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Tadalafil was found to have similar benefits for lower urinary tract symptoms as the usually prescribed tamsulosin. Take all of the tablets for your daily dose at one time each day; do not divide the tablets to take as separate doses. Tadalafil works for these conditions by promoting muscle relaxation, which improves blood flow in PAH and urinary flow in BPH. Also tell your doctor if you or any of your family members have or have ever had an eye disease such as retinitis pigmentosa an inherited eye condition that causes loss of vision or if you have ever had sudden severe vision loss, especially if you were told that the vision loss was caused by a blockage of blood flow to the nerves that help you see. How should this medicine be used? Tadalafil treats PAH by relaxing the blood vessels in the lungs to allow blood to flow more easily.Roman is a telehealth prescription service and online pharmacy that provides prescription Cialis for ED and a host of other conditions, like hair loss, cold sores, and premature ejaculation. When.  · The typical dose for once-daily Cialis for ED is milligrams (mg) to 5 mg. When used as needed for ED, the usual Cialis dose is 10 mg (with a maximum daily dose of 20 mg). The typical dose of. Tadalafil (Cialis) is a medicine used to treat erectile dysfunction (ED, also called impotence) and problems with urination caused by an enlarged prostate (benign prostatic hypertrophy or BPH). Tadalafil works by helping to relax the blood vessels in the penis, allowing blood to flow into the penis, and causing an erection.