Buy ED Pill Cialis Tadalafil, Sildenafil Viagra Online COD Pharmacy

Erectile dysfunction (ED) is the inability to get or maintain an erection long enough to have sexual intercourse. There are many different causes, which may include conditions that affect your blood vessels, neurological conditions, mental health conditions and injuries. A healthcare provider can diagnose and treat erectile dysfunction.
Buy Cialis Online
Buy Cialis Online

What Happens When You Use Viagra But Don’t Have ED?

Some of most commonly prescribed and abused drugs in America belong to a drug family called the phosphodiesterase 5 inhibitors. But you probably know them better as Viagra (sildenafil), Cialis, and Levitra. Unless you never watch TV, it’s almost impossible to miss their commercials.

Viagra and the other phosphodiesterase 5 inhibitors are meant to be taken only by men who have erectile dysfunction (ED). Since Viagra was introduced in 1998, the number of men diagnosed with ED has gone up by 250 percent.

Risk factors for ED include older age, obesity, diabetes, heart disease, and high blood pressure. The problem is that men without issues are using these medications. “We are seeing more and more young men without any risk factors for ED asking for ED drugs. They look a lot like the young men dancing around in the TV advertisements, probably too healthy to have ED,” said Rowena DeSouza, MD, associate professor of surgery at the University of Texas Health Science Center at Houston and director of urology at Lyndon B. Johnson Hospital.

Always use Viagra exactly as per your doctor instruction or take advice from your pharmacist. If you have any questions, ask your doctor or pharmacist. Take the tablet, capsule, or liquid form by mouth with or without food. Measure liquid forms of this medication using a special measuring device/spoon. Do not use a household spoon because you may not get the correct dose. If you have a single-dose form of this medication, you do not need to measure the dose. The dosage is based on your age, medical condition, and response to treatment. Do not increase your dose or take this medication more often than directed. Tell your doctor if your condition does not improve or if it worsens.

Pills for Erectile Dysfunction

There are several oral medications approved to treat erectile dysfunction (ED). These pills, known as phosphodiesterase type 5 (PDE5) inhibitors, work by enhancing the effects of nitric oxide, a natural chemical the body produces to relax the muscles in the penis. This increases blood flow, making it easier to achieve and maintain an erection in response to sexual stimulation.

Here are the most common medications:

1. Sildenafil (Viagra)

  • Brand Name: Viagra
  • How It Works: Starts working within 30–60 minutes; effective for 4–6 hours.
  • Key Facts:
    • Best taken on an empty stomach.
    • Requires sexual stimulation to be effective.
  • Side Effects: Headache, flushing, upset stomach, nasal congestion, vision changes (e.g., blue tinge).

2. Tadalafil (Cialis)

  • Brand Name: Cialis
  • How It Works: Takes effect in 30 minutes; lasts up to 36 hours (“the weekend pill”).
  • Key Facts:
    • Can be taken daily in a lower dose or as needed.
    • Offers more spontaneity due to its longer duration.
  • Side Effects: Muscle pain, headache, back pain, flushing.

3. Vardenafil (Levitra, Staxyn)

  • Brand Names: Levitra, Staxyn
  • How It Works: Starts working in about 1 hour; lasts 4–6 hours.
  • Key Facts:
    • Available as a tablet or a dissolvable form (Staxyn).
    • Works best on an empty stomach.
  • Side Effects: Dizziness, flushing, headache, nasal congestion.

4. Avanafil (Stendra)

  • Brand Name: Stendra
  • How It Works: Works within 15–30 minutes; lasts up to 6 hours.
  • Key Facts:
    • Faster onset than others in this class.
    • Can be taken with food.
  • Side Effects: Flushing, headache, nasal congestion, back pain.

 Buy Generic Cialis and Generic Viagra Online?

Yes, it does exist. Our medical team can prescribe it online and our pharmacy can mail it to you in 5mg, 10mg and 20mg dose.

An even lower cost option for ED medicines is generic sildenafil 20mg tablets. Sildenafil is the active ingredient in Viagra. Our medical team can give you a prescription for sildenafil 20mg. The Lemonaid Pharmacy can deliver it to you for $2/pill, including FREE delivery. Our medical team can prescribe it in a 20mg, 60mg or 100mg dose.

Cialis is a brand-name oral tablet that’s prescribed for erectile dysfunction (ED) and benign prostatic hyperplasia (BPH). Cialis contains the active ingredient tadalafil.

The Food and Drug Administration (FDA) has approved Cialis for use in adults to treat ED, BPH, and ED and BPH symptoms together.

How long does Cialis last?

Cialis can work for up to 36 hours in your body.

To treat erectile dysfunction (ED), your doctor may have you take Cialis only as needed before sexual activity. (See the “Cialis dosage” section below to learn more.) In this case, Cialis may keep working for up to 36 hours in helping you have and maintain erections during that time.

