Cialis Extra Dosage contains tadalafil, a PDE5 inhibitor for treating erectile dysfunction. Its enhanced formulation provides:

• Improved blood flow to the penis during sexual stimulation
• Sustained effectiveness for up to 36 hours
• Two dosing options: as-needed or daily use

Dosage Instructions

As-Needed Regimen:

• Starting dose: 10mg before sexual activity (30+ minutes prior)
• Adjustable range: 5-20mg based on response
• Maximum frequency: Once daily
• Effective window: Up to 36 hours post-dose

Daily Regimen:

• Starting dose: 2.5mg at same time each day
• May increase to 5mg if needed
• Allows spontaneous sexual activity

Administration

• Take with/without food
• Avoid grapefruit products (may increase side effects)
• Swallow whole with water
• For missed doses: Take when remembered, but never double dose

Contraindications

Do not use if you:

• Take nitrates (including recreational "poppers")
• Have severe heart/liver/kidney conditions
• Experience angina during sex
• Have retinitis pigmentosa
• Had recent heart attack/stroke (past 6 months)
• Are allergic to tadalafil

Precautions

• May cause dizziness/blurred vision (avoid driving)
• Limit alcohol (increases side effects)
• Caution with:
  • Blood pressure medications
  • Alpha-blockers
  • HIV protease inhibitors
  • Antifungals
• Not for use with other ED medications
• Regular monitoring required for:
  • Cardiovascular conditions
  • Liver/kidney impairment

Potential Side Effects

Common:

• Headache
• Flushing
• Indigestion
• Nasal congestion
• Muscle/back pain

Serious (seek immediate care):

• Priapism (>4 hour erection)
• Sudden vision/hearing loss
• Chest pain
• Severe allergic reactions
• Fainting spells

Storage & Handling

• Store at 15-30°C (59-86°F)
• Protect from moisture and light
• Keep away from children/pets
• Check expiration date before use

Important Notes

• Does not protect against STDs
• Requires sexual stimulation to work
• Elderly patients may need dose adjustments
• Report any persistent side effects
• Regular cardiovascular evaluation recommended

Consult your physician for personalized dosing and to discuss potential drug interactions. Complete prescribing information should be reviewed before use.