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.

« May 2026

There are many different causes of ED, including: 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. To learn more about ED, you can refer to our men’s health hub. 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).

🧠 Quick Check: Could Cialis Be Right for You?

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. Cialis is available as a generic drug called tadalafil.

Product	Dosage	Quantity + Bonus	Price
Cialis Generic	10mg	20 Pills	48.23€ 45.93€
Cialis Original	20mg	120 + 8 Pills	497.29€ 473.61€
Cialis Generic	5mg	30 + 4 Pills	53.56€ 51.01€
Cialis Original	20mg	8 Pills	61.70€ 58.76€
Cialis Soft Tabs	20mg	20 + 2 Pills	66.98€ 63.79€
Cialis Generic	2.5mg	60 + 4 Pills	83.43€ 79.46€
Cialis Professional	40mg	60 + 2 Pills	262.32€ 249.83€
Cialis Super Active	20mg	180 + 20 Pills	521.59€ 496.75€
Cialis Generic	60mg	60 + 4 Pills	145.06€ 138.15€
Cialis Professional	40mg	270 + 6 Pills	898.37€ 855.59€
Cialis Generic	60mg	30 + 2 Pills	85.33€ 81.27€
Cialis Generic	60mg	360 + 10 Pills	570.52€ 543.35€
Cialis Original	20mg	22 + 2 Pills	129.20€ 123.05€
Cialis Generic	40mg	60 + 6 Pills	130.98€ 124.74€
Cialis Black	80mg	20 Pills	71.83€ 68.41€

A generic drug is an exact copy of the active drug in a brand-name medication. The generic is considered to be as safe and effective as the original drug. Generics tend to cost less than brand-name drugs. In some cases, the brand-name drug and the generic version may come in different forms and strengths. The Cialis dosage your doctor prescribes will depend on several factors.

The onset of action for on-demand Cialis is typically 30-60 minutes.
State and federal laws strictly control the distribution of prescription medications.
There is no recourse if you receive damaged or incorrect products illegally.
Non-arteritic anterior ischemic optic neuropathy (NAION) can cause vision loss.
A doctor monitors for the rare but serious side effect of hearing loss.
Pressure to buy quickly is a common sales tactic on illegitimate websites.
Decreased blood pressure is a known effect, which can cause fainting.
Reputable online clinics use secure portals for doctor-patient communication.
The benefits of prescribed Cialis are proven through extensive clinical trials.
Keeping medication out of reach of children is a standard safety precaution.

the type and severity of the condition you’re taking Cialis to treat Typically, your doctor will start you on a low dosage. Then they’ll adjust it over time to reach the amount that’s right for you. Your doctor will ultimately prescribe the smallest dosage that provides the desired effect. If you have certain conditions, such as kidney or liver problems, your doctor may have you start with a low dose of Cialis. This is done so that the medication doesn’t affect your other conditions. The following information describes dosages that are commonly used or recommended. However, be sure to take the dosage your doctor prescribes for you. Your doctor will determine the best dosage to fit your needs. In addition to the information below, you can see this comprehensive article about the dosages of Cialis. It’s available in four strengths: 2.5 milligrams (mg), 5 mg, 10 mg, and 20 mg. For symptoms of BPH, the recommended dosage of Cialis is 5 mg once a day. You should take the drug at about the same time each day. In some cases, your doctor may have you take 5 mg of Cialis a day along with finasteride (Proscar) to treat BPH.

Cialis without a Doctor prescription /Cialis over the counter:

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. In comparison, people who took a placebo had their scores improve by a much lower amount.

Cialis and herbs and supplements

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. (See the “Cialis use with other drugs” section below to learn more.) If you take both Cialis and finasteride, you’ll usually take these two drugs for up to 26 weeks.

How it Works

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 isn’t FDA-approved to treat ureteral stones (a type of kidney stone). However, it may be prescribed off-label for this purpose.A 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). Here’s some information on the Cialis dosages for ED.

Some countries allow limited over-the-counter erectile dysfunction treatments, but Cialis usually is not included.
Patients using Cialis should be tested for cardiovascular health regularly.
Prescription allows pharmacists to provide drug counseling and safe usage information.
Buying Cialis overseas can involve customs issues and lack of product verification.

If your doctor recommends that you take Cialis only as needed for ED, the usual dosage is 10 mg before sexual activity. Your doctor may reduce this to 5 mg if the medication is working too well. But if this dose doesn’t work for you, your doctor may increase your dose back to 10 mg. If the 10-mg dose of Cialis isn’t working well enough, your doctor may increase it to 20 mg. The maximum dose of Cialis that can be taken in a day is 20 mg.

Appointment Cancellation Policy

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. To measure improvement of BPH, researchers used a scale called the International Prostate Symptom Score (IPSS). Researchers found that cialis woman 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.

How much does Cialis cost?

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. You should not take Cialis more than once a day.

