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Read the privacy policy to understand how your data will be used. This is a serious condition that requires immediate medical attention. There may be rare occurrences of priapism or painful, prolonged erections. Also tell your doctor if you have or have ever had pulmonary veno-occlusive disease PVOD; blockage of veins in the lungs ; any condition that affects the shape of the penis; diabetes; high cholesterol; high or low blood pressure; irregular heartbeat; a heart attack or heart failure; angina chest pain ; a stroke; ulcers in the stomach; a bleeding disorder; blood circulation problems; blood cell problems such as sickle cell anemia a disease of the red blood cells , multiple myeloma cancer of the plasma cells , or leukemia cancer of the white blood cells ; or heart, kidney, or liver disease. All PDE5 inhibitors, including Viagra and Cialis, require a valid prescription regardless of the pharmacy or provider. Cialis will be available by prescription only. Do not take more or less of it or take it more often than prescribed by your doctor.The normal dosage of Cialis for occasional use in treating ED is 10 mg taken before sexual activity. If you have side effects with the mg dose, your doctor may prescribe a 5-mg dose. If the The drug comes in low-dose versions that can be taken daily. This means you can have sex at any time, rather than needing to take a pill from time to time as needed like other ED brands. The starting dose for daily-use Cialis is milligrams (mg). If that doesn’t work, you can increase your daily dose up to 5 mg. Dosage. The dose of Cialis you need will depend on whether you’re taking it daily or as needed. Daily doses are often between and 5 milligrams (mg). The as-needed dose is usually 10 mg but can range from 5–20 mg. The typicaldose of Viagra is 50 mg. However, the dosage can range from 25– mg.