Nasal congestion is an issue for me even at 5mg. It can even cause me slight headaches (due to the nasal congestion). So that finally goes away with a month of continuous daily use?
Where do you do telemedicine prescriptions for $20-30?
I have always ordered from overseas pharmacies, but as you know that is getting more difficult these days.
Obviously there are exceptions, and it only practical to speak in generalities in a forum like this, but yes, for the vast majority, nasal congestion (and the other sides) dissipate within a month or so.
The sides like nasal congestion are related to increased blood flow, and the TLDR is that after a steady state of Cialis is maintained, there's a "rebalancing" and the small vessels, those feeding the mucous membranes in the nose for instance, will selectively contract back to proper diameter, eliminating the congestion.
I had congestion and (mild) back ache when starting Cialis, which resolved, then had it again each time I titrated, to 5, then 10, and it resolved each of those times. After a month at each dose there were no side effects whatsoever, which is the case for the vast majority. Many get no sides whatsoever, and of course as with every med, a small number can't tolerate it.
You can get a telemedicine appointment for $19 With GoodRxGold, which is free for the first month (cancel or they'll charge $9.99 / mo).
Or if you're a CostCo member, they're $29 at SesameCare.
My advice is to say you had been on Cialis daily years ago for your ED, it worked well, and you'd like to get back on. Once they say ok, ask them to fill it for 90,days so you can save money.
Before the appointment, go to GoodRx, and find out which pharmacy near you has the best price for 90 tabs of whatever dose you want, it can vary greatly, from $20-60, so you know where to have it called into.
If you get a cool provider, sometimes they'll ask if you need anything else, so have another med in mind if you do, like oral minox for hair loss.