Uses
Tadalafil is used to treat impotence or erectile dysfunction. Tadalafil works by increasing blood flow to the penis to help a man get and keep an erection. However, sexual stimulation is necessary to get an erection.
Tadalafil’s also used to treat the symptoms of an enlarged prostate (benign prostatic hyperplasia-BPH). It helps to relieve symptoms of BPH including difficulty in beginning the flow of urine, weak stream, and the need to urinate frequently or urgently.
Tadalafil does not protect against sexually transmitted diseases. Consult your doctor or pharmacist for more details.
How to use Cialis
Take Tadalafil by mouth, with or without food, as directed by your doctor. Do not take tadalafil more often than once daily.
The dosage is based on your medical condition, response to treatment, and other medications you may be taking. Be sure to tell your doctor and pharmacist about all the products you use including herbal products.
To treat the symptoms of BPH, take this medication as directed by your doctor, usually once a day. If you are also taking finasteride with this medication to treat symptoms of BPH, talk with your doctor about how long you should continue taking this medication.
Your doctor will determine which is the best way for you to take tadalafil. Follow your doctor’s directions thoroughly since your dosage depends on how you are taking it. You may take Tadalafil, usually at least 30 minutes before sexual activity. Tadalafil’s effect on sexual ability may last up to 36 hours.
Or you can take tadalafil regularly, once a day every day. This way, you may attempt sexual activity at any time between your doses.
If you are taking tadalafil to treat both erectile dysfunction and BPH, take it as directed by your doctor, usually once a day. You may attempt sexual activity at any time between your doses.
Tell your doctor if your condition does not improve or if it worsens.
Side Effects
Headache, stomach upset, back pain, muscle pain, stuffy nose, flushing, or dizziness may occur. If any of these effects occur, tell your doctor or pharmacist as soon as possible.
If you have heart problems and experience any of these serious side effects while having sex, stop and get medical help right away severe dizziness, fainting, chest/jaw/left arm pain, nausea.
Rarely, sudden decreased vision, including permanent blindness, in one or both eyes may occur. If this serious problem occurs, stop taking tadalafil and get medical help right away. You have a slightly greater chance of developing vision loss if you have heart disease, diabetes, high cholesterol, certain other eye problems, high blood pressure, if you are over 50, or if you smoke.
Precautions
Rarely, a sudden decrease or loss of hearing, sometimes with ringing in the ears and dizziness, may occur. Stop taking tadalafil and get medical help as soon as possible if these effects occur.
In the rare event you have a painful or prolonged erection lasting 4 or more hours, stop using this drug and get medical help as soon as possible, or permanent problems could occur.
Get medical help right away if you notice any symptoms of a serious allergic reaction, including rash, itching/swelling especially of the face/tongue/throat, severe dizziness, and trouble breathing.
This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist.
Call your doctor for medical advice about side effects. You may report side effects online.

I am self employed. General Practitioner in Melbourne, VIC. My special interest: male reproductive system.