When will Cialis be available to pharmacies? Tadalafil was found to have similar benefits for lower urinary tract symptoms as the usually prescribed tamsulosin. There are many other treatments for erectile dysfunction. You could get dizzy, faint or have a heart attack or stroke. Mechanism of action[ edit ] Penile erection during sexual stimulation is caused by increased penile blood flow resulting from the relaxation of penile arteries and the smooth muscle of the corpus cavernosum.Tadalafil is a medicine used to treat erectile dysfunction (ED, also called impotence) and problems with urination caused by an enlarged prostate (benign prostatic hypertrophy or BPH). It is sometimes known by its generic name tadalafil, and sometimes known by its trade name, Cialis. There are also other brands of this medicine available. · The typical dose for once-daily Cialis for ED is milligrams (mg) to 5 mg. When used as needed for ED, the usual Cialis dose is 10 mg (with a maximum daily dose of 20 mg). The typical dose of. heart attack symptoms – chest pain or pressure, pain spreading to your jaw or shoulder, nausea, sweating. Common tadalafil side effects may include: headache; flushing (warmth, redness, or tingly feeling); nausea, upset stomach; stuffy nose; or. muscle pain, back pain, pain in your arms, legs, or back. This is not a complete list of side.