Your prescribed dosage will depend on how you use tadalafil and what you use it for: If you’re using Cialis for erectile dysfunction on an as-needed basis, the starting dose is usually 10 mg. This can be increased to 20 mg or decreased to 5 mg. If you’re using Cialis for erectile dysfunction on an as-needed basis, the starting dose is usually 10 mg.
| Population | Typical Dose Range | Notes |
|---|---|---|
| General adult males | 20mg - 40mg | Adjust based on response and tolerance |
| Elderly | Usually lower dose | Due to potential liver and kidney function changes |
| Patients with hepatic impairment | Usually start at lower doses | Monitor response closely |
| Patients with renal impairment | Dose adjustment may be necessary | Depends on severity |
If you’re taking daily-use Cialis for ED, the standard dosage is 2.5 mg, although it can be increased to 5 mg. If you’re using Cialis for BPH, the recommended dose is 5 mg a day.
If you’re using tadalafil for PAH, the standard dose is 40 mg. Tadalafil for PAH is sold under a different brand name, Adcirca®.
No, it’s not safe to take 40 mg of tadalafil unless your prescribing medical provider specifically told you to do so. A Cialis overdose can lead to severe side effects, and a 40-mg dose won’t necessarily improve your erectile function more than your prescribed dose. To understand why, let’s go over the basics of tadalafil. Cialis is a unique erectile dysfunction treatment because there are two ways to use it. You can take it on an as-needed basis 30 minutes to two hours before sexual activity or as a once-a-day pill — usually a 2.5- or 5-mg daily dose.
Often called the “weekend pill,” Cialis lasts roughly 36 hours — making it a little easier to have spontaneous sex. You may not be able to find out since you could be dealing with a sudden drop in blood pressure or another decidedly non-sexy condition. Tadalafil may be used to treat symptoms of benign prostatic hyperplasia (BPH), a condition characterized by an enlarged prostate gland. It’s sometimes prescribed for pulmonary arterial hypertension (PAH), a type of high blood pressure affecting the arteries in the lungs. This medication may even help treat ureteral stones (kidney stones in the ureter). A generic version of Adcirca is also available.
| Contraindication | Explanation | Alternative Actions |
|---|---|---|
| Nitrates use | Can cause severe hypotension | Consult doctor for alternatives |
| Severe liver impairment | Reduced drug clearance | Adjust dose or avoid |
| Recent stroke or heart attack | Risk of adverse cardiovascular events | Monitor closely |
| Hypotension | Blood pressure too low | Treat underlying causes |
Currently, Cialis is available in 2.5-, 5-, 10-, and 20-mg tablets.
| Product | Dosage | Quantity + Bonus | Price | |
|---|---|---|---|---|
| Cialis Generic | 20mg | 60 + 6 Pills | 117.76€ 112.15€ | |
| Cialis Generic | 40mg | 90 + 6 Pills | 171.35€ 163.19€ | |
| Cialis Generic | 2.5mg | 120 + 6 Pills | 128.93€ 122.79€ | |
| Cialis Generic | 10mg | 20 Pills | 48.23€ 45.93€ | |
| Cialis Generic | 10mg | 270 + 10 Pills | 308.71€ 294.01€ | |
| Cialis Generic | 5mg | 120 + 6 Pills | 132.92€ 126.59€ | |
| Cialis Generic | 10mg | 30 + 4 Pills | 63.32€ 60.30€ | |
| Cialis Generic | 20mg | 30 + 4 Pills | 68.05€ 64.81€ | |
| Tadalista Super Active | 20mg | 270 + 30 Pills | 661.49€ 629.99€ | |
| Cialis Generic | 10mg | 180 + 8 Pills | 236.88€ 225.60€ | |
| Cialis Generic | 10mg | 60 + 6 Pills | 105.81€ 100.77€ |
As noted, you won’t necessarily get more out of a 40-mg Cialis dosage than what’s been prescribed to you for the treatment of erectile dysfunction.
To explain why, let’s quickly go over how erections work. When you’re aroused, your brain sends signals to your body to increase blood flow to your penis and allow the arteries there to widen and fill with blood.
| Country | Approval Status | Prescription Requirement | Notes |
|---|---|---|---|
| United States | FDA Approved | Yes | For ED and BPH applications |
| European Union | EMA Approved | Yes | Widely available |
| Canada | Health Canada Approved | Yes | Available with prescription |
| Australia | TGA Approved | Yes | Additional warnings apply |
This leads to an erection, which is when the fun begins! But if you’re not turned on, or if there’s an issue with your blood vessels that prevents them from dilating (widening) properly, it’ll be harder to get an erection — pun not intended.
