Cialis and its generics, containing the active ingredient Tadalafil, are primarily used to treat erectile dysfunction in men of various ages. It's also used for benign prostatic hyperplasia (BPH), a non-malignant enlargement of the prostate gland often accompanied by erectile dysfunction and urinary symptoms. The FDA approved Cialis for BPH in 2012, although it was initially approved for erectile dysfunction in 2003.

Tadalafil, a selective PDE-5 inhibitor, works by relaxing the smooth muscles in the penis's arterial walls, expanding blood vessels. This mechanism is effective only with sexual arousal and is unsuitable for erectile dysfunction due to low libido.

Dosage Varieties of Generic Cialis

Unlike the branded version available in 5, 10, and 20 mg doses, generic Cialis offers additional doses like 40 mg and 2.5 mg. The maximum daily Tadalafil dosage is 20 mg. A 40 mg pill, though available, should not be taken in full but can be economically split into two doses.

Usage Scenarios:

    10 mg dose: Typically for psychological erectile dysfunction, taken as needed.
    20 mg dose: For more severe cases or older men with physiological erectile dysfunction, taken as needed.
    5 mg dose: For occasional use as a safety net or daily to maintain a consistent drug level, suitable for regular sexual activity (3-5 times a week) or for men with BPH.
    2.5 mg dose: For those with heightened sensitivity to Tadalafil, experiencing side effects even at 5 mg. This can be achieved by halving a 5 mg pill or directly purchasing the 2.5 mg dose.

Choosing the Correct Dosage

The appropriate dosage depends on factors like age, health conditions, and other concurrent medications. Men over 65 should start with lower doses (5 mg) and avoid taking 20 mg more than twice a week due to cardiovascular concerns. People with gastrointestinal, cardiovascular, or retinal diseases should exercise caution. Cialis should not be taken with nitrates or certain antihypertensive drugs. Generally, larger body weight might require a higher dosage for optimal effect.

Side Effects and Contraindications

Side effects are dose-dependent; higher doses increase the likelihood and intensity of side effects. Those with cardiovascular issues should avoid the 20 mg dose, opting for 10 mg daily or every other day instead.

Conclusion

Given the variation in tolerance and individual health factors, consultation with a doctor is crucial before starting or adjusting the dosage of Cialis or its generics. It's important to balance the pursuit of enhanced potency with health safety considerations.