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Cialis is used to treat erectile dysfunction (impotence) and symptoms of benign prostatic hypertrophy (enlarged prostate). Another brand of tadalafil is Adcirca, which is used to treat pulmonary arterial hypertension and improve exercise capacity in men and women. A randomized, double-blind, placebo-controlled trial in pediatric patients (7 to 14 years of age) with Duchenne muscular dystrophy, who received CIALIS 0.3 mg/kg, CIALIS 0.6 mg/kg, or placebo daily for 48 weeks failed to demonstrate any benefit of treatment with CIALIS on a range of assessments of muscle strength and performance. cialis super active usa buy As needed for ED: 5 to 20 mg by mouth as a one-time dose, with a maximum of one dose in 24 hours.Effects may last up to 36 hours. Daily dosing for ED: 2.5 or 5 mg by mouth daily. As-needed Cialis dosage: 5 mg to 20 mg by mouth at least 30 minutes before you plan on having sex. You shouldn t take more than one Cialis dose per day since its effects can last up to 36 hours. People with kidney problems may need to take it less frequently. Daily Cialis dosage: 2.5 mg to 5 mg by mouth once daily, taken at the same time each Common. Side Effects of Cialis are Flushing (sense of warmth in the face, ears, neck and trunk), Headache, Muscle pain, Nasal congestion (stuffy nose), Back pain, Pain in extremities, Dyspepsia.