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CIALIS for Use as Needed for Erectile Dysfunction. 1  The recommended starting dose of CIALIS for use as needed in most patients is 10 mg, taken prior to anticipated sexual activity. 2  The dose may be increased to 20 mg or decreased to 5 mg, based on individual efficacy and tolerability.
Take one tablet at the prescribed dose at the same time each day. If you forget to take your pill, take it as soon as you remember, but never take more than one pill per day. If you take Cialis for daily use, it may require four to five days of proper usage to take effect. Learn to recognize side effects of Cialis.