Symptoms may include sudden urges to urinate urgency , difficulty in starting urination hesitancy , a weak urine stream, and more frequent urination — especially at night. Continue to take tadalafil even if you feel well. If you then find that a higher dose has benefit for you – great! You may opt-out of email communications at any time by clicking on the unsubscribe link in the e-mail. If you are taking tadalafil to treat erectile dysfunction, you should know that it does not cure erectile dysfunction or increase sexual desire. Do not stop taking tadalafil without talking to your doctor.The recommended starting dose for Cialis intended for once daily use is mg, take at the same time each day, without regard to timing of sexual activity. This may be increased to 5mg/day based on need and tolerability. May be taken with or without food. Cialis is available as a generic, under the name tadalafil. 3. CIALIS for Use as Needed. Creatinine clearance 30 to 50 mL/min: A starting dose of 5 mg not more than once per day is recommended, and the maximum dose is 10 mg not more than once in every 48 hours. Creatinine clearance less than 30 mL/min or on hemodialysis: The maximum dose is 5 mg not more than once in every 72 hours [see . Not cialis and viagra but i mixed cialis with caber, bp dropped to 90/50 and i couldnt stand on my feet and felt like dogsh1t. Btw those pde5 inhbiitors wont do jack sh1t if libido isnt there, as it happened in my case. Evne caber wont help. And pumps were nothing special, not comparable to AAS or Mk pumps at all.