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Cialis (Tadalafil) for Use as Needed in Renal Impairment: Benign Prostatic Hyperplasia and Erectile Dysfunction/Benign Prostatic Hyperplasia - Creatinine clearance 30 to 50 mL/min: A starting dose of 2.5 mg is recommended. An increase to 5 mg may be considered based on individual response. Creatinine clearance less than 30 mL/min or on hemodialysis: Cialis for once daily use is not recommended.

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Do not take Cialis 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.

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