We will ask about your experience with generic Cialis as part of your visit. Most men start with and respond well to the 10 mg tadalafil dose. The starting dose we generally recommend is the 10mg pill. The starting dose we generally recommend is the 10mg pill. The trade-off is that the higher the strength, the greater the chance of side-effects and adverse events.You need a prescription to get Cialis, which you can acquire through your doctor or telehealth sources. Online ordering can be a great alternative if you prefer the convenience and discretion. How to take Cialis? Cialis is a prescribed medication. It is available at local pharmacies in the form of tablets. Your doctor will prescribe the medication depending on your requirement. Cialis is available in the following strengths: Cialis 20mg tablet Cialis 10mg tablet Cialis 5mg tablet Cialis mg tablet Cialis is taken orally. Meds shipped directly/prescription? Branded Cialis available too? Hims: $5–$25 per dose: –20 mg • shipped to your home • prescription required • doctor available through .