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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 dosage is 5 mg not more than once in every 72 hours. Creatinine clearance less than 30 mL/min or on hemodialysis: Cialis for once daily use is not recommended.

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 doctor. Keep Cialis (Tadalafil) 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 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 (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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Arthur Schopenhauer: The greatest of follies is to sacrifice health for any other kind of happiness.

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Do not take Cialis if you are allergic to tadalafil. Cialis 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.

Cialis (Tadalafil) for Once Daily Use for Benign Prostatic Hyperplasia: The recommended dose of Cialis (Tadalafil) for once daily use is 5 mg, taken at approximately the same time every day.

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 doctor, if you get a side effect that bothers you or one that will not go away.

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

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 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 (Tadalafil) is to be used for daily use, so you can be ready anytime.

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