
Step 5 -- Follow-up messaging is included; a structured review at 3-6 months ensures the medication is effective and well tolerated.
Moderate alcohol is acceptable; heavy drinking increases dizziness and lowers blood pressure. Older adults or kidney/liver impairment -- Reduced dose is recommended; your physician will adjust based on your medical profile. Most adult men with erectile dysfunction or BPH symptoms are candidates for tadalafil after a physician confirms there are no contraindications. Adult men aged 18+ with ED -- Tadalafil is approved exclusively for men. Men with both ED and BPH symptoms -- Daily 5 mg tadalafil treats both conditions simultaneously. The Cialis patent expired in 2020 in Canada, so generic tadalafil is now widely available and significantly cheaper than the brand.
| Product | Dosage | Quantity + Bonus | Price | |
|---|---|---|---|---|
| Cialis Professional | 40mg | 20 Pills | 110.24€ 104.99€ | |
| Cialis Generic | 5mg | 30 + 4 Pills | 53.56€ 51.01€ | |
| Cialis Original | 20mg | 64 + 4 Pills | 274.18€ 261.12€ | |
| Cialis Professional | 20mg | 360 + 6 Pills | 807.03€ 768.60€ | |
| Cialis Super Active | 20mg | 60 + 8 Pills | 230.32€ 219.35€ | |
| Cialis Soft Tabs | 20mg | 180 + 8 Pills | 353.17€ 336.35€ | |
| Cialis Original | 20mg | 14 + 2 Pills | 95.75€ 91.19€ | |
| Cialis Generic | 10mg | 360 + 10 Pills | 388.49€ 369.99€ | |
| Cialis Generic | 5mg | 20 Pills | 41.99€ 39.99€ | |
| Cialis Black | 80mg | 20 Pills | 71.83€ 68.41€ | |
| Cialis Professional | 40mg | 60 + 2 Pills | 262.32€ 249.83€ | |
| Cialis Professional | 20mg | 30 Pills | 104.57€ 99.59€ | |
| Cialis Super Active | 20mg | 270 + 30 Pills | 661.49€ 629.99€ | |
| Cialis Professional | 20mg | 10 Pills | 48.29€ 45.99€ | |
| Cialis Generic | 60mg | 90 + 6 Pills | 196.67€ 187.30€ |
Both contain the same active ingredient and are bioequivalent. Initial virtual consultation -- Approximately $89; covered by AHCIP for eligible Alberta residents. Generic tadalafil 5 mg daily (30-tablet pack) -- Approximately $25-60 per month at Canadian pharmacies.
Stable cardiovascular health -- Sexual activity is comparable to mild-to-moderate exercise; men with controlled hypertension, treated coronary disease, or stable angina can typically use tadalafil. No nitrate use -- Tadalafil is absolutely contraindicated with any nitrate medication (nitroglycerin, isosorbide mononitrate, etc.) due to severe hypotension risk. Not within 6 months of stroke, MI, or unstable angina -- Sexual activity and PDE5 inhibitors should be deferred. Discuss alpha-blockers, antifungals, and HIV medications -- These interact with tadalafil and may require dose adjustment. Every prescription at TelePlus Care is issued by a real physician after a video consultation. Generic tadalafil 10 mg or 20 mg as-needed -- Approximately $1-3 per tablet. Brand-name Cialis 20 mg -- Approximately $15-22 per tablet. Pharmacy comparison -- Costco, Walmart, and Loblaw chains often have the lowest prices; some independent pharmacies match.
Insurance -- Most provincial drug plans do not cover tadalafil for ED; many private benefit plans do, especially when prescribed for BPH. Most side effects are mild and dose-related and decrease with continued use of the daily 5 mg regimen.
Common -- Headache (10-15%), back or muscle aches (3-5%, often delayed by 12-24 hours), facial flushing, indigestion, and nasal congestion.
Less common -- Dizziness, low back pain, limb pain, and reflux.
