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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.
If you have kidney disease, the recommended dose of CIALIS is one 10 mg tablet. This dose may be increased up to 20 mg. For patients with severe renal impairment 10 mg is the maximum recommended dose. If you have liver disease, the recommended dose of CIALIS is one 10mg tablet.