This information is reviewed by a licensed practitioner who will assess your eligibility for the medication. Generic vs. 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. Those with pre-existing conditions should always consult a healthcare provider before taking new medications or supplements. According to the FDA, generic medications contain the same active ingredients as brand names, meaning there’s no difference in effectiveness or safety.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 GoodRx coupon. Cialis and generic tadalafil are available in four different strengths— mg, 5 mg, 10 mg and 20 mg—but which one should you take? If you’ve never tried Cialis before, your doctor will likely start you on a low dose, like mg or 5 mg. The 20 mg tablet is the highest strength and is often not preferred because it has the potential to. Here are a few of our top picks for buying generic Cialis online: Hims; Roman; Lemonaid; Optum Store.