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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 the 2.5-mg daily dosage does not seem to be working well enough, your healthcare provider may increase the Cialis dose to 5 mg every day. Lower dosages may be recommended for men with kidney or liver problems. Cialis (Tadalafil) Medication Information.