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If you miss a dose of Cialis and you still intend to engage in sexual activity, take it as soon as you remember. Continue to take it as directed by your healthcare professional. 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 (Tadalafil) for Once Daily Use for Benign Prostatic Hyperplasia: The recommended dosage of Cialis (Tadalafil) for once daily use is 5 mg, taken at approximately the same time every day.

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

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Cialis 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 dosage 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 (Tadalafil) for once daily use is not recommended.

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Cialis (Tadalafil) Ocular side effects have included blurred vision, changes in color vision, conjunctivitis (including conjunctival hyperemia), eye pain, increased lacrimation, and swelling of the eyelids. Cialis can decrease blood flow to the optic nerve of the eye, causing sudden vision loss. This has occurred in a small number of people taking Cialis, most of whom also had heart disease, diabetes, high blood pressure, high cholesterol, or certain pre-existing eye problems, and in those who smoke or are over 50 years old. Stop using Cialis and get emergency medical help if you have sudden vision loss.

Cialis (Tadalafil) Cardiovascular side effects have included angina pectoris, chest pain, hypotension, hypertension, myocardial infarction, postural hypotension, palpitations, syncope, and tachycardia. Cialis (Tadalafil) Gastrointestinal side effects have included dyspepsia, diarrhea, dry mouth, dysphagia, esophagitis, gastroesophageal reflux, gastritis, loose stools, nausea, upper abdominal pain, and vomiting.

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