However, if you take Cialis each day for either benign prostatic hyperplasia (BPH) or ED, you’ll consistently have medication in your system. Therefore, it will continue to work throughout the day.

How long does Viagra last?

Viagra (sildenafil) typically lasts for 4 to 6 hours, but the exact duration can vary depending on individual factors. Here’s a breakdown of how Viagra works and what affects its longevity:

How Viagra Works

  • Viagra is a phosphodiesterase type 5 (PDE5) inhibitor, which helps relax blood vessels in the penis, allowing for increased blood flow during sexual stimulation.
  • It does not cause an automatic erection but enhances the natural response to sexual arousal.

Cialis vs. Viagra

You may wonder how Cialis compares with other medications that are prescribed for similar uses. Here we look at how Cialis and Viagra are alike and different.

Note: Sex and gender exist on spectrums. Use of the term “male” in this article refers to sex assigned at birth.

Ingredients

The active ingredient in Cialis is tadalafil. The active ingredient in Viagra is sildenafil. Both Cialis and Viagra belong to a group of medications called phosphodiesterase 5 (PDE5) inhibitors.

Uses

The FDA has approved Cialis and Viagra to treat erectile dysfunction (ED) in males. ED is a condition in which you can’t get or maintain an erection.

Cialis is also FDA-approved to treat:

  • symptoms of benign prostatic hyperplasia (BPH), a prostate condition that may cause problems with urination
  • ED and symptoms of BPH together

Drug forms and administration

Both Cialis and Viagra come as tablets that you swallow. Cialis may be taken once a day or just when needed for sexual activity. Usually, Viagra is taken only as needed for sexual activity.

Side effects and risks

Cialis and Viagra both contain medications to treat ED. Therefore, these medications can cause very similar side effects, but some different ones as well. Below are examples of these side effects.

Mild side effects

These lists contain up to 10 of the most common mild side effects that can occur with Cialis, with Viagra, or with both drugs (when taken individually).

  • Can occur with Cialis:
    • pain in your arms or legs
    • heartburn
  • Can occur with Viagra:
    • abnormal vision
  • Can occur with both Cialis and Viagra:
    • headache
    • flushing
    • stuffy nose
    • back pain
    • muscle pain
    • nausea
    • dizziness
    • rash

Serious side effects

This list contains examples of serious side effects that can occur with Cialis and Viagra when taken individually.

  • prolonged erection (an erection that lasts more than 4 hours)
  • loss of vision
  • changes in hearing, such as trouble hearing or ringing in your ears
  • allergic reaction
  • changes in blood pressure

Effectiveness

Cialis and Viagra have different FDA-approved uses, but they’re both used to treat ED.

The use of Cialis and Viagra in treating ED has been directly compared in clinical studies.

One study’s results

One study compared people who took Cialis either once a day or as needed with people who took Viagra as needed.

  • The study showed that people in the Cialis group had more improvement in their sexual confidence than those in the Viagra group.
  • The Cialis group was also less concerned about how long their erection lasted than the Viagra group. This is because Cialis works longer than Viagra.

Results from a second study

In another ED studyTrusted Source, people took either Cialis as needed or Viagra as needed for 4 weeks. They then switched to the other medication for an additional 4 weeks. Finally, people decided which drug they preferred.

Researchers found that more than twice as many people preferred Cialis over Viagra. Most often, people reported that they preferred Cialis because the medication lasts longer in the body.

The study also looked at how well the drugs worked to treat ED, based on the International Index of Erectile Function (IIEF) survey. A higher IIEF score meant that erectile function was better, so ED symptoms improved.

IIEF scores increased by about the same amount (on average) in people who took Cialis or Viagra. Average scores for self-esteem and relationship quality were also about equal in the two groups.

Costs

Cialis and Viagra are both brand-name drugs. Currently, there are generic forms of both drugs. The generic form of Cialis is called tadalafil. The generic form of Viagra is called sildenafil. Brand-name medications usually cost more than generics.

The actual price you’ll pay for any of these drugs depends on your insurance plan, your location, and the pharmacy you use.

Visit Optum Perks to find coupons and savings for Cialis and Viagra.

Cialis uses

The Food and Drug Administration (FDA) approves prescription drugs such as Cialis to treat certain conditions. Cialis may also be prescribed off-label for other conditions. Off-label use is when a drug that’s approved to treat one condition is prescribed to treat a different condition.

Note: Sex and gender exist on spectrums. Use of the term “male” in this article refers to sex assigned at birth.

Cialis for benign prostatic hyperplasia (BPH)

Cialis is approved by the FDA to treat the symptoms of benign prostatic hyperplasia.

