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Cialis for Once Daily Use in Hepatic Impairment: Mild or moderate (Child Pugh Class A or B): Cialis (Tadalafil) for once daily use has not been extensively evaluated in patients with hepatic impairment. Therefore, caution is advised if Cialis for once daily use is prescribed to these patients. Severe (Child Pugh Class C): The use of Cialis is not recommended.

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Cialis (Tadalafil) for Once Daily Use for Erectile Dysfunction: The recommended starting dose of Cialis (Tadalafil) for once daily use is 2.5 mg, taken at approximately the same time every day, without regard to timing of sexual activity. The Cialis dosage for once daily use may be increased to 5 mg, based on individual efficacy and tolerability.

Cialis for Use as Needed in Renal Impairment: Creatinine clearance 30 to 50 mL/min: A starting dose of 5 mg not more than once per day is recommended, and the maximum dose 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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Patients who get back pain and muscle aches usually get it 12 to 24 hours after taking Cialis. Back pain and muscle aches usually go away by themselves within 48 hours. Call your healthcare professional, if you get a side effect that bothers you or one that will not go away.

Do not take Cialis more than once a day. Allow 24 hours to pass between doses. Contact your doctor or seek emergency medical attention if your erection is painful or lasts longer than 4 hours. A prolonged erection (priapism) can damage the penis.

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