It is also the only PDE5 inhibitor approved for once-daily continuous dosing. Your physician will help choose the option that fits your sexual frequency, lifestyle, and other health conditions. As-needed 10-20 mg -- Taken at least 30-45 minutes before planned sexual activity. Typical starting dose 10 mg, adjustable to 20 mg or 5 mg based on response. Daily 2.5-5 mg -- Taken at the same time each day, regardless of sexual activity.
Steady-state plasma levels reached after about 5 days. Daily dosing also for BPH -- Tadalafil 5 mg once daily relieves urinary symptoms of an enlarged prostate while also treating ED, useful for men with both conditions. Maximum frequency -- One dose per 24-hour period for as-needed regimens. Do not combine daily and as-needed dosing. Food and alcohol -- Tadalafil is unaffected by food. Priapism -- A painful erection lasting more than 4 hours is a medical emergency requiring immediate care.
| Year | Average Price (CAD) | Price Change (%) | Major Influences |
|---|---|---|---|
| 2020 | $40 | — | Initial market entry |
| 2021 | $38 | -5% | Competition and generics |
| 2022 | $37 | -2.6% | Price stabilization |
| 2023 | $36 | -2.7% | Increased generic options |
| 2024 | $35 | -2.8% | Market saturation |
Sudden hearing or vision loss -- Very rare but reported; discontinue and seek care. Drug interactions -- Nitrates and riociguat are absolute contraindications.
Immediately inform your doctor if you are taking Cialis with any of the following medications: Alfuzosin Avodart Biaxin Carbatrol Cardizem Cardura Cordarone Diflucan Dilantin Efavirenz Erythromycin Flomax Indinavir Isoptin Isordil Mevacor Minipress Nitrostat Rapaflo Rifampin Riociguat Ritonavir Sporanox Tegretol Viagra Xatral Zoloft If you are using any prescription, non-prescription, and herbal medications, inform your doctor and pharmacist for proper information and ask for other possible interactions not listed within this section. Store Cialis in a clean environment away from excessive heat and moisture. What action should I take in case of overdose? Call an ambulance and seek immediate medical attention to prevent further complications or possible death. Canadian Prescription Drugstore is an online Canadian pharmacy service that offers the best quality prescription drugs at discounted prices.
Get huge savings of up to 80% when you buy Cialis from Canada. Buy Canada drugs with confidence from the most trusted online Canadian pharmacy for over 15 years. Get FREE SHIPPING for your online medication orders from our Canadian pharmacy (valid for first-time orders only). For more information, visit Canadian Prescription Drugstore. TelePlus Care helps Canadian men obtain a Cialis (tadalafil) prescription through a discreet virtual consultation with an Alberta-licensed physician. Alpha-blockers may cause hypotension; CYP3A4 inhibitors (ritonavir, ketoconazole) raise tadalafil levels.
Conditions to disclose -- Severe heart disease, recent stroke or MI, uncontrolled blood pressure, severe liver disease, retinitis pigmentosa, and bleeding disorders. TelePlus Care offers physician-led prescribing without subscription gimmicks or marked-up medications. We focus on rigorous medicine and convenient access. Real physician consultations -- Every prescription is issued after a live video visit with an Alberta-licensed physician.
Our online intake feeds into the physician visit but does not replace it. Step 1 -- Complete a confidential online intake covering your medical history, current medications, blood pressure readings, and ED or urinary symptoms. Step 2 -- Video consultation with an Alberta-licensed physician who reviews your history, takes a focused cardiovascular and sexual health interview, and confirms a recent blood pressure reading. Step 3 -- The physician decides if as-needed or daily dosing is more appropriate and screens for drug interactions and contraindications. Step 4 -- If tadalafil is clinically appropriate, the physician issues a cheapt cialis soft prescription you can fill at any Canadian pharmacy. Fill at any Canadian pharmacy -- Your prescription is portable: Shoppers Drug Mart, Costco, Loblaw, Rexall, independent pharmacies, or your hometown pharmacy.
| Storage Condition | Recommended Temperature | Shelf Life | Tips |
|---|---|---|---|
| Room Temperature | 15-30°C | Up to 2 years | Keep away from heat and moisture |
| Refrigeration | 2-8°C | Not required | Use for liquid formulations |
| Away from Light | Protected from light | As per expiry | Store in original packaging |
Daily and as-needed options -- Your physician helps choose the regimen that fits your life and other health conditions.
