While each PDE5 inhibitor differs slightly, they’re very similar in treating erectile dysfunction. People with heart conditions should never take ED medications without consulting a doctor. Treated trusted source Aversa, A. Our erectile dysfunction Rx options We offer prescription medications clinically proven to help improve erections. Those with a history of blood pressure or heart issues, hormonal imbalances, mental health issues, and diabetes should consult their doctor before trying PDE5 inhibitors. It’s available in 10 mg and 20 mg tablets. Most online providers require a picture of a valid ID, a selfie showing your face, and a recent blood pressure reading taken with a home blood pressure monitor or by a medical provider.Generic Cialis (tadalafil): Starting at $39/month; Generic Cialis Daily (tadalafil): Starting at $89/month; Branded Viagra: Starting at $70/dose; Branded Stendra: Starting at . Cialis and generic tadalafil are available in four different strengths— mg, 5 mg, 10 mg and 20 mg—but which one should you take? If you’ve never tried Cialis before, your . If you take Cialis long term, you may be able to lower your costs in the following ways: Look into getting a day supply of your medication. You may be able to get a day supply .