Your doctor may adjust your dose as needed.Children—Use is not recommended.For treatment of erectile dysfunction and benign prostatic hyperplasia (daily use):Adults—5 milligrams (mg) once a day, taken at about the same time each day, without regard for the timing of sexual activity.Children—Use is not recommended.

Not a cure for erectile dysfunction.
Does not increase sexual desire or libido.
Requires sexual stimulation to work.
Works only in the presence of nitric oxide.
Does not cause erections without stimulation.

For treatment of benign prostatic hyperplasia (daily use):Adults—5 milligrams (mg) once a day, taken at about the same time each day. Adults—5 milligrams (mg) once a day, taken at about the same time each day.

Society and culture

Follow your doctor's orders or the directions on the label. The following information includes only the average doses of this medicine. If your dose is different, do not change it unless your doctor tells you to do so. The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine.

What can I take to enhance Cialis?

For oral dosage form (tablets):For treatment of benign prostatic hyperplasia (daily use):Adults—5 milligrams (mg) as a single dose, no more than once a day, taken at the same time each day.Children—Use is not recommended.For treatment of erectile dysfunction (as needed):Adults—10 milligrams (mg) as a single dose, no more than once a day, taken 30 minutes before you think sexual activity may occur. Your doctor may adjust your dose as needed.Children—Use is everyday cialis cost not recommended.For treatment of erectile dysfunction (daily use):Adults—2.5 milligrams (mg) once a day, taken at the same time each day, without regard for the timing of sexual activity. Your doctor may adjust your dose as needed.Children—Use is not recommended.For treatment of erectile dysfunction and benign prostatic hyperplasia (daily use):Adults—5 milligrams (mg) once a day, taken at the same time each day, without regard for the timing of sexual activity.Children—Use is not recommended.For treatment of pulmonary arterial hypertension:Adults—40 milligrams (mg) (two 20 mg tablets) taken once a day. Take both tablets at the same time each day. Your doctor may adjust your dose as needed.Children—Use and dose must be determined by your doctor.

What to do in case you take too much Cialis

For treatment of benign prostatic hyperplasia (daily use):Adults—5 milligrams (mg) as a single dose, no more than once a day, taken at the same time each day.Children—Use is not recommended. Adults—5 milligrams (mg) as a single dose, no more than once a day, taken at the same time each day. For treatment of erectile dysfunction (as needed):Adults—10 milligrams (mg) as a single dose, no more than once a day, taken 30 minutes before you think sexual activity may occur. Your doctor may adjust your dose as needed.Children—Use is not recommended. Adults—10 milligrams (mg) as a single dose, no more than once a day, taken 30 minutes before you think sexual activity may occur. For treatment of erectile dysfunction and benign prostatic hyperplasia (daily use):Adults—5 milligrams (mg) once a day, taken at about the same time each day, without regard for the timing of sexual activity.Children—Use is not recommended.

Product	Dosage	Quantity + Bonus	Price
Cialis Generic	60mg	60 + 4 Pills	145.06€ 138.15€
Cialis Generic	5mg	10 Pills	29.39€ 27.99€
Cialis Professional	40mg	180 + 4 Pills	618.23€ 588.79€
Cialis Generic	2.5mg	90 + 6 Pills	112.43€ 107.08€
Cialis Generic	60mg	270 + 10 Pills	443.96€ 422.82€
Cialis Generic	20mg	180 + 10 Pills	254.09€ 241.99€
Cialis Black	80mg	20 Pills	71.83€ 68.41€
Cialis Generic	20mg	20 Pills	54.72€ 52.11€
Cialis Original	20mg	34 + 2 Pills	183.99€ 175.23€
Cialis Generic	5mg	20 Pills	41.99€ 39.99€
Cialis Generic	20mg	120 + 8 Pills	188.15€ 179.19€
Cialis Generic	5mg	360 + 10 Pills	268.08€ 255.31€
Cialis Professional	20mg	270 + 6 Pills	623.07€ 593.40€
Cialis Professional	40mg	30 Pills	148.94€ 141.85€
Cialis Super Active	20mg	180 + 20 Pills	521.59€ 496.75€

Adults—5 milligrams (mg) once a day, taken at about the same time each day, without regard for the timing of sexual activity. For treatment of benign prostatic hyperplasia (daily use): If you miss a dose of this medicine, take it as soon as possible.

