Shipping Update – January 2022

Shipping times are now closer to normal. However, due to the latest outbreak of the highly contagious Omicron strain, we are anticipating some potential delays in our shipping times. We will provide updates as the situation changes.

Our normal shipping time averages 1 - 2 weeks. Shipments may now sometimes take an additional 2 – 4 weeks to arrive, depending on the source country of your order. Shipments from the United Kingdom and Canada are generally quicker than from other countries.

Please note that these times are averages and individual shipping times will vary. We highly recommend that you place your order at least 2 – 4 weeks or more ahead of your normal reorder time to avoid running out of your medication.

We offer a shipping guarantee when you place an order with us. If your order does not arrive within 6 weeks from the date it was shipped, we will re-ship your order to you at no additional cost.

Call Center – New Hours effective January 17, 2022

Our new call center hours of operation are now 7:00 am – 7:00 pm Central Time, seven days per week.

These changes are due to staffing issues we are experiencing caused by the highly contagious Omicron variant. We anticipate that we will expand our call center hours again within the next 2 – 3 weeks.

If you are experiencing increased hold times or are calling outside of these hours, please leave us a message or send us an email and we will get back to you as soon as we can. Due to increased demand on telephone networks worldwide, you may experience some intermittent connection problems. If this happens our agents will call you back.

Our Commitment

If you have any questions about any changes in our service please do not hesitate to contact us. Our staff are working tirelessly to ensure the timely fulfillment and delivery of all orders. The health and safety of our customers and staff is our highest priority and we remain committed to providing service at the highest level.

We appreciate your business and thank you for your continued support.

Management and Staff
Pharmacy Rx World
FREE Shipping on all orders over $49 USD

Adcirca (Tadalafil) and/or alternatives

Brand Name Options
  1. Buy Adcirca

    Adcirca 20mg

    Manufactured by: Eli Lilly Canada Inc

    Product of Canada. Shipped from Canada

    RxPrescription Required

Generic OptionsWhat is a Generic?
  1. Buy Adcirca

    Tadalafil 20mg

    Generic Alternative of Adcirca 20mg

    Marketed as Pulmopres in India

    Manufactured by: Cipla

    Product of India. Shipped from India

    RxPrescription Required

Please note that the country, manufacturer, and/or shipping country may vary depending on availability. All trademarks and registered trademarks are the property of their respective owners.

General Information On Adcirca

Adcirca is a prescription medication used for treating pulmonary arterial hypertension or high blood pressure in the lungs, thus improving a person’s ability to exercise. The generic name of Adcirca is Tadalafil. Tadalafil works by blocking phosphodiesterase-PDE5, an enzyme that increases pressure in the blood vessels of the lungs. The drug relaxes these blood vessels so that blood can flow through them freely. Your doctor may also ask you to buy Adcirca in order to treat male sexual problems like erectile dysfunction and impotence.

Side Effects for Adcirca

Dizziness, headache, lightheadedness, muscle pain, nausea, stomach upset, flushing, and a stuffy nose are some of the common side effects related to Adcirca. However, some serious side effects may occur, like partial blindness in both eyes or in one eye, especially if you have diabetes, heart disease, eye problems like crowded disk, and high cholesterol, particularly if you are more than 50 years of age and smoke. In males, Adcirca can lead to a prolonged or painful erection, which may last for as long as 4 hours. The drug can also lead to sudden hearing problems or cause ringing in the ears in rare occasions. If this takes place, you should stop using Adcirca and contact the doctor immediately. An allergic reaction to the drug may be identified by hives, rashes, itching or swelling on the face, throat or tongue, trouble breathing, or severe dizziness.


Your doctor will not recommend you to buy Adcirca if you are suffering from heart problems like coronary heart disease, liver disease, kidney disease, bleeding disorder, sickle cell anemia, blood cell cancer like myeloma or leukemia, eye problems like retinitis pigmentosa, active stomach ulcers, penis problems like angulation, Peyronie’s disease, or fibrosis. You should also inform your doctor if you have idiopathic hypertrophic sub-aortic stenosis, aortic stenosis, irregular heartbeat, or a history of chest pain or heart attacks. As Adcirca makes you dizzy, you should not do activities that require you to be completely alert, like driving a vehicle or operating a machine. Taking alcoholic beverages can further aggravate your condition. In order to reduce dizziness or lightheadedness, you should get up slowly from a lying or sitting position. If you are pregnant or breastfeeding, you should use Adcirca only if it is prescribed by your doctor.

Adcirca Dosage

Usually, you will be recommended to take Adcirca 40mg once a day, to be administered as two Adcirca 20mg tablets taken at once. The dosage should not be divided into separate doses and must be taken as a single dose with or without food at almost the same time everyday. If you suffer from creatinine clearance between 51 to 80ml/min or 31-50ml/min renal impairment, you will be recommended to take Adcirca 20mg only once a day, but it can be increased to 40mg if you can tolerate the medicine well.


Some of the drugs that can interact with Adcirca include alpha blocker medications like terazosin, recreational drugs having amyl/butyl nitrite, and drugs used for treating high blood pressure like ARBs having losartan. When taken with nitrates like isosorbide or nitroglycerin, the drug can interact adversely and may worsen the side effects. Some azole antifungals, rifamycins, macrolide antibiotics, HIV protease inhibitors, and seizure medicines remove tadalfil from the body, which may affect the efficacy of the medicine. You should also not take Adcirca with other drugs that contain tadalfil, which may include medicines for pulmonary hypertension like vardenafil and sildenafil and drugs for erectile dysfunction.

IMPORTANT DISCLAIMER: All medical content is supplied by a third party company who is independent from this web site. As such, this web site can not guarantee the reliability, accuracy, and /or medical efficacy of the information provided. In all circumstances, you should seek the advice of a health professional pertaining to drug, treatment and/or medical condition advice. Note that not all products are shipped by our contracted Canadian pharmacy. This website contracts with dispensaries around the world that ship products directly to our customers. Some of the jurisdiction include but are not limited to United Kingdom, Europe, Turkey, India, Canada, Vanuatu, Mauritius, and USA. The items within your order may be shipped from any one of these jurisdiction depending on the availability and cost of the products at the time you place your order. The products are sourced from these countries as well as others. Please note that the product appearance may vary from actual product received depending on availability.