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Another common ED medication, tadalafil (the active ingredient in Cialis®) is also taken by men for sexual performance enhancement and other recreational purposes. The side effects of Cialis are similar to those of Viagra. However, Cialis is a much longer-lasting medication.

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Official Answer. The maximum recommended dose of Cialis is 20mg daily. Increasing the dose to 40mg might just increase the intensity of side effects and may not actually deal with the erectile dysfunction problem. If 20mg dose is not working you might want to look for an another medicine.

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The usual starting dose for as-needed Cialis is 10 mg. It's adjusted upward or downward depending on how you react to the medication. Don't take more than one dose per day to avoid the risk of a prolonged, painful erection (priapism), drop in blood pressure, or other serious side effects.

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