from $8

branded as needed: from $17

branded daily: $13

generic: $240 per month

branded: $570 per month
$1.80 per 10-mg dosegeneric: from $15

branded: from $499.90
Consultation feearound $25$15free$35 per appointment or $49 for unlimited consultations$55 per visit
Shipping2–3 business days2 days5–7 business days5–7 business days2 weeks
Insurance accepted?yes, but it sends prescriptions to a local pharmacynononoyes

The price of Cialis varies considerably depending on which pharmacy a person uses.

The following table provides an overview of prices of generic Cialis, according to Optum Perks.

Branded Cialis is considerably more expensive, starting from $352.

Optum Perks offers coupons that are valid at the above pharmacies and many other independent stores. People can visit the company’s website and redeem the coupons online.

When considering which generic or branded Cialis, a person should first consult with a medical professional to determine the best version and dosage for them.

In addition, an individual may wish to research the company to ensure it conducts itself ethically and provides quality products equivalent to other verified generic or branded medications.

Cialis comes as a tablet that people can take either with or without food.

Individuals with erectile dysfunction and are sexually active should take this medication at least 30 minutes before engaging in sexual activity. They can also take it once daily if they do not wish to keep track of the timing of sexual activity. People should not take more than one tablet within 24 hours.

An on-demand dose is 10 or 20 mg, while a daily dose should be 2.5 or 5 mg.

People should always follow the doctor’s instructions, as they may increase or decrease the dose depending on how the person’s body responds to treatment.

In addition, those who have erectile dysfunction or BPH symptoms and choose to take Cialis once per day should take it around the same time daily. Daily dosing may suit people who have frequent sexual intercourse or prefer more spontaneity.

People who experience regular symptoms of erectile dysfunction should contact a doctor to discuss treatment options.

Some symptoms include:

  • getting occasional erections but not before having sex
  • difficulty keeping an erection
  • not being able to get an erection

When taking Cialis, a person should consult a doctor or seek emergency medical treatment if they develop any of the following symptoms:

The following are some frequently asked questions about Cialis.

How to get Cialis or tadalafil online?

A person can purchase branded Cialis or generic tadalafil online from a reputable telehealth provider. This typically involves filling out an online assessment, after which a medical professional reaches out for a virtual consultation and provides the prescription. However, a person must purchase the medication from a reputable telehealth provider.

Is it safe to buy Cialis online?

The FDA warns that many pharmacies are operating online. A person should always check reviews and recognize the signs that help them determine whether an online pharmacy is reputable or not.

According to the FDA, online pharmacies are likely safe if they:

  • require a doctor’s prescription
  • have headquarters in the U.S. and provide a physical address and telephone number within the country
  • have licensed pharmacists or physicians
  • have a license with the state board of pharmacy

Can people buy Cialis over the counter?

Cialis is only available with a prescription. Some online pharmacies can provide prescriptions if the customer does not already have one.

Can people get Cialis without visiting a doctor?

A person does not need to consult a doctor to get Cialis treatment, as they can use telemedicine services to receive prescriptions. However, they may have to book an online consultation with a licensed healthcare professional if they use these services.

In addition, individuals should not give their prescribed medication to others.

Those with erectile dysfunction or BPH symptoms should seek medical advice, as the medication can cause side effects and interact with other medications. Additionally, the drug may not be safe for everyone.

Do you need a prescription for Cialis?

Cialis is only available with a prescription. There is no need to visit an in-person doctor’s clinic for this, as a person can use a telehealth company’s service if they wish to talk with a doctor online.

How do I make sure I get genuine Cialis?

People who do not feel comfortable discussing their sexual health problems with a physician face to face, can check whether a telehealth company offers the services and treatment that they may need.

Getting Cialis from an online provider can be safe. Make sure that the company meets the following criteria:

  • has positive reviews
  • works with licensed doctors
  • offers doctor consultations
  • can issue prescriptions

Various online pharmacies offer Cialis. A person may need an online consultation with a licensed doctor who may prescribe if the drug suits the individual.

An online pharmacy’s services may be safe if the company asks for a prescription and has a valid, U.S.-based address, phone number, and a suitable license with the state board of pharmacy.