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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.
Do not take CIALIS for daily use (2.5 mg, 5 mg) and CIALIS for use as needed (5 mg,10 mg, 20 mg) at the same time. If you are taking one of the CIALIS dosing options and would like to start taking the other, talk to your doctor before discontinuing use. You should not take any other ED treatment while taking CIALIS.