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When Cialis (Tadalafil) is coadministered with an alpha blocker in patients being treated for ED, patients should be stable on alpha-blocker therapy prior to initiating treatment, and Cialis should be initiated at the lowest recommended dosage. Cialis (Tadalafil) is not recommended for use in combination with alpha blockers for the treatment of BPH.

Cialis (Tadalafil) for Use as Needed for Erectile Dysfunction: Do not split Cialis tablets; entire dose should be taken. The recommended starting dose of Cialis 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.

Cialis for Use as Needed in Hepatic Impairment: Mild or moderate (Child Pugh Class A or B): The dose 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 is not recommended.

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Cialis for ED: I took a 20 mg Cialis last night and after a few hours it worked, may have worked faster, had to wait until the wife got home. Erection was as good as it could possibly be and my performance was extended until I was ready to be finished.

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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 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 dosages. 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.

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.

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

For patients taking concomitant potent inhibitors of CYP3A4, such as ketoconazole or ritonavir, the maximum recommended dosage of Cialis is 10 mg, not to exceed once every 72 hours. For patients taking concomitant potent inhibitors of CYP3A4, such as ketoconazole or ritonavir, the maximum recommended Cialis dose is 2.5 mg.

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