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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.
1 For most patients the recommended starting dose is 10 mg as needed prior to anticipated sexual activity. 2  The dose may be increased to 20 mg or decreased to 5 mg based on efficacy or tolerability. 3  The maximum dosing frequency is once daily for most patients. 4  Cialis is effective for up to 36 hours.