Use as needed for ED: -Initial dose: 10 mg orally once a day, as needed, prior to sexual activity -Maintenance dose: 5 to 20 mg orally once a day, as needed, prior to sexual activity based on individual efficacy and tolerability Comment: Consider that this drug has shown to improve erectile dysfunction up to 36 hours following dosing, when used as needed. Once a day use for ED: -Initial dose: 2.5 mg orally once a day at approximately the same time, without regard to timing of sexual activity -Maintenance dose: 2.5 to 5 mg orally once a day based on individual efficacy and tolerability. Once daily use for ED and Benign Prostatic Hyperplasia (BPH): -5 mg orally once a day at approximately the same time, without regard to timing of sexual activity Use: Treatment of erectile dysfunction (ED) Adcirca (R): -40 mg orally once a day Comment: Dividing the 40 mg dose over the course of the day is not recommended. Once daily use for BPH: -5 mg orally once a day at approximately the same time Concomitant administration with finasteride: -5 mg orally once a day at approximately the same time, for up to 26 weeks Comments: The incremental benefit of this drug decreases from 4 weeks until 26 weeks. The incremental benefit of this drug beyond 26 weeks is unknown. Once daily use for ED and BPH: -5 mg orally once a day at approximately the same time, without regard to timing of sexual activity Use: Treatment of the signs and symptoms of benign prostatic hyperplasia (BPH) Use as needed for ED: -Cr Cl 30 to 50 m L/min: 5 mg orally once a day. The maximum dose is 10 mg not more than once in every 48 hours. propecia tablets 1mg Tadalafil (Cialis) is used to treat erectile dysfunction (ED, impotence; inability to get or keep an erection), and the symptoms of benign prostatic hyperplasia (BPH; an enlarged prostate) which include difficulty urinating (hesitation, dribbling, weak stream, and incomplete bladder emptying), painful urination, and urinary frequency and urgency in adult men. Tadalafil (Adcirca) is used to improve the ability to exercise in people with pulmonary arterial hypertension (PAH; high blood pressure in the vessels carrying blood to the lungs, causing shortness of breath, dizziness, and tiredness). Tadalafil is in a class of medications called phosphodiesterase (PDE) inhibitors. It works to treat erectile dysfunction by increasing blood flow to the penis during sexual stimulation. Tadalafil treats PAH by relaxing the blood vessels in the lungs to allow blood to flow more easily. 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