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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 The recommended dose of CIALIS for once daily use is 5 mg, taken at approximately the same time every day.  When therapy for BPH is initiated with CIALIS and finasteride, the recommended dose of CIALIS for once daily use is 5 mg, taken at approximately the same time every day for up to 26 weeks.