Cialis (tadalafil): Is it doing any good & how long to take it?
The risk of low blood pressure and dizziness may be increased if you drink alcohol while taking tadalafil. It is best to limit the amount of alcohol you drink while taking tadalafil. Always tell your healthcare provider about any prescription or over-the-counter (OTC) medicines, vitamins/minerals, herbal products, and other supplements you are using. In particular, make sure that you discuss if you are using any of the cialis tabs 20mg following before taking tadalafil. A nitrate, such as nitroglycerin (Nitro-Dur, Nitrostat, and others) or isosorbide, which is a medicine used for chest pain caused by a type of heart disease, or a street drug, such as amyl nitrite (“poppers”) A guanylate cyclase stimulator, such as riociguat (Adempas), which is a medicine used for high blood pressure in the lungs (pulmonary arterial hypertension), or vericiguat (Verquvo), which is a medicine used for a type of heart failure An alpha-blocker, such as alfuzosin (Uroxatral), doxazosin (Cardura), dutasteride, prazosin (Minipress), silodosin (Rapaflo), tamsulosin (Flomax), or terazosin (Hytrin), which is a medicine that may be used for high blood pressure and/or difficulty peeing due to an enlarged prostate A blood pressure medicine, such as amlodipine (Norvasc) or enalapril (Vasotec) Bosentan (Tracleer), which is a medicine used for pulmonary arterial hypertension A protease inhibitor, such as ritonavir (Norvir), which is a medicine commonly used to treat HIV Rifampin (Rifadin), which is a medicine commonly used to treat an infection called tuberculosis A medicine used for fungal infections, such as ketoconazole or itraconazole (Sporanox, Tolsura) Erythromycin (Ery-Tab and others) or clarithromycin (Biaxin), which is a medicine used for bacterial infections Any other medicine used for erectile dysfunction or pulmonary arterial hypertension Some other medicines may alter the blood levels of tadalafil. Tell your healthcare provider about all medicines that you take or have recently taken. This may not be a complete list of medicines that can interact with tadalafil.
- Cialis 10mg is one of several available dosing options.
- Cialis 20mg is the highest commercially available single pill.
- Both work by increasing blood flow to the penis during arousal.
- 10mg daily can be discreetly integrated into a daily vitamin routine.
- 20mg on-demand requires more foresight and planning.
- Side effects are generally mild to moderate and transient.
- Serious cardiovascular events are rare but possible with both.
- A follow-up appointment is needed to assess treatment success.
If you or someone else has used too much tadalafil, get medical help right away, call 911, or contact a Poison Control center at 800-222-1222. If you miss a dose, take it as soon as you remember.
- The therapeutic window for tadalafil is wide, allowing 10mg & 20mg.
- 10mg is often the recommended dose for concomitant BPH and ED.
- 20mg is not approved for daily use due to increased adverse events.
- Both doses may improve quality of life and sexual confidence.
- Taking 20mg after a large, fatty meal delays Tmax (time to peak).
- 10mg daily has a more consistent pharmacokinetic profile.
- Drug holidays are not typically needed with 10mg daily dosing.
- Inform your surgeon you are taking Cialis before any operation.
If it is almost time for your next dose, skip the missed dose and only take the next dose. Do not take double or extra doses. Some tadalafil products are meant to be used only when needed.
- The 10mg strength is suitable for a moderate frequency of activity.
- The 20mg strength is for achieving maximum efficacy per dose.
- Neither 10mg nor 20mg should be taken with recreational drugs.
- Both may worsen symptoms of retinitis pigmentosa (rare eye condition).
- Starting with a lower dose minimizes initial side effect severity.
- 20mg is the go-to dose for the "36-hour" window of opportunity.
- 10mg daily dosing may lead to fewer "peak" side effects over time.
- Consult a doctor before switching between 10mg and 20mg regimens.
Take it as your healthcare provider recommends. This survey is being conducted by the WebMD marketing sciences department. Daily Cialis can be safe for many seniors under medical supervision, often improving erections and BPH urinary symptoms and possibly supporting vascular health, but safety depends on your heart status, kidney and liver function, blood pressure, and other medicines. See the complete details below for dosing guidance, who should avoid it such as anyone using nitrates, potential side effects, key drug interactions, and warning signs that could change your next steps.
- Cialis 10 mg may be adequate for some men’s needs.
- Cialis 20 mg is recommended for maximum effectiveness.
- Both doses require sexual stimulation for efficacy.
- Cialis should not be used more than once a day.
- Doses vary depending on individual health and response.
- Cialis’s duration remains around 36 hours regardless of dose.
- Consult a doctor before increasing to 20 mg.
- Alcohol consumption can impair Cialis’s effectiveness.
- Side effects tend to be mild but may include dizziness.
- Proper dosing enhances safety and satisfaction.
Learn if Cialis is safe for seniorsDiscover what causes performance issues nowSee if you need care todayFind OTC options for performance supportFind a doctor for performance concernsUnderstand safe home remedies for performanceFind out what’s causing your symptoms Many men ask: Can you take Cialis every day at 70? Erectile dysfunction (ED) becomes more common with age, and so do heart conditions, diabetes, and other health issues that can affect sexual performance. Cialis (generic name: tadalafil) is one of the most commonly prescribed treatments for ED.
| Parameter | Cialis 10mg | Cialis 20mg | Notes |
|---|---|---|---|
| Suitable for Erectile Dysfunction | Yes | Yes | Both doses are effective |
| Recommended for Older Patients | Usually lower dose | Usually lower dose | Adjusted based on health status |
| Contraindications | Nitrate use | Nitrate use | Avoid in patients taking nitrates |
| Liver/Kidney Considerations | Dose adjustment | Dose adjustment | Necessary for organ impairment |
It's also approved for benign prostatic hyperplasia (BPH) and, at different doses, certain types of pulmonary hypertension.
13.2 Animal Toxicology and/or Pharmacology
It is not known if tadalafil passes into breast milk. Tell your healthcare provider if you are breastfeeding or plan to breastfeed. Your healthcare provider may recommend limiting or avoiding grapefruit while taking tadalafil. Grapefruit or grapefruit juice can raise tadalafil levels in your body, which can increase the risk of side effects. It is unknown if drinking alcohol will affect tadalafil. But is daily use safe for seniors? Here's what credible medical evidence and clinical guidelines tell us.
| Product | Dosage | Quantity + Bonus | Price | |
|---|---|---|---|---|
| Cialis Professional | 20mg | 360 + 6 Pills | 807.03€ 768.60€ | |
| Cialis Generic | 2.5mg | 270 + 10 Pills | 199.64€ 190.13€ | |
| Cialis Generic | 40mg | 90 + 6 Pills | 171.35€ 163.19€ | |
| Cialis Black | 80mg | 360 + 20 Pills | 639.78€ 609.31€ | |
| Cialis Generic | 20mg | 360 + 10 Pills | 427.34€ 406.99€ | |
| Cialis Generic | 10mg | 360 + 10 Pills | 388.49€ 369.99€ | |
| Cialis Original | 20mg | 120 + 8 Pills | 497.29€ 473.61€ | |
| Cialis Generic | 20mg | 90 + 6 Pills | 154.71€ 147.34€ | |
| Cialis Generic | 40mg | 60 + 6 Pills | 130.98€ 124.74€ | |
| Cialis Generic | 5mg | 10 Pills | 29.39€ 27.99€ | |
| Cialis Generic | 5mg | 270 + 10 Pills | 205.81€ 196.01€ | |
| Cialis Generic | 5mg | 20 Pills | 41.99€ 39.99€ | |
| Cialis Generic | 20mg | 120 + 8 Pills | 188.15€ 179.19€ | |
| Cialis Generic | 60mg | 60 + 4 Pills | 145.06€ 138.15€ | |
| Cialis Original | 20mg | 64 + 4 Pills | 274.18€ 261.12€ |
Cialis belongs to a class of medications called PDE5 inhibitors. These drugs improve blood flow by relaxing blood vessels.
Additional Resources
Though rare, some people have reported permanent vision loss. Stop taking tadalafil and get help right away if you have sudden vision loss in one or both eyes. Tadalafil may cause a sudden decrease or loss of hearing. Stop taking tadalafil and tell your healthcare provider right away if you experience hearing loss or have any of the following symptoms. People who are allergic to any of the following should not take tadalafil.
What are the most common side effects of tadalafil?
Any of the ingredients in the specific product dispensed Your pharmacist can tell you all of the ingredients in the specific tadalafil products they stock. Tadalafil should not be taken while you are using certain other medicines. Before taking tadalafil, tell your healthcare provider about any prescription or over-the-counter (OTC) medicines, vitamins/minerals, herbal products, and other supplements you are using. See the Interactions section for more details. Do not take tadalafil unless it has been prescribed to you by a healthcare provider. Unlike Viagra (sildenafil), which is taken as needed, Cialis can be prescribed in two ways: As needed (typically 10–20 mg before sexual activity) Daily low dose (2.5–5 mg once per day) The daily version keeps a steady level of medication in your body, allowing for more spontaneous sexual activity rather than planning around a pill.