BPH is a condition that can occur in males as they age. It happens when the prostate gland slowly increases in size but isn’t cancerous. As the prostate gland gets bigger, it begins to push on your urethra. So eventually you may experience symptoms of BPH, including:

  • needing to urinate often, especially at night
  • straining to urinate
  • producing a weak stream of urine
  • being unable to urinate
  • feeling that your bladder didn’t empty after urinating

Effectiveness

Cialis was an effective medication to treat symptoms of BPH in clinical trials.

Researchers used a scale called the International Prostate Symptom Score (IPSS). IPSS is a questionnaire that was given to people to determine whether their BPH symptoms improved. The symptoms included urinary urgency (sudden need to urinate), weak urine stream, and straining to urinate.

A higher score meant that symptoms of BPH were worse. The goal was to have a lower score, which indicates that people have had fewer and less severe symptoms of BPH.

The studies looked at people with BPH who took Cialis or a placebo (treatment with no active drug). Researchers found that people who took Cialis had more of a decrease in their IPSS score than people who took a placebo. This means that the Cialis group noticed a larger decrease in the number and severity of BPH symptoms than the placebo group.

Cialis for Erectile Dysfunction (ED)

Cialis is FDA-approved to treat erectile dysfunction.

ED is a condition in which a male may have trouble having or maintaining an erection so they can have sex. There are many different causes of ED, including:

  • illness
  • conditions that can affect the nerves or blood, such as diabetes or high cholesterol
  • emotional factors, such as stress, depression, or anxiety

Sometimes ED can be helped by simply addressing the cause, such as treating an illness or anxiety. In other cases, you may need medication such as Cialis to treat your ED.

Effectiveness

Cialis was shown in clinical trials to be an effective medication to treat ED. The drug was studied using part of a survey called the International Index of Erectile Function (IIEF). A higher score on the IIEF meant that erectile function was better, so ED symptoms were reduced. The people in the study took the survey after 4 weeks.

One trial looked at people who took Cialis or a placebo only when needed to treat their ED. People who took Cialis had their IIEF scores improve significantly. This means their ED symptoms eased while they were taking Cialis.

People who took a placebo either lost points or had their score improve by less than a point. Losing points on the scale means their ED symptoms worsened.

In another trial, people took Cialis or a placebo on an everyday basis to treat their ED. The study showed that for people who took Cialis, their IIEF scores improved significantly. This means their ED symptoms eased while they were taking Cialis. In comparison, people who took a placebo had their scores improve by a much lower amount.

Cialis for ED and BPH

Cialis is FDA-approved to treat both ED and the symptoms of BPH together. These are two different conditions and aren’t usually caused by the same issues. For details on ED and BPH, see the “Cialis for benign prostatic hyperplasia (BPH)” and “Cialis for erectile dysfunction (ED)” sections above.

In some cases, medications for BPH, such as dutasteride (Avodart), may cause a lower libido (sex drive) and result in ED. However, ED and BPH are common in aging males, and aren’t necessarily related.

Effectiveness

Cialis was an effective medication in clinical trials for people with both ED and BPH. The studies used two different questionnaires, one for ED symptoms and one for BPH symptoms, to determine how well the medication worked.

Measuring results for BPH symptoms

To measure improvement of BPH, researchers used a scale called the International Prostate Symptom Score (IPSS). IPSS is a questionnaire that was given to people to determine whether their BPH symptoms improved. The symptoms included urinary urgency (sudden need to urinate), weak urine stream, and straining to urinate.

A higher score meant that symptoms of BPH were worse. The goal was to have a lower score, which indicates that people have had fewer and less severe symptoms of BPH.

Researchers found that people with ED and BPH who took Cialis reported a more significant decrease in their IPSS scores than people who took a placebo. This means that, on average, people who took Cialis noticed a larger decrease in their BPH symptoms than people who took a placebo.

Measuring results for ED

To measure the improvement of ED symptoms, researchers used part of a survey called the International Index of Erectile Function (IIEF). People with both ED and BPH took the survey after 4 weeks. A higher score on the IIEF meant that erectile function was better, so ED symptoms improved.

Researchers found that people who took Cialis had a more significant increase in their IIEF scores (on average) than people who took a placebo. This means that people who took Cialis usually had greater erectile function than people who took a placebo.

Off-label use for Cialis

In addition to the uses listed above, Cialis may be prescribed off-label for other purposes. Off-label drug use is when a drug that’s approved for one use is prescribed for a different one that’s not approved. Below is an example of an off-label use for Cialis.

Cialis for ureteral stones

Cialis isn’t FDA-approved to treat ureteral stones (a type of kidney stone). However, it may be prescribed off-label for this purpose. A clinical trialTrusted Source compared Cialis with tamsulosin (Flomax), a drug that’s often used to treat ureteral stones. The study showed that more people who took Cialis were able to pass their stones than people who took tamsulosin.

