Note: For more information about the potential negative effects of Cialis, see the “Cialis side effects” section above. Disclaimer: Medical News Today has made every effort to make certain that all information is factually correct, comprehensive, and up to date.
If you have a blood cell problem, tell your doctor before taking Cialis. You may be at an increased risk for developing a long lasting erection when taking the drug. Erections lasting longer than 4 hours can be dangerous and may cause permanent damage. Your doctor may recommend a low dose of Cialis if you have blood cell problems. If you’ve had an allergic reaction to Cialis or any of its ingredients, you should not take Cialis. However, this article should not be used as a substitute for the knowledge and expertise of a licensed healthcare professional. You should always consult your doctor or another healthcare professional before taking any medication. The drug information contained herein is subject to change and is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. The absence of warnings or other information for a given drug does not indicate that the drug or drug combination is safe, effective, or appropriate for all patients or all specific uses. You might have seen Cialis® — the popular erectile dysfunction (ED) medication — available in doses ranging from 2.5 mg to 20 mg. Cialis 20 mg is an effective erectile dysfunction treatment, but so are the lower doses of the drug.
| Product | Dosage | Quantity + Bonus | Price | |
|---|---|---|---|---|
| Cialis Generic | 20mg | 270 + 10 Pills | 335.21€ 319.25€ | |
| Cialis Generic | 5mg | 30 + 4 Pills | 53.56€ 51.01€ | |
| Cialis Generic | 40mg | 10 Pills | 37.79€ 35.99€ | |
| Cialis Generic | 60mg | 30 + 2 Pills | 85.33€ 81.27€ | |
| Cialis Soft Tabs | 20mg | 20 + 2 Pills | 66.98€ 63.79€ | |
| Cialis Generic | 60mg | 20 Pills | 65.61€ 62.49€ | |
| Cialis Generic | 5mg | 10 Pills | 29.39€ 27.99€ | |
| Cialis Super Active | 20mg | 90 + 10 Pills | 314.14€ 299.18€ | |
| Cialis Professional | 40mg | 180 + 4 Pills | 618.23€ 588.79€ | |
| Cialis Generic | 20mg | 360 + 10 Pills | 427.34€ 406.99€ | |
| Cialis Professional | 20mg | 30 Pills | 104.57€ 99.59€ | |
| Cialis Generic | 20mg | 180 + 10 Pills | 254.09€ 241.99€ | |
| