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There are many safe, reliable online services offering ED prescriptions. Tadalafil is sometimes taken as needed, usually at least 30 minutes before sexual activity and not more often than once every 24 hours. Patients who have a condition called “left ventricular outlet obstruction” from valvular problems or heart muscle enlargement may get side effects such as fainting or light-headedness. There are two different ways to take tadalafil, either daily or on an as needed basis. When the blood vessel muscle cells relax, this expands the vessel and increases blood flow; this effect is referred to as vasodilation.Side Effects. Headache, stomach upset, back pain, muscle pain, stuffy nose, flushing, or dizziness may occur. If any of these effects last or get worse, tell your doctor or pharmacist promptly. To. Tadalafil, or generic Cialis, is most commonly used to treat erectile dysfunction (ED). However, it’s also used to treat benign prostatic hyperplasia (BPH) and pulmonary arterial hypertension. AdSwitch your scripts with ease & save big on select prescriptions. Restrictions apply. Walmart pharmacies make managing your prescriptions easy & affordable. Restrictions apply.