Tadalafil is a Health Canada-approved PDE5 inhibitor for la cialis erectile dysfunction and benign prostatic hyperplasia (BPH). It is the only PDE5 inhibitor approved for both as-needed and once-daily dosing. The consultation is fully online: complete a confidential intake, speak with a physician by video, and if tadalafil is clinically appropriate you receive a prescription you can fill at any Canadian pharmacy. Headquartered in Alberta and serving men across Canada. Tadalafil (Cialis) is a Health Canada-approved PDE5 inhibitor for erectile dysfunction and benign prostatic hyperplasia.
Available as as-needed 10-20 mg doses or once-daily 2.5-5 mg, it works up to 36 hours and earned the nickname 'the weekend pill.' Generic tadalafil typically costs $0.80-3 per tablet at Canadian pharmacies. TelePlus Care prescribes virtually after physician screening. Tadalafil is the only PDE5 inhibitor approved by Health Canada for both as-needed (10-20 mg) and once-daily (2.5-5 mg) dosing Onset is approximately 30-45 minutes; therapeutic effect lasts up to 36 hours, the longest of any oral ED medication Tadalafil 5 mg daily is also approved for the symptoms of benign prostatic hyperplasia (BPH) Generic tadalafil typically costs $0.80-3 per tablet at Canadian pharmacies; brand Cialis costs $15-22 per tablet Tadalafil, sold under the brand name Cialis, is a phosphodiesterase type 5 (PDE5) inhibitor that increases blood flow to the penis to help men with erectile dysfunction achieve and maintain an erection in response to sexual stimulation. It is also approved for the symptoms of benign prostatic hyperplasia (BPH) and pulmonary arterial hypertension. Tadalafil's pharmacological feature that distinguishes it from sildenafil and vardenafil is its half-life of approximately 17.5 hours, giving a clinical effect that can last up to 36 hours, hence the nickname 'the weekend pill.' This longer window allows for more spontaneous intimacy without timing a dose to a specific event. Confidential -- Records protected under PIPEDA and Alberta's HIA.
| Condition | Risk | Recommendations |
|---|---|---|
| Nitrate medication use | Severe hypotension | Avoid Cialis if on nitrates |
| Severe liver impairment | Reduced drug metabolism | Consult doctor before use |
| Heart conditions | Potential cardiovascular risks | Medical consultation required |
| Retinal vascular disorders | Risk of vision problems | Use only under medical supervision |
Transparent pricing -- Flat consultation fee, no medication markups, no recurring subscriptions. Same-week appointments -- Most consultations are available within 24-72 hours of booking.
What are the special precautions before taking Cialis? Inform your doctor about all the medications you are taking, your current and previous medical history especially if you have liver and kidney impairments, heart and blood problems and if you have any allergies to Tadalafil or any other ingredients included in the manufacture of this medication. Alcohol or grapefruit juice should be avoided when taking this medication. For the drug label information of Cialis, click here. It is important to note that all drugs have corresponding side effects and adverse reactions.
Additional information may be obtained when you ask your doctor or pharmacist. Common side effects include: Nausea Diarrhea Headache Muscle or back pain Indigestion Serious side effects include: Sudden change or loss of vision and hearing Chest pain Fainting Palpitations Prolonged erection Seizures Urticaria, Steven-Johnsons syndrome or exfoliative dermatitis Other side effects not listed above may be experienced when using Cialis. If the symptoms do not go away or are life-threatening, immediately stop taking the medication and inform your doctor or call an ambulance for professional medical assistance. Is it safe to use it with another drug? Some drug interactions may cause life-threatening reactions when taken with other medications.