They require a prescription for any controlled substance and have a licensed pharmacist to answer questions rather than support staff. 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. According to the FDA, generic medications contain the same active ingredients as brand names, meaning there’s no difference in effectiveness or safety. Most companies have an FAQ or shipping policy page you can reference to learn whether discreet packaging is available. The most common symptoms of erectile dysfunction include difficulty achieving or maintaining an erection and reduced sexual desire. Shipping: Discreet, fast shipping is a must. The starting dose we generally recommend is the 10mg pill.Generic Cialis (tadalafil): Starting at $39/month; Generic Cialis Daily (tadalafil): Starting at $89/month; Branded Viagra: Starting at $70/dose; Branded Stendra: Starting at $59/dose; Branded Cialis Daily: $/month. Try the generic Cialis option (Tadalafil) for the same ED treatment but at a fraction of the cost of Cialis. Speak with a medical professional online today. Cialis (tadalafil) is a popular medication used to treat erectile dysfunction. It’s available in tablets ranging from mg to 20mg. It can cost more than $ for a month’s supply, depending on the dosage you need and the pharmacy you visit. You can save more than 90% on the average retail price at certain pharmacies by using a .