Healthcare providers have experience talking about ED and providing treatment options without any judgment or shame. Cialis and Viagra Interactions Cialis and Viagra can both interact with other medications, including several medications used to treat hypertension high blood pressure and other cardiovascular health issues. There are plenty of non-alcoholic wines and beers available to help cure the need for needing the taste of these items, and with the new e-cigs on the market, quitting smoking has never been easier. If you are a Mayo Clinic patient, this could include protected health information. Shipping: Discreet, fast shipping is a must. Your doctor or other health care professional can recommend one for you based on these factors, other health conditions you have and any other medicines you take. Tadalafil will make these symptoms less severe and reduce the chance that prostate surgery will be needed.Tadalafil (Cialis) is taken by mouth either as needed before sexual activity or once daily for erectile dysfunction (ED).It’s also taken once daily to treat symptoms from an enlarged prostate (benign prostatic hyperplasia, or BPH).Tadalafil (Cialis) is available both as brand-name and generic tablets. Common side effects of this medication include . Tadalafil (Cialis) is a phosphodiesterase-5 enzyme (PDE-5) inhibitor. It works by blocking PDE This is a protein in your body that breaks down the molecules that normally cause an erection. When it blocks PDE-5, tadalafil (Cialis) helps an erection occur by allowing certain muscles in the penis to relax and the penis to fill with blood. The four main medicines taken by mouth for erectile dysfunction are: Avanafil (Stendra). Sildenafil (Viagra). Tadalafil (Cialis). Vardenafil. These medicines are called PDE5 inhibitors. They enhance the effects of a chemical the body makes that relaxes muscles in the penis, called nitric oxide.