If you need emergency medical care for a heart problem, it is important that your doctor knows when you last took tadalafil. 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. 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®).
If you take too much tadalafil or take it together with these medicines, the chance for side effects will be higher. 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. Drugs like Cialis are known as phosphodiesterase type 5 (PDE5) inhibitors. PDE5 inhibitors work by blocking the phosphodiesterase type 5 enzyme, which can interfere with blood vessel dilation. This helps improve blood flow to penile tissues.
It’s important to remember that erectile dysfunction drugs don’t automatically give you an erection.
Cialis® is an FDA-approved erectile dysfunction (ED) treatment. The usual starting dose is 10 milligrams (mg), but if you’re currently using Cialis or generic tadalafil and it’s not having the desired effect, you might have Googled “can I take tadalafil dosage 40 mg.” The short answer is no, though high doses of tadalafil may help some non-ED conditions. To improve sexual performance, a Cialis dosage of 40 mg isn’t necessarily a “more is better” situation. While it may be tempting to take more Cialis than prescribed, it’s not safe. You should only use prescription drugs as prescribed unless your healthcare provider advises you otherwise.
Increasing your Cialis dosage could elevate your risk of experiencing serious side effects — which can be very dangerous. We recommend sticking to your prescribed tadalafil dosage. After all, ending up in the hospital with dangerously low blood pressure would be a real mood-killer — not to tadalafil sale mention a serious medical concern. Fortunately, if your Cialis dosage isn’t working, there are a number of (safe) steps you can take to address it. Let’s look at the safety risks of using a tadalafil dosage of 40 mg, explore alternative treatments for erectile dysfunction, and go over steps you can take for a healthier, more fulfilling lifestyle. They just make it so you can get hard and stay hard once you’re aroused. Whether or not Cialis works depends on the cause of your erectile dysfunction.
Adults—5 milligrams (mg) once a day, taken at about the same time each day. 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. 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. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule.
Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. 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. Many factors can contribute to ED, including: So, for example, if you’re struggling to get an erection because you’re too anxious to feel turned on, Cialis might not help — no matter what dosage you take.
Cialis is generally safe for most people, but there are potential side effects to be aware of.
This tadalafil 60mg uk includes prescription or nonprescription (over-the-counter [OTC]) medicines and herbal or vitamin supplements. Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention. Check with your doctor immediately if any of the following side effects occur: faintness or lightheadedness when getting up suddenly from a lying or sitting position pain or discomfort in the arms, jaw, back, or neck Painful or prolonged erection of the penis blistering, peeling, or loosening of the skin fast, irregular, pounding, or racing heartbeat or pulse inability to move the arms, legs, or facial muscles numbness or tingling of the face, hands, or feet red skin lesions, often with a purple center sores, ulcers, or white spots in the mouth or on the lips swelling of the feet or lower legs Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine.
Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them: burning, crawling, itching, numbness, prickling, "pins and needles", or tingling feelings burning feeling in the chest or stomach feeling of constant movement of self or surroundings feeling of warmth, redness of the face, neck, arms and occasionally, upper chest redness, pain, swelling of the eye, eyelid, or inner lining of the eyelid swelling or puffiness of the eyes or face Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional. Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088. Much less common (but way more serious) side effects can include: Sudden drop in blood pressure (hypotension) if taken with certain other medications Sudden drop in blood pressure (hypotension) if taken with certain other medications Priapism, a painful condition where an erection lasts over four hours Priapism, a painful condition where an erection lasts over four hours If you have any of these side effects, seek medical attention immediately.
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. If you need to use a nitrate medicine, take it at least 48 hours after your last dose of tadalafil.
Do not drink excessive amounts of alcohol (eg, 5 or more glasses of wine or 5 or more shots of whiskey) when taking tadalafil. When taken in excess, alcohol can increase your chances of getting a headache or dizziness, increase your heart rate, or lower your blood pressure. If you experience sudden loss of vision in one or both eyes, contact your doctor immediately. Check with your doctor right away if you have a sudden decrease in hearing or loss of hearing, which may be accompanied by dizziness and ringing in the ears. Do not take other medicines unless they have been discussed with your doctor.