Cialis (Tadalafil) Dosage: What is the Minimum and Maximum Available Dose

Cialis has changed the treatment of erectile dysfunction because of its particular efficiency in stimulating a penile erection. Tadalafil, the active component in Cialis, has a specific chemical structure, making the drug's overall formula one-of-a-kind. Cialis has been labeled as a long-acting ED medication because of its unique pharmacological properties. But what dosages of the drug can provide patients with the maximum effect? We will try to answer this question in this article. Remember that we provide general info, and only a doctor can prescribe the correct dose for you.

Cialis Dosage: How to Determine

Your doctor will choose a Cialis dose for you, depending on several variables, and these are:

●       how frequently Cialis will be taken;

●       patient's age;

●       any other medical issues a man has;

●       nature and severity of ED.

A healthcare professional will likely start you out on a low dose. Then, they'll make gradual adjustments till you've reached a dose that's ideal for you. In the end, your doctor will prescribe the minimum effective dose.

Your doctor may prescribe a lower first dosage of Cialis if you have specific health issues, such as kidney or liver disease. This precaution is taken to avoid aggravating your existing symptoms during the drug use.

Drug Forms and Strengths

Cialis is available as a tablet that you need to swallow. It has four strengths: 2.5 mg, 5 mg, 10 mg, and 20 mg. There are also generic forms of Cialis, such as:

 ●       Cialis Oral Jelly - liquid gel with a pleasant flavor may be taken without water. The drug effects might be experienced and sustained in as little as 20 minutes.

●       Cialis Professional - a new, more powerful version of the erectile dysfunction drug, usually taken 30 mins before sex.

●       Cialis Soft Tabs - small pills dissolve under the tongue and act faster than other Cialis forms.

●       Cialis Super Active - one more form of a quick soluble pill, which contains the active ingredient Tadalafil.

If you have chosen one of these generics, talk to your doctor about dose adjustments.

Typical Cialis Dosage for ED

The drug dosage may depend on ED severity, treatment goals, other diseases in anamnesis, and other meds a person takes. Let's consider each criteria separately.

Standard Dosage for ED in Adults (Taken as Needed)

The recommended starting dosage is 10 mg, taken orally once daily before engaging in sexual activity. Individual efficacy and tolerance will determine the maintenance dosage. Your attending physician can change the dose depending on your reaction to the med. It may vary from 5 mg to 20 mg orally once a day before sex. When taken as needed, this medication has been proven to work for up to 36 hours after intake.

No more than one daily dose of Cialis is recommended. The maximum daily dose of Cialis is 20 milligrams, and you shouldn't exceed that. When used in greater doses, such as 40 mg daily, Cialis might cause significant negative effects.

Standard Dosage for ED in Adults (Taken Daily)

The recommended starting dosage is 2.5 mg, taken orally once a day at about the same time, regardless of when sexual activity occurs. Individual efficacy and tolerance will determine the maintenance dosage. Sometimes the daily dose may be increased depending on the patient's condition, age, and other specificities. The maximum dosage is 5 mg a day.

Renal Dose Adjustments

This drug is typically safe for men with renal problems. When using Tadalafil (Cialis), however, it is critical to follow your doctor's instructions. Most patients with kidney diseases require dose adjustments.

For ED, Use as Needed

●       CrCl 30–50 mL/min: 5 mg orally once daily. The maximum dosage is 10 mg, which should be taken no more than once per 48 hours.

●       If your CrCl is less than 30 mL/min or you are on hemodialysis, the maximum dosage is 5 mg orally every 72 hours.

Use Once a Day for ED

●       CrCl of 30 mL/min or higher: no data is available.

●       If your CrCl is less than 30 mL/min or you are on hemodialysis, the drug use: is not advised.

Dose Modifications in Patients with Liver Diseases

Patients with liver conditions should be careful and only use this medication as a doctor prescribes. This is because this condition may increase susceptibility to the drug's adverse effects if you take the typical dose. Your doctor may suggest that you only take your ED medication on an as-needed basis if you have liver issues. The regular dose adjustments are as follows.

For ED, Use as Needed

●       10 mg orally once a day in mild to severe hepatic impairment (Child-Pugh Classes A and B).

●       Severe hepatic impairment (Child-Pugh Class C): this medication is not advised.

Use Once a Day for ED

●       Use with care if you have mild to severe hepatic impairment (Child-Pugh Classes A and B).

