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Cialis Dosage: When and How to Take the Pill Properly?

Julian Carter
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Cialis Dosage: What Strength is Right for You?

Struggling to find the best Cialis dosage for your needs? Whether you have Erectile Dysfunction (ED), Benign Prostatic Hyperplasia (BPH), or both, selecting the correct dose can make a great difference in your results and safety. Cialis with the active salt Tadalafil is known for its versatility, providing both daily and as needed choices to accommodate various lifestyles and sexual activity patterns. 

However, with so many different strengths available, determining which is best for you is not always easy. Too much can worsen side effects, while too little may not produce the desired outcomes. 

In this article, we’ll cover everything you need to know about the dosage of Cialis, from first usage to long-term treatment options, so you can make confident and informed choices after consulting your doctor.

Cialis dosage options

Cialis comes in four tablet strengths: 2.5 mg, 5 mg, 10 mg, and 20 mg. Generally, it is given as needed and once daily, depending on the condition being treated. For Erectile Dysfunction (ED), the pill can be prescribed either as needed or once daily, based on individual preferences. 

For Benign Prostatic Hyperplasia (BPH) or for both ED and BPH together, Cialis is given once daily. Let’s look at these dosing options in detail.

As-needed dosing (for ED)

Cialis as-needed dosage is for those who do not engage in regular sexual activity and prefer to take the medicine just when they plan to have intercourse.

  • Typical starting dose: 10 mg, given at least 30 minutes before sexual activity.
  • Adjustments: If the 10 mg dose is insufficient, your doctor may increase it to 20 mg or reduce it to 5 mg if you encounter side effects.
  • Frequency: Take no more than one dosage of Cialis per day. The medicine’s effects can last up to 36 hours, giving it the nickname of the weekend pill.

Once-daily dosing (for ED, BPH, or both)

Cialis dosage for daily use is appropriate for people who plan to engage in regular sexual activity (at least twice a week) or are dealing with BPH. Taking it regularly ensures that the medicine is consistently present in your system, allowing for spontaneity.

  • Typical starting dose and frequency for ED: The typical starting Cialis dosage for ED is 2.5 mg, given once a day at around the same time every day, regardless of sexual activity. Depending on individual efficacy and tolerance, the dose may be raised to 5 mg.
  • Dosage and frequency for BPH: For BPH, Cialis recommended dosage is 5 mg given once a day at the same time every day.
  • Dosage and frequency for ED and BPH combined: The recommended dose of Cialis for BPH and ED simultaneously is 5 mg, taken once daily at approximately the same time every day.
Did you know?
Cialis 5 mg daily is often used with Finasteride for up to 26 weeks when initiating BPH treatment.

Cialis dosage adjustments

Cialis dose modifications are essential for maintaining both safety and efficacy, particularly in those with underlying health issues or those taking other medications. 

  • Adjustments for individuals with kidney impairment are based on severity. Those with mild to moderate kidney dysfunction should begin with 5 mg for as-needed use, with a maximum dose of 10 mg every 48 hours, although daily usage is typically not suggested. 
  • In severe kidney failure or for people on dialysis, the maximum dose is 5 mg as needed, and daily usage is not recommended. According to a report published by the journal Renal Failure in 2017, in patients with End-stage Renal Disease (ESRD) and undergoing hemodialysis, a twice-weekly dose of 5 mg of Tadalafil improves ED symptoms and ejaculatory function.
  • People with mild to moderate liver issues should use Cialis with caution, beginning with lower dosages and avoiding daily usage if possible. Patients with serious liver impairment should not use Cialis.
  • Furthermore, older persons often do not require dose adjustments but must take the medicine cautiously. 
  • Cialis dosage must also be carefully monitored when used with CYP3A4 inhibitors (e.g., Ketoconazole or Ritonavir) since they might raise Tadalafil levels in the blood, increasing the probability of adverse reactions.
  • Always seek individualized dose guidance and monitoring from your healthcare professional.
Warning
In rare cases, Cialis can lead to sudden hearing or vision loss. Consult your doctor immediately if it happens.

Important considerations

When determining the appropriate dosage of Cialis for ED or BPH, several important considerations must be considered to ensure both safety and effectiveness. These often include:

  • Cialis should never be used with organic Nitrates (such as Nitroglycerin for chest discomfort) due to the risk of a severe decrease in blood pressure. Patients should always notify their doctor about every medicine they are currently taking.
  • Excessive alcohol consumption might increase the blood pressure-lowering effects, resulting in dizziness, headaches, and even fainting. When using Cialis, it is typically recommended that you consume alcohol in moderation.
  • Consistency is essential when it comes to once-daily dosage; patients should try to take their dose at the same time every day to keep medication levels steady. 
  • Grapefruit and its juice can also increase Cialis levels in the circulation, enhancing the likelihood of Cialis’s side effects; hence, they should be avoided.
  • If a dosage is missed, it should be taken as soon as possible; however, taking two doses to make up for a missed dose can increase the risk of side effects.
  • Individuals with underlying health conditions, particularly cardiovascular disease, or those taking other medications such as Alpha-blockers, must consult a doctor before using Cialis.
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Conclusion

Choosing the proper Cialis dosage depends on your health condition, lifestyle, and treatment goals. Cialis, whether used as needed for occasional Erectile Dysfunction or daily for continuous help with ED and BPH, provides flexibility and long-lasting results. 

Following your doctor’s instructions is essential when determining whether to take 2.5 mg, 5 mg, 10 mg, or 20 mg dosages, since inappropriate use might result in reduced efficacy or unpleasant side effects. 

Age, kidney or liver function, and any additional medications you are taking all have an impact on the appropriate dosage. Always avoid taking Cialis with nitrates and alcohol, and inform your doctor if you experience any side effects or health problems. 

Cialis, when used properly and under medical supervision, can considerably enhance sexual function and quality of life in men suffering from ED or BPH.

Frequently Asked Questions

Can I break a Cialis pill to alter the dosage?

No. You should not break or crush Cialis pills to adjust the dosage, particularly if they are film-coated. This can impact medication stability and dose accuracy. Always use the indicated strength, or visit your doctor if a dosage modification is required.

Will a greater Cialis dosage produce better results?

No. Not always. While some men perform better with greater dosages, such as 20 mg, others may have more adverse reactions. The optimal dose varies per individual. Always begin with the suggested dose and modify only with your doctor’s advice.

Is the Cialis dose different when taken with food?

No, Cialis may be taken with or without food. Unlike Viagra, the absorption of Cialis is not considerably impacted by meals; therefore, the dose stays constant independent of food consumption. 

Can I switch between daily and as-needed Cialis doses?

Yes, with medical approval, you can switch between the two dosing options. Some men begin with a daily dose and switch to as-needed for convenience or financial reasons. Your doctor can assist you in safely transitioning between regimens based on your symptoms and lifestyle

Does the Cialis dose influence sperm quality or fertility?

No. There is no compelling evidence that the Cialis dose directly impairs sperm quality or fertility. However, long-term usage has not been thoroughly researched in this field. If you are attempting to conceive, consult a fertility doctor before using Cialis

Citations:
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