Cialis daily pill: convenient once-daily routine.
Eliminates need for timing before intercourse.
Lowers anxiety associated with on-demand dosing.
Enhances spontaneity in relationships.
Can be used as part of combination therapy with other ED treatments.

However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule.

5.6 Alpha blockers and Antihypertensives

Use tadalafil exactly as directed by your doctor. Do not use more of it, do not use it more often, and do not use it for a longer time than your doctor ordered. Also, do not stop taking this medicine without checking first with your doctor. This medicine comes with a patient information leaflet. Read it again each time you refill your prescription in case there is new information.

CIALIS for Once Daily Use for Erectile Dysfunction

Ask your doctor if you have any questions. You may take this medicine with or without food. Do not split, break, chew, or crush it. Chewable tablets: Chew the tablet completely before swallowing. When using this medicine for erectile dysfunction, the ability to have sexual activity may be improved for up to 36 hours after taking the tablet.

Cialis strengths

Use only the brand of this medicine that your doctor prescribed. Different brands may not work the same way. Do not eat grapefruit or drink grapefruit juice while you are using this medicine. Grapefruit and grapefruit juice may change the amount of this medicine that is absorbed in the body. The dose of this medicine will be different for different patients. Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light.

Milestone reflects Eli Lilly and Company's commitment to bring new treatment options to millions of men who experience urological conditions

Using this medicine with any of the following medicines may cause an increased risk of certain side effects, but using both drugs may be the best treatment for you. Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur. Using alcohol or tobacco with certain medicines may also cause interactions to occur. Using this medicine with any of the following is usually not recommended, but may be unavoidable in some cases. If used together, your doctor may change the dose or how often you use this medicine, or give you special instructions about the use of food, alcohol, or tobacco.

Side effects and risks

Using this medicine with any of the following may cause an increased risk of certain side effects but may be unavoidable in some cases. The presence of other medical problems may affect the use of this medicine. Make sure you tell your doctor if you have any other medical problems, especially: Abnormal penis, including curved penis and birth defects of the penis (eg, angulation, cavernosal fibrosis, or Peyronie’s disease) or Sickle-cell anemia (blood disorder)—Use with caution. May increase risk of unwanted side effects (eg, prolonged erection of the penis). Crowded optic disc or low cup to disc ratio in the eye (an eye disorder) or Hyperlipidemia (high lipids or fats in the blood) or Non-arteritic anterior ischemic optic neuropathy or NAION (serious eye condition), history of or May increase risk for non–arteritic anterior ischemic optic neuropathy (NAION).

Some side effects can be serious. If you experience any of these symptoms, call your doctor immediately or get emergency medical treatment:

Blood vessel problems (eg, aortic stenosis, idiopathic subaortic stenosis) or Heart attack (within the last 3 months) or Heart failure (within the last 6 months) or Retinitis pigmentosa (an inherited eye disorder) or Stroke (within the last 6 months)—Should not be used in patients with these conditions. Stomach ulcers—Use must be determined by your doctor. Pulmonary veno-occlusive disease or PVOD (a type of lung disease)—Use with caution. Liver disease, mild or moderate—Use with caution. The effects may be increased because of slower removal of the medicine from the body. Keep out of the reach of children. Do not keep outdated medicine or medicine no longer needed. Ask your healthcare professional how you should dispose of any medicine you do not use. It is important that you tell all of your doctors that you take tadalafil. If you need emergency medical care for a heart problem, it is important that your doctor knows when you last took tadalafil.