●       Severe hepatic dysfunction (Child-Pugh Class C): avoid Cialis.

Dose Adjustments for Intake with Other Drugs

Cialis can interact with some drugs, including CYP450 3A4 inhibitors and alpha-blockers. Tell your doctor what drugs you are taking in order to avoid unwanted effects.

Concurrent Use with Alpha-blockers

●       Erectile Dysfunction: 2.5 mg once a day orally.

●       Before beginning treatment with this medicine, patients should be stable on alpha-blocker therapy.

Concurrent use with CYP450 3A4 Inhibitors (Ketoconazole, Ritonavir)

●       For ED, use as needed: No more than 10 mg should be used orally every 72 hours.

●       Once-daily dosing for ED: Orally, no more than 2.5 mg each day.

Cialis Dosage for Older Patients

The med is efficacious and well tolerated in treating erectile dysfunction in men over 65 years of age. So Cialis dosage is not determined only by age. Instead, patients take whichever dose a doctor thinks is right for them. The efficiency of kidneys and liver may need to be evaluated before Cialis prescription. It is because kidney and liver function will be considered when setting up the dosing regimen.

As individuals become older, their kidneys often lose some of their functionality. So, it may take longer for an older adult's body to break down and eliminate Cialis from the system (men aged 65 and over). The danger of adverse effects from Cialis may also be higher in elderly patients because of their potentially more vulnerable systems.

A doctor may choose to start you on a lower dose of Cialis because of your age. If a modest dose is effective, you'll likely stick with it. Your doctor may modify your dose if it isn't working for you or if you have any irritating side effects. The objective is to discover the safest and most effective low dose that alleviates your ED symptoms.

Cialis at Higher Doses

Cialis doses for ED are between 2.5 mg and 20 mg per day or as needed. Use of dosages higher than 20 mg per day have not been investigated, and it is unknown what negative effects may develop.

For example, if you take your 20 mg "as-needed" dosage twice a day, you'll consume 40 mg. This dosage is excessive and may result in major adverse effects such as low blood pressure.

It is critical that you just take the quantity of Cialis that your doctor has prescribed for you. Also, rather than raising your dose on your own, consult with them if you believe that you need a higher dose of the medicine.

What to Do if You Forget to Take a Dose?

If you forget to take your Cialis once daily, take it as soon as you recall. Never take two doses in one day. If you missed your dosage yesterday, skip it and continue with your once-daily dosing. Set a reminder on your phone to ensure you don't miss a dosage. A medicine timer may also be handy.

Safety Tips

Here are some recommendations on how to use Tadalafil safely. Read it carefully before taking the drug at any dose.

●       If you or anybody in your family has ever had an adverse response to Tadalafil or any other PDE5 inhibitors, please inform your doctor.

●       Some persons, such as those with heart problems, may not be safe candidates for treatment with Cialis. If you have any of the risk factors associated with Tadalafil usage, it's best to talk to your doctor about other choices for treating your ED.

●       You shouldn't use Cialis within seven days of taking a nitrate drug (isosorbide mononitrate or isosorbide dinitrate). Nitrates also come as sublingual pills and an oral spray, among other forms. Cialis should not be used within 24 hours of using any nitrate medications.

●       Tell your doctor about everything you're taking, whether it's prescription drugs, OTC drugs, or vitamins. By doing so,you can avoid potentially fatal medication interactions.

●       Take Tadalafil just once every 24 hours. Overdosing has potentially fatal consequences for one's health. You should see your doctor before increasing the dosage of any drug.

●       Never double the dosage to catch up if you miss one since it is part of a regular dosing plan.

●       Grapefruit juice might increase the quantity of the active ingredient Tadalafil in your system, which can provoke adverse effects. While using Tadalafil, you should avoid grapefruit and grapefruit juice.

●       No one under the age of 18 should take the med. It has not been determined whether or not this medication is safe and effective for use in such young people.

●       No special warnings are necessary when older men use the drug. However, elderly people have a more significant chance of experiencing adverse effects. If you're worried about this, seeing a doctor is best.

Conclusion

Cialis (Tadalafil) is used to treat ED in men. It is available in tablet form and is used as required or once daily, depending on the treated condition. The dose ranges from 2.5 mg to 20 mg and can be adjusted due to other meds intake, renal or liver diseases. Always take Cialis precisely as directed to get the most out of it and avoid side effects.

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