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Cialis (Tadalafil) 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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Cialis (Tadalafil) is an oral drug, used for treating male impotence, also known as erectile men's erectile dysfunction. Cialis (Tadalafil)' effect starts working in 30 minutes and lasts for about 48 hours, while Viagra effect lasts for about 4 hours. Cialis is to be used for daily use, so you can be ready anytime.

If you become dizzy or nauseated during sexual activity, or if you have pain, numbness, or tingling in your chest, arms, neck, or jaw, stop and call your doctor right away. You could be suffering from a serious side effect of this medicine.

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 for Use as Needed for Erectile Dysfunction: Do not split Cialis tablets; entire dosage 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 dose 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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