The effects of Cialis can be influenced by a high-fat meal, delaying absorption.
A prescription is a key part of the ethical practice of medicine and pharmacy.
There is no guarantee of receiving any product at all from fraudulent websites.
Men with hereditary degenerative retinal diseases should avoid PDE5 inhibitors.
A doctor can provide samples of medication to test tolerance before a full prescription.
Social media advertisements for "no prescription" drugs are typically fraudulent.
Kidney disease alters how the body processes tadalafil, requiring dose adjustment.
Verified internet pharmacy practice sites (VIPPS) meet high standards of practice.
Combining other ED treatments with Cialis can lead to a dangerous overdose.
The safe use of Cialis is well-documented when prescribed and monitored.

In clinical trials, Cialis helped with ED symptoms for up to 36 hours after their dose.

Review Aspect	Positive Comments	Negative Comments	Interpretation
Authenticity of Product	Some sellers verified and genuine	Many reports of counterfeit products	Verify vendor legitimacy
Customer Support	Quick responses from reputable sites	Difficult to contact or unresponsive support	Check response time before purchase
Shipping Speed	Fast delivery from trusted pharmacies	Delayed or lost shipments	Read shipping policies
Pricing	Competitive prices from trusted sources	Very low prices often suspicious	Be skeptical of deals that seem too good
Overall Satisfaction	Good experiences when buying from verified sources	Negative experiences with unverified sellers	Prefer verified online pharmacies

So if you’re taking the medication only as needed, you shouldn’t have to take it every day. Note: It’s very important that you take only the amount of Cialis that your doctor instructs you to take. And be sure to speak with them if you feel you need more of the drug, rather than increasing your dosage yourself. Cialis can also be taken once a day to treat ED.

Country	Legal to Purchase Without Prescription	Example Legal Restrictions	Note
USA	No	Must follow FDA regulations	Some online sales are illegal
UK	No	Must have prescription	Risks with unverified sellers
Canada	No	Controlled medication laws	Verify pharmacy credentials
Australia	No	Strict regulation	Online pharmacy licensing required
India	Varies	Some unregulated sources	Be cautious about authenticity

In this case, the dosage usually starts at 2.5 mg a day. If this daily dosage doesn’t work well enough to treat your ED, your doctor may increase it to 5 mg a day. And if your doctor recommends using Cialis every day, you should take the drug at about the same time each day. You don’t need to take Cialis before sexual activity unless your doctor says you should take the drug only as needed. (See the “Cialis taken as needed” section right above to learn more.) Note: It’s very important that you take only the amount of Cialis that your doctor instructs you to take. To treat both ED and symptoms of BPH together, the typical dose of Cialis is 5 mg, once a day.

Age Group	Expected Effects	Considerations	Notes
20-30 years	Rapid effect, effective	Usually fewer health issues	Generally healthy, low risk of side effects
40-50 years	Stable performance	Check heart health, blood pressure	Effectiveness may vary due to health factors
60+ years	Longer onset time	Higher risk of side effects, medication interactions	Consult with a healthcare provider
Over 70 years	Caution advised	Increased chance of cardiovascular issues	Medical consultation highly recommended

You should try to take your dose at about the same time each day.

Key takeaways

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.

Higher dosages of Cialis

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 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. The approved dosages of Cialis for ED, BPH symptoms, or both, are between 2.5 mg and 20 mg a day or as needed. Dosages higher than 20 mg a day haven’t been studied, and it’s not known what side effects may occur with them. For example, if you take your “as-needed” dose of 20 mg twice a day, you’ll end up taking 40 mg. This dose is too high and may cause serious side effects, such as decreased blood pressure.

Frequently Asked Questions

By clicking on this link, we may receive a commission. 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. Cialis is approved by the FDA to treat the symptoms of benign prostatic hyperplasia.

Drug details

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 feeling that your bladder didn’t empty after urinating To learn more about BPH, you can refer to our men’s health hub. Cialis was an effective medication to treat symptoms of BPH in clinical trials. If you forget to take your once-a-day dose of Cialis, take it as soon as you remember. However, never take two doses in 1 day. If you missed your dose yesterday, just skip the missed dose and continue with your once-a-day dosing.

Tadalafil is not indicated for use by women or children.
A prescription ensures you are getting the product from a licensed manufacturer.
Credit card fraud and unauthorized recurring charges are common with scam sites.
Patients with anatomical deformation of the penis should use with caution.
A healthcare provider can recommend the best time of day to take daily Cialis.
Look for the .pharmacy domain suffix, which is restricted to legitimate sites.
HIV medications like ritonavir can significantly increase tadalafil levels.
The cost of a doctor's visit is an investment in your long-term health.
Tolerance to tadalafil does not develop, so efficacy remains over time.
Disposal of unused medication should be done safely, often via pharmacy take-back.

To help make sure that you don’t miss a dose, try setting a reminder on your phone.

Can you buy Cialis without a Doctor prescription?