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Yellow, capsule shaped, approximately In general, the recommended dose is 10 mg taken prior to anticipated sexual activity and with or without food. In those patients in whom tadalafil 10 mg does not produce an adequate effect, 20 mg might be tried. It may be taken at least 30 minutes prior to sexual activity. Tadalafil 10 mg and 20 mg is intended for use prior to anticipated sexual activity and it is not recommended for continuous daily use. Treatment should only be initiated and monitored by a physician experienced in the treatment of PAH. Adult men with erectile dysfunction: Dose adjustments are not required in patients with mild to moderate renal impairment. For patients with severe renal impairment, 10 mg is the maximum recommended dose for on-demand treatment.

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Taking the medication properly helps you get the maximum effect while avoiding side effects. Reasons not to take 40 milligrams mg of Cialis include how the drug works and how long it lasts. Both can make it risky to up your dose. For example, PDE5 is found in tissues in the lungs, kidneys, liver, brain, and platelets. Cialis also affects PDE11 which is found in tissues in the heart, pancreas, pituitary, skeletal muscles, testes, and corpus cavernosum.

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Its composition contains specific chemicals that impact the body in a unique manner, resulting in a sustained erection. Unlike other similar drugs, Cialis has a lasting effect of thirty six hours, allowing for continuous intimate activity. Usually, ED can easily be diagnosed if the dysfunction occurs during every fourth sexual activity. The most common cause of ED is cardiovascular disease, which results from factors such as lack of physical activity, an unhealthy diet, smoking, alcohol, and the aging process. However, ED can also be caused by specific injuries or other serious disorders.

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