Comparing Tadalafil (Generic Cialis) and Sildenafil (Generic Viagra)

If prescription an ED treatment is appropriate, your out-of-pocket medication cost will depend on your insurance and where you choose to fill it. With a drug discount card, prices for Tadalafil 2.5 mg (30 tablets ) start at $16.77. * Prices shown with drug discount card applied. If you have any of these conditions, tell your healthcare provider before starting this medication. But some people benefit from taking a daily dose. Talk to your licensed provider for details about which dosage schedule is best for you.

• Cialis prices vary by strength and quantity, influencing overall cost for users.
• Generic versions of Cialis are typically less expensive than brand-name options.
• Insurance coverage for Cialis often depends on the specific health plan.
• Online pharmacies may offer lower prices but require caution for legitimacy.
• Buying larger quantities of Cialis can reduce per-pill costs.
• Bulk discounts on Cialis are sometimes available through certain suppliers.
• Brand-name Cialis generally costs between $30 and $60 per pill without insurance.

Either way, avoid taking more than one dose in a day. If your provider recommends that you only take Tadalafil as needed before intimacy, you don’t have to worry if you miss a dose.

Country	Average Price ($)	Price Range ($)	Common Dosages
USA	60	50 - 70	5 mg, 10 mg, 20 mg
UK	55	45 - 65	10 mg, 20 mg
Canada	58	48 - 68	5 mg, 10 mg, 20 mg
Australia	62	52 - 72	10 mg, 20 mg
Germany	50	40 - 60	5 mg, 10 mg, 20 mg

If you take it daily but miss a dose, don’t take two doses at the same time to make up for the missed dose. So even if you miss a dose, you may still be able to get and keep an erection. Also, remember not to take more than one dose of Tadalafil within a 24-hour period.

Package Size	Price ($)	Price per Pill ($)	Discount (%)
10 pills	120	12	N/A
20 pills	220	11	8.3%
60 pills	600	10	16.7%
120 pills	1100	9.17	23.6%

Taking too much of this medication can increase the chances of experiencing side effects. Make sure to follow your healthcare provider’s instructions to avoid side effects. Taking too much of this medication can increase the chances of side effects like headaches, dizziness and low blood pressure.

Cialis Generic over the Counter

Nachum Katlowitz, head of urology at New York’s Staten Island University Hospital, offers an alternative costing about $1 per pill at some pharmacies. The active ingredient in Viagra — sildenafil — is also in Pfizer’s now-generic blood pressure pill Revatio but at one-fifth the dose. One of his patients, a 62-year-old hospital technician, takes several of the blood pressure pills before sex. “I couldn’t afford it if I had to pay for Viagra,” says Robert, who asked that his last name not be used to protect his privacy. He’s experienced modest improvements and says he and his wife of 28 years now have sex twice as often.

Serious side effects

Tadalafil is the generic version of Cialis, an erectile dysfunction treatment. It widens the blood vessels and eases blood to flow to the penis. It also helps maintain an erection once sexual stimulation is initiated. Tell us about canadian pharmace cialis your condition in a streamlined AI-powered online consultation. A medical provider will review your information independently or during a brief video visit and prescribe treatment if appropriate.

What if I miss a dose?

Pick up and pay for the medication at the pharmacy of your choice. This medication relaxes the muscles in certain blood vessels and allows more blood to flow into specific parts of the body. It helps initiate and maintain an erection during times of intimacy. This medication treats erectile dysfunction, which occurs when the penis experiences problems getting or keeping an erection firm enough for sexual intercourse. In some cases, it’s also prescribed for benign prostatic hyperplasia, a condition in which the prostate gland becomes enlarged. If you’ve taken too much, contact your health provider or local poison control center (800-222-1222) immediately. With a discreet online consultation from Dr. B, a licensed medical provider will review your treatment. If appropriate, they will send an online prescription or refill to your pharmacy of choice. “Our most valuable asset is our health. Whether you're a billionaire CEO or a single mom of multiple children—whatever your situation is—you can't do that without your health.” Before discussing generic versions of Cialis, it is important to understand the original drug itself, as it serves as the reference point for all subsequent formulations.