Ingredient	Quantity per Tablet	Purpose	Source
Tadalafil	5 mg	Active pharmaceutical ingredient	Synthetic chemical
Microcrystalline Cellulose	50 mg	Filler and binder	Plant-based
Croscarmellose Sodium	10 mg	Disintegrant	Synthetic polymer
Magnesium Stearate	5 mg	Lubricant	Mineral salt
Hydroxypropyl Methylcellulose	15 mg	Coating agent	Plant derivative

If you will be taking this medicine for pulmonary arterial hypertension, it is very important that your doctor check your progress at regular visits. This will allow your doctor to see if the medicine is working properly and to decide if you should continue to take it.

Bottom line

Your doctor may adjust your dose as needed. For treatment of erectile dysfunction (daily use):Adults—2.5 milligrams (mg) once a day, taken at the same time each day, without regard for the timing of sexual activity. Adults—2.5 milligrams (mg) once a day, taken at the same time each day, without regard for the timing of sexual activity. For treatment of erectile dysfunction and benign prostatic hyperplasia (daily use):Adults—5 milligrams (mg) once a day, taken at the same time each day, without regard for the timing of sexual activity.Children—Use is not recommended. Adults—5 milligrams (mg) once a day, taken at the same time each day, without regard for the timing of sexual activity. Blood and urine tests may be needed to check for unwanted effects. If you take tadalafil for pulmonary arterial hypertension, do not take Cialis® or other PDE5 inhibitors, including sildenafil (Revatio® or Viagra®) or vardenafil (Levitra®).

2.1 Erectile Dysfunction

For treatment of pulmonary arterial hypertension:Adults—40 milligrams (mg) (two 20 mg tablets) taken once a day. Adults—40 milligrams (mg) (two 20 mg tablets) taken once a day. Children—Use and dose must be determined by your doctor. For treatment of benign prostatic hyperplasia (daily use): For oral dosage form (chewable tablet):For treatment of benign prostatic hyperplasia (daily use):Adults—5 milligrams (mg) once a day, taken at about the same time each day. Your doctor may adjust your dose as needed.Children—Use is not recommended.For treatment of erectile dysfunction (as needed):Adults—10 milligrams (mg) as a single dose, no more than once a day, taken 30 minutes before you think sexual activity may occur. If you take too much tadalafil or take it together with these medicines, the chance for side effects will be higher.

Use Case	Description	Recommended Dosage	Typical Onset Time	Duration of Effect
Erectile Dysfunction	To facilitate erection during sexual activity	5 mg as needed, before activity	Within 30 minutes	Up to 36 hours
Pulmonary Hypertension	Off-label use for pulmonary arterial hypertension	20 mg once daily	Varies	N/A
BPH (Benign Prostatic Hyperplasia)	Under investigation for symptom relief	5 mg daily	Varies	Varies

If you experience a prolonged erection for more than 4 hours or a painful erection for more than 6 hours, contact your doctor immediately. This condition may require prompt medical treatment to prevent serious and permanent damage to your penis. This medicine does not protect you against sexually transmitted diseases (including HIV or AIDS). Use protective measures and ask your doctor if you have any questions about this. It is important to tell your doctor about any heart problems you have now or may have had in the past. This medicine can cause serious side effects in patients with heart problems. Do not use this medicine if you are also using riociguat (Adempas®) or a nitrate medicine, often used to treat angina (chest pain). Some illegal ("street") drugs called "poppers" (such as amyl nitrate, butyl nitrate, or nitrite) also contain nitrates.

Side Effect	Frequency	Severity	Notes
Headache	Common	Mild	Usually resolves within a few hours
Flushing	Common	Mild	Redness of face and neck
Nasal Congestion	Less common	Mild	Temporary, resolves without intervention
Dyspepsia (Indigestion)	Less common	Mild	May occur in some users
Muscle Back Pain	Rare	Moderate	Usually transient

Mit Fernheiler Hans-Ulrich BURKHARD

Cialis (tadalafil): Is it doing any good & how long to take it?