Remember, it’s not just about one aspect of health; it’s about embracing a brighter, healthier future in every sense. Comparison with actions of other PDE5 inhibitors[ edit ] Sildenafil and vardenafil inhibit PDE6, an enzyme found in the eye, more than tadalafil. Tadalafil works for these conditions by promoting muscle relaxation, which improves blood flow in PAH and urinary flow in BPH. An erection is the result of an increase in blood flow into certain internal areas of the penis. But with every wave of information we ride, like the one on Cialis today, we are better equipped to make informed decisions.AdFree & Private Online Consultant with Real Doctors. Reliable E.D. Meds Shipped Discreetly. Save Time & Money and Get Your ED Meds Prescription & Refills Online. Discreet health: Premature Ejaculation · Erectile Dysfunction · Breakouts. The recommended starting dose for Cialis intended for once daily use is mg, take at the same time each day, without regard to timing of sexual activity. This may be increased to 5mg/day based on need and tolerability. May be taken with or without food. Cialis is available as a generic, under the name tadalafil. 3. heart attack symptoms – chest pain or pressure, pain spreading to your jaw or shoulder, nausea, sweating. Common tadalafil side effects may include: headache; flushing (warmth, redness, or tingly feeling); nausea, upset stomach; stuffy nose; or. muscle pain, back pain, pain in your arms, legs, or back. This is not a complete list of side.