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When the blood vessel muscle cells relax, this expands the vessel and increases blood flow; this effect is referred to as vasodilation. Likewise, if you experience side effects, we may recommend that you try a lower dose of Tadalafil. Ask your pharmacist or doctor for a copy of the manufacturer’s information for the patient. What side effects can this medication cause? Your doctor will probably tell you not to take tadalafil if you are taking nitrates. Do not stop taking tadalafil without talking to your doctor.Side Effects. Headache, stomach upset, back pain, muscle pain, stuffy nose, flushing, or dizziness may occur. If any of these effects last or get worse, tell your doctor or pharmacist promptly. To. Cialis (tadalafil) is an orally administered prescription medication used for erectile dysfunction (ED) and pulmonary arterial hypertension (PAH) to reduce the symptoms of an enlarged prostate. 20 mg, 40 mg • Oral suspension: 20 mg per 5 mL: Typical dosage: • As needed dosing: 5–20 mg prior to sexual activity • Daily: –5 mg. Both Cialis and tadalafil treat ED at the following doses: mg. 5 mg. 10 mg. 20 mg. At 20 mg, both drugs are also approved to treat symptoms of benign prostatic hyperplasia (BPH), such as difficulty urinating. They work by relaxing the muscle cells in the prostate, allowing urine to flow out of the g: online.