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While some patients have been worried about how well tadalafil works, the FDA has a very rigorous process for reviewing generic drugs until they hit the market. This process helps to ensure that medications contain exactly the exact active ingredients because of their brand name counterparts, so that there are differences between them. If you've never tried Cialis earlier, your health care provider will likely start you about a very low dose, such as 2.5 mg or 5 milligrams. The 20 mg pill is your highest strength and it is not preferred since it's got the potential to cause erections that last a full day. Some medications can interact with nutrients utilized in grapefruits, also tadalafil is one of them. The active ingredient in Cialis, tadalafil, is divided in the liver by a group of enzymes, however, elements at grapefruits can alter these enzymes process medications and make a build up of tadalafil. This can boost your risk. Both tadalafil and Cialis have been used to deal with erectile dysfunction and benign prostatic hyperplasia (BPH), and enlargement of the prostate gland which may lead to difficulty urinating. It's very likely that many may have questions as men can afford tadalafil and treat their own ED. Generic tadalafil is over 50% cheaper than Cialis. Tadalafil is the type of the new Cialis. Both medications perform similarly in your system. cialis no prescription is just a kind of drug known as a PDE5 inhibitor that's used as a treatment for erectile dysfunction and benign prostatic hyperplasia. It will come in a number of distinct doses and will be obtained either as-needed or daily to get erection dysfunction. Cialis will always be active and is a long acting drug.