If you experience chest pain, dizziness, or nausea during sexual activity, call your doctor immediately or get emergency medical treatment, and avoid sexual activity until your doctor tells you otherwise. Your doctor will help you decide the best time for you to take tadalafil before sexual activity. After taking a single tablet, some of the active ingredient of Cialis remains in your body for more than 2 days. Also tell your doctor if you or any of your family members have or have ever had an eye disease such as retinitis pigmentosa an inherited eye condition that causes loss of vision or if you have ever had sudden severe vision loss, especially if you were told that the vision loss was caused by a blockage of blood flow to the nerves that help you see. Meanwhile, Adcirca is for the treatment of patients with pulmonary arterial hypertension PAH. Talk to your doctor about eating grapefruit and drinking grapefruit juice while taking this medicine.The cost for Cialis oral tablet mg is around $ for a supply of 30 tablets, depending on the pharmacy you visit. Quoted prices are for cash-paying customers and are not valid with insurance plans. This price guide is based on using the test1.ru discount card which is accepted at most U.S. pharmacies. A generic version of Cialis is available. Cialis doesn’t work right away. For the as-needed dose, plan to take Cialis at least 30 minutes before sexual activity, but bear in mind it may take as long as 2 hours to take effect.  · How much does Cialis cost without insurance? The retail price of Cialis without insurance is $ for 30, 5MG Tablet of Cialis, but you can use a free discount card from SingleCare and pay a reduced rate of $ for .