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If you miss a dosage of Cialis (Tadalafil) and you still intend to engage in sexual activity, take it as soon as you remember. Continue to take it as directed by your doctor. Keep Cialis at room temperature away from moisture, heat and light (between 59 and 86 degrees F (15-30 degrees C). Store this medication out of the reach of children.

Cialis has been assigned to pregnancy category B by the FDA. There are no data on the excretion of Cialis in human milk.

Cialis (Tadalafil) for Use as Needed in Renal Impairment: Creatinine clearance 30 to 50 mL/min: A starting dosage of 5 mg not more than once per day is recommended, and the maximum dosage is 10 mg not more than once in every 48 hours. Creatinine clearance less than 30 mL/min or on hemodialysis: The maximum dose is 5 mg not more than once in every 72 hours. Creatinine clearance less than 30 mL/min or on hemodialysis: Cialis (Tadalafil) for once daily use is not recommended.

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Cialis (Tadalafil) is a phosphodiesterase inhibitor type 5. It works by helping the blood flow into a penis to achieve and maintain an erection. Sexual stimulation is required for Cialis effect. Without sexual stimulation you can't get erection just by taking Cialis (Tadalafil).

The most common side effects with Cialis are headache, indigestion, back pain, muscle aches, flushing, and stuffy or runny nose. These side effects usually go away after a few hours. Talk to your doctor, if you have questions about the way of taking Cialis. Consult your physician before eating grapefruit or drinking grapefruit juice while using Cialis.

Cialis (Tadalafil) for Use as Needed for Erectile Dysfunction: Do not split Cialis tablets; entire dosage should be taken. The recommended starting dose of Cialis (Tadalafil) for use as needed in most patients is 10 mg, taken prior to anticipated sexual activity. The dosage may be increased to 20 mg or decreased to 5 mg, based on individual efficacy and tolerability. The maximum recommended dosing frequency is once per day in most patients.

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Cialis (Tadalafil) for Use as Needed in Hepatic Impairment: Mild or moderate (Child Pugh Class A or B): The dosage should not exceed 10 mg once per day. The use of Cialis once per day has not been extensively evaluated in patients with hepatic impairment and therefore, caution is advised. Severe (Child Pugh Class C): The use of Cialis (Tadalafil) is not recommended.

Do not take Cialis (Tadalafil) if you are allergic to tadalafil. Cialis (Tadalafil) should not be used together with nitrate medication, such as nitroglycerin (Nitro Dur, Nitrolingual, Nitrostat, Transderm Nitro, and others), isosorbide dinitrate (Dilatrate, Isordil, Isochron), isosorbide mononitrate (Imdur, ISMO, Monoket), or recreational drugs such as amyl nitrate or nitrite ("poppers"). Taking Cialis with a nitrate medicine for chest pain or heart problems can cause a sudden and serious decrease in blood pressure.

Patients who get back pain and muscle aches usually get it 12 to 24 hours after taking Cialis (Tadalafil). Back pain and muscle aches usually go away by themselves within 48 hours. Call your doctor, if you get a side effect that bothers you or one that will not go away.

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