Cialis is the branded medication, Tadalafil is an unbranded version made by pharmaceutical companies other than Lilly. Cialis tadalafil can also be used to treat benign prostatic hypertrophy BPH , commonly known as an enlarged prostate. However, if you’d feel more comfortable talking with a healthcare provider virtually rather than in person, you can consider requesting an online ED prescription instead. To learn more, read our blog on Adcirca vs. Symptoms of benign prostatic hyperplasia include an increased need to urinate, dribbling at the end of urination and pain during urination or after ejaculation. Some options for how to make Cialis work better include following a healthy lifestyle and limiting smoking, heavy drinking and stress, which can all worsen the symptoms of ED.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. Cialis contains 10mg or 20mg of the active ingredient tadalafil. The effects of Cialis will last up to 36 hours. Other ED pills stay active in the body for hours. This offers huge flexibility between when you pop the pill and when you hit the bedroom. Cialis daily, taken every day, has a lower dose of mg or 5mg of tadalafil. CIALIS for Use as Needed. Creatinine clearance 30 to 50 mL/min: A starting dose of 5 mg not more than once per day is recommended, and the maximum dose is 10 mg not more than once in every 48 hours. Creatinine clearance less than 30 mL/min or on hemodialysis: The maximum dose is 5 mg not more than once in every 72 hours [see .