Ureteral stones usually start out as kidney stones and then move into the ureter (the tube that urine travels in from the kidney to the bladder). Kidney stones are minerals that form a stone inside a kidney.

Cialis may work to treat ureteral stones by relaxing the ureter muscles. This makes the ureter wider, which can help you pass the stones more easily.

If you have questions about taking Cialis for ureteral stones, talk with your doctor.

Recreational ED Drug Use and Abuse

“Men who are doctor shopping for these drugs and getting more refills than they need are using them not to get an erection, but to get a longer erection. That is recreational use, not appropriate use,” said Dr. DeSouza.

A review of 46 articles on phosphodiesterase type 5 inhibitor abuse was published in the journal Current Drug Abuse Reviews in 2011. One reason cited for abuse was easy access to ED drugs. A search for Internet drug stores found over six million hits at 7,000 Internet pharmacies. Only 4 percent of the sites were in proper compliance, according to the Verified Internet Pharmacy Practice Sites program.

Another concern with getting ED drugs at online pharmacies is that the drugs may be fake, contaminated, expired, ineffective, or unsafe to use.

The Dangers of Misusing ED Drugs

“These drugs have known risks that all men need to know about. They can be misused if men are not aware of the dangers,” said DeSouza. Even if you have ED, you can potentially misuse a phosphodiesterase 5 inhibitor and increase cardiovascular risks if you:

  • Also take medications for chest pain called nitrates
  • Have active coronary heart disease
  • Have congestive heart failure
  • Have low blood pressure
  • Take several medications for high blood pressure
  • Have exercise intolerance

The Dangers of Abusing ED Drugs

“One important danger that men need to know about if they are using ED drugs recreationally is drug dependence. Men who take the drugs for longer and larger erections may find that they actually develop ED without the drugs. This could mean having to use more aggressive treatments like injections or implants to treat ED in the future,” warned DeSouza.

Reports of dangers from ED drug abuse run the gamut from unsafe sex practices and a heightened sexually transmitted infection (STI) risk to fatal drug interactions. They include these specifics:

  • A five-fold increase in unsafe sex among men who have sex with men
  • A two-fold increase in STIs
  • Dangerous and potentially fatal mixing of ED drugs with club drugs such as ketamine and amyl nitrite

A 2011 survey on recreational use of ED medications published in the journal Archives of Sexual Behavior included responses from 1,994 men attending 497 colleges across the country. Four percent of these men admitted to using ED drugs recreationally. A majority of the recreational users mixed ED drugs with illegal drugs and engaged in risky sexual behaviors. Recreational use was associated with substance abuse and a higher number of sex partners.

“It is hard to know how many men are using ED drugs recreationally,” said DeSouza. “Studies are hard to do because they rely on self-reporting. Men who want to use these drugs can often get them by answering questions about erectile dysfunction appropriately when they talk to a doctor. They know the symptoms of ED.”

The Bottom Line on ED Drugs: Be Informed

Don’t merely focus on the beautiful, happy people in the ED ads on television. Listen to the voiceover about side effects and contraindications. “If you have not been properly evaluated by your doctor and properly prescribed an erectile dysfunction drug, you should not be taking one,” warned DeSouza.

Ask your doctor if you are healthy enough to use Viagra or the other ED drugs. Make sure you know the side effects. Tell your doctor about any other drugs you take. Drug interactions are possible with lots of common drugs including drugs for blood pressure, angina, blood thinners, and seizures.

And, by the way, an erection that lasts four hours is not a good thing. It is painful and dangerous.

Viagra and the other phosphodiesterase 5 inhibitors are great drugs for the right men. They may induce an erection in over 80 percent of men with ED. Many millions of men have used these drugs safely and appropriately.

But if you don’t have ED, you don’t need them. If you are concerned about ED, talk with your doctor — searching for Viagra on the Internet can have disastrous consequences.

More Erectile Dysfunction Information

Proper Use of ED Pills

Use tadalafil exactly as directed by your doctor. Do not use more of it, do not use it more often, and do not use it for a longer time than your doctor ordered. Also, do not stop taking this medicine without checking first with your doctor.

This medicine comes with a patient information leaflet. Read and follow these instructions carefully. Read it again each time you refill your prescription in case there is new information. Ask your doctor if you have any questions.

You may take this medicine with or without food.

Swallow the tablet whole. Do not split, break, chew, or crush it.

Chewable tablets: Chew the tablet completely before swallowing. Do not swallow it whole. Do not break or split it.

When using this medicine for erectile dysfunction, the ability to have sexual activity may be improved for up to 36 hours after taking the tablet.

Use only the brand of this medicine that your doctor prescribed. Different brands may not work the same way.

Do not eat grapefruit or drink grapefruit juice while you are using this medicine. Grapefruit and grapefruit juice may change the amount of this medicine that is absorbed in the body.