| Aspect | Cialis 10mg | Cialis 20mg | Notes |
|---|---|---|---|
| Recommended Use | As needed | As needed | Based on doctor's advice |
| Onset of Action | 30-60 minutes | 30-60 minutes | Similar timing |
| Duration of Effect | Up to 36 hours | Up to 36 hours | Long-lasting effects |
| Common Side Effects | Headache | Headache | Also includes flushing |
| Maximum Daily Dose | 1 tablet | 1 tablet | Do not exceed recommended |
Yes, many men can safely take Cialis every day at 70 — but only under medical supervision.
| Side Effect | Cialis 10mg | Cialis 20mg | Notes |
|---|---|---|---|
| Headache | Common | Common | Usually mild |
| Flushing | Common | Common | Due to vasodilation |
| Dizziness | Possible | Possible | Occurs more in higher doses |
| Priapism | Rare | Rare | Medical emergency, seek immediate help |
| Cardiovascular Risks | Minimal | Slightly higher | Caution in patients with heart conditions |
Age alone does not automatically disqualify someone from daily Cialis use.
Medical uses
Use an accurate measuring device to measure your dose. A household spoon is not an accurate measuring device and may cause you to take the wrong dose. Ask your pharmacist to recommend an appropriate measuring device. Tell your healthcare provider about all of your health conditions and any prescription or over-the-counter (OTC) medicines, vitamins/minerals, herbal products, and other supplements you are using. This will help them determine if tadalafil is right for you.
Benign prostatic hyperplasia
In particular, make sure that you discuss any of the following. Tell your healthcare provider if you have any of the following. Heart problems, such as heart rhythm problems, chest pain, or heart failure Heart attack, stroke, or heart surgery within the past six months High blood pressure that is still too high despite taking medicines for it Peyronie's disease, or a penis with an abnormal curve or shape An erection lasting longer than four hours A blood disorder, such as sickle cell anemia, multiple myeloma, or leukemia An inherited eye disease called retinitis pigmentosa Vision loss, or a problem with the nerve between your eyes and brain (optic nerve) Health conditions or factors that raise the risk of optic nerve problems, such as diabetes, high cholesterol, smoking, being older than 50, or having a “crowded disc,” which is something an eye doctor may see in an eye exam Pulmonary veno-occlusive disease, a condition where blood vessels in the lungs are blocked It is not known if or how tadalafil could affect pregnancy or harm an unborn baby. Tell your healthcare provider if you are or plan to become pregnant. Your healthcare provider will advise you if you should take tadalafil while you are pregnant or trying to get pregnant. In fact, clinical studies have included men well into their 70s and even 80s. However, safety depends more on your overall health than your age.
2.3 Use in Special Populations
Do not share tadalafil with other people, even if they have the same condition as you. Keep tadalafil out of the reach of children. Sexual activity can put extra strain on your heart, which may be unsafe for people with certain health problems, such as a recent heart attack. Talk to your healthcare provider to see if your heart is strong enough for sex. If you feel chest pain, dizziness, or nausea during sex, stop and contact your healthcare provider right away.
What to do in case of overdose
Tadalafil does not protect against sexually transmitted infections, including HIV. Tadalafil belongs to a group of medicines, known as phosphodiesterase-5 (PDE-5) inhibitors, which are used to treat erectile dysfunction or pulmonary arterial hypertension. You should not take more than one PDE-5 cialis help with premature ejaculation inhibitor medicine. Medicines in this group include avanafil (Stendra), sildenafil (Viagra, Revatio, and others), tadalafil (Cialis and others), and vardenafil (Levitra, Staxyn). If you take liquid tadalafil, shake the bottle well for 30 seconds before use. If those factors are stable and well-managed, daily tadalafil is often considered safe. Daily Cialis helps by increasing blood flow to the penis.
5.11 Combination With Other PDE5 Inhibitors or Erectile Dysfunction Therapies
In Canada, you can report side effects to Health Canada at or by calling 866-234-2345. While less common, the most serious side effects of tadalafil are described below, along with what to do if they happen. Tadalafil may cause allergic reactions, which can be serious. Stop taking tadalafil and get help right away if you have any of the following symptoms of a serious allergic reaction. Swelling of the face, lips, mouth, tongue, or throat Itching, skin rash, or pale red bumps on the skin called hives Tadalafil may cause an unwanted erection that is persistent, painful, and that may occur without sexual arousal.
Drug forms and administration
Permanent damage to the penis may occur if priapism is not treated quickly. Stop taking tadalafil and get emergency help right away if you have any of the following symptoms of priapism. Erection lasting for more than 4 hours Erection that is unrelated to sexual stimulation If you feel faint or dizzy, lie down. Tell your healthcare provider right away if you have any of the following symptoms of low blood pressure. Tadalafil can cause mild, temporary vision changes such as seeing a blue tint, abnormal colors, blurry vision, or sensitivity to light.