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Aspect Description Prescription Requirement Yes; prescription needed from doctor Online Purchase Legality Generally illegal without prescription Canadian Regulations Strict regulation on non-prescription sales Penalties for Illegal Sales Fines, legal action Cialis 20 mg – taken as needed, suitable for most men with moderate to severe ED 40 mg (generic Cialis only) – rarely prescribed, used only under strict medical supervision Generic Cialis is produced by multiple manufacturers and is often available through international pharmacies. Same clinical effectiveness as brand-name Cialis. Manufacturer Information Generics are less expensive because generic manufacturers don't have to invest large sums of money to develop a drug. When the brand-name patent expires, generic companies can manufacture a copy of the brand-name and sell it at a substantial discount. CIALIS is a prescription medication that is taken orally to help treat erectile dysfunction (ED) and symptoms of benign prostatic hyperplasia (BPH). It works by relaxing the muscles and increasing blood flow to particular areas in the body to achieve an erection. CIALIS can provide long lasting effects for up to 36 hours in men. Cialis Strengths Patients should strictly follow the instructions prescribed by your doctor. Do not increase or decrease the dosage without consulting your doctor. Follow the directions on your prescription label. 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