Quantity	Price per Pill ($)	Total Cost ($)	Savings Compared to Single Purchase
10 pills	12	120	None
30 pills	10	300	10% off
90 pills	8	720	33% off

Cialis is a pharmaceutical agent specifically developed for the treatment of erectile dysfunction (ED) in men. The drug was developed in the early 2000s by a research team in collaboration with Eli Lilly, and in 2003, it was officially approved for medical use in the United States and other countries.

Product	Dosage	Quantity + Bonus	Price
Cialis Professional	40mg	30 Pills	148.94€ 141.85€	Buy
Cialis Generic	40mg	270 + 10 Pills	382.19€ 363.99€	Buy
Cialis Original	20mg	76 + 4 Pills	319.19€ 303.99€	Buy
Cialis Generic	5mg	20 Pills	41.99€ 39.99€	Buy
Cialis Generic	20mg	270 + 10 Pills	335.21€ 319.25€	Buy
Cialis Generic	10mg	90 + 6 Pills	146.17€ 139.21€	Buy
Cialis Generic	20mg	20 Pills	54.72€ 52.11€	Buy
Cialis Generic	10mg	120 + 6 Pills	178.49€ 169.99€	Buy
Cialis Professional	40mg	10 Pills	65.09€ 61.99€	Buy
Cialis Professional	40mg	180 + 4 Pills	618.23€ 588.79€	Buy
Cialis Soft Tabs	20mg	10 Pills	39.03€ 37.17€	Buy
Cialis Super Active	20mg	30 + 6 Pills	128.09€ 121.99€	Buy
Cialis Generic	40mg	10 Pills	37.79€ 35.99€	Buy
Cialis Generic	2.5mg	20 Pills	40.73€ 38.79€	Buy

One of the defining characteristics of Cialis is its extended duration of action. Unlike other medications in its class, tadalafil can remain effective for up to 36 hours, offering patients greater flexibility and spontaneity in sexual activity.

• The "cash price" or "self-pay price" is what you pay without insurance.
• A copay is a fixed amount you pay for a prescription with insurance.
• Coinsurance is a percentage of the drug's cost you pay with insurance.
• The donut hole (Medicare coverage gap) affects what seniors pay for Cialis.
• Catastrophic coverage in Medicare limits out-of-pocket costs after a threshold.
• Medicaid coverage for Cialis varies significantly from state to state.
• VA health benefits typically cover erectile dysfunction medications like Cialis.

The drug is available in several dosage strengths — commonly 2.5 mg, 5 mg, 10 mg, and 20 mg — with individual selection based on symptom severity and overall tolerance. The lowest dose, 2.5 mg, is suitable for daily use, while higher doses are intended for use on an as-needed basis.

OTC Prospects

This medication is an oral erectile dysfunction treatment that comes as a pill. Take it before sexual activity—follow your prescriber’s instructions carefully. Tadalafil is the active ingredient in the brand erectile dysfunction pill Cialis. They're essentially the same medication—both help improve blood flow to the penis. Not everyone will experience side effects when using this medication.

Alternatives for benign prostatic hyperplasia (BPH)

When they do occur, they’re usually not serious. If you experience severe side effects like a prolonged and painful erection (known as priapism) that lasts for more than four hours (even without being turned on) or sudden decrease/loss of vision in one or both eyes—or other serious symptoms—contact your health provider or pharmacist immediately. Dr. B offers online consultations starting at just $15—which is less than most copays. Depending on your state’s telehealth laws—or if your condition and treatment require it—you might be invited for a brief video review with a provider at a slightly higher cost. The pharmacological action of Cialis is based on its inhibition of PDE5, an enzyme responsible for terminating the erectile response. This enzyme breaks down cyclic guanosine monophosphate (cGMP), a compound that promotes smooth muscle relaxation in the penile blood vessels. By blocking PDE5, tadalafil enhances natural physiological processes triggered by sexual arousal, thereby improving blood flow in the corpora cavernosa and enabling a stable erection.

• Retail pharmacies make a profit on the difference between acquisition and sale price.
• Generic drug prices can be surprisingly high if there is limited competition.
• Drug shortages can cause temporary price spikes for available alternatives.
• The cost of Cialis is a common topic on patient forums and support groups.
• Telemedicine platforms often have set, all-inclusive prices for consultation and pills.
• Some websites aggregate international pharmacy prices for comparison.
• Prescription discount programs are offered by some wholesale warehouses and associations.

