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. More serious side effects may include a drop in blood pressure or an erection that lasts longer than four hours. Never purchase ED medications from a site or service that doesn’t require a prescription and medical documentation. Those with a history of blood pressure or heart issues, hormonal imbalances, mental health issues, and diabetes should consult their doctor before trying PDE5 inhibitors. Contact your medical provider if you experience any side effects during treatment. In some cases, ED can cause a strain on relationships and impact self-esteem.Cialis (tadalafil) is a prescription drug used to treat erectile dysfunction (ED) and benign prostatic hyperplasia (BPH). It belongs to a class of drugs called phosphodiesterase type . Extended Release Male Enhancement Supplement – 15 ea. $ $ / ea$ Extra 15% off $30 Sitewid Pickup. Same Day Delivery unavailable. Shipping. Add to cart. Find the most popular and affordable Erectile Dysfunction medication. Save with or without insurance on brand and generic alternatives used to treat Erectile Dysfunction.