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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.
Cialis is available in two dosages: 10mg and 20mg. Some men may respond to a lower dose of Cialis. Some men may already be taking medicines, other than nitrates, that interact with Cialis and thus need to adjust the Cialis dosage.