Interestingly, tadalafil was also investigated for uses beyond sexual dysfunction. Studies demonstrated a significant effect on pulmonary vascular tone, leading to its approval under a different brand name for the treatment of pulmonary arterial hypertension (PAH).

Comparing Which Works Faster

Lauren Streicher offers women four treatment options, and most pick Vagifem. A month’s supply costs $170 and insurance coverage is limited. A generic version, Yuvafem, just launched at a slightly cheaper price. “They go to their pharmacy and see how much it costs, and then they call me up and say, ‘I can’t do it,’” says Streicher, director of the Center for Sexual Medicine and Menopause at Northwestern Medicine, in Chicago. But not being able to have sex “is a deal-breaker in a lot of relationships,” she adds.

Discover more about Cialis

The drugs’ makers insist list prices far exceed the negotiated prices insurers pay them and say they price products based on their value. According to the companies, nearly all their customers are insured. Pfizer says most insured Viagra users pay $6 to $8 per pill, for instance. Patients unwilling to forego sex, doctors say, split pills or otherwise ration medicines, beg for scarce samples or seek copay discount coupons. Men with enlarged prostates can request Cialis because it’s also approved for that condition, usually with insurance coverage.

Is the price for Cialis 20-mg tablets more than for lower doses of the drug?

Some women make do with over-the-counter lubricants. Many shop for price, which can vary widely by pharmacy. Others take a big risk, buying “herbal Viagra” at gas stations or ordering Viagra online from “Canadian pharmacies” that likely sell counterfeit drugs made in poor countries, says Dr. Irwin Goldstein, director of San Diego Sexual Medicine. Dr. Thus, the compound has dual pharmacological significance: it restores erectile function in one context and reduces pulmonary vascular pressure in another, thereby easing the workload on the heart. Prior to the advent of Cialis and similar medications, men with ED had limited and often unsatisfactory options, including injectable solutions, vacuum pumps, and agents with a high potential for dependence.

Common Questions

A few other products now have generic versions, and other options are in development. A generation ago, long-married couples accepted their sex lives trailing off with age, Kavaler says. Key hormone levels drop with age, reducing sex drive and causing problems such as impotence and vaginal dryness, which often makes intercourse painful. Today, midlife divorce is more common, divorced or widowed men and women often seek new partners, and sex becomes important again. Meanwhile, they’re bombarded by ads for impotence remedies and other treatments.

What does it treat?

“Couples in their 50s, 60s and 70s are more sexual than they’ve ever been,” says Kavaler. Until Pfizer launched the first impotence pill, Viagra, in 1998, there were few options for men besides penile implants and injections. Viagra and Cialis each quickly topped $1 billion in global annual sales, and products for women’s symptoms eventually followed. However, price hikes appear to be limiting usage for some products in the U.S., where prices aren’t regulated. Since 2010, the number of Viagra prescriptions filled in the U.S.

Future Price Trends Unclear

has fallen 42 percent to about 5 million a year. Meanwhile, prescriptions for Cialis, which now has a popular daily pill option, have gone up slightly, according to health data firm QuintilesIMS. Popular women’s estrogen products such as Vagifem vaginal tablets and Estrace cream also have seen prescriptions decline in recent years. Addyi, only on the market for a year, has had dismal sales. Dr. Cialis marked a major advancement in the treatment of sexual dysfunction, combining high efficacy, good tolerability, and convenient administration. It does not cause dependence, does not affect hormonal balance, and can be used both on demand and as part of a continuous regimen.

• Prescription drug importation from Canada is a proposed solution to high costs.
• Personal importation of prescription drugs is technically illegal but often unenforced.
• The FDA has guidance on personal importation for certain circumstances.
• There are risks associated with imported drugs, including improper storage.
• Canadian online pharmacies require a valid prescription from a licensed doctor.
• The price difference for Cialis between the US and Canada can be 60-80% less.
• Policy changes could potentially legalize importation on a broader scale.

For erectile dysfunction, Cialis may be used either before anticipated sexual activity or as a lower-dose daily option. Common dose options include 5, 10 and 20 mg for use as needed, while daily therapy is usually associated with 2.5 or 5 mg tadalafil. One of the main distinctions of Cialis is its longer duration of action: clinical labeling notes improvement in erectile function compared with placebo for up to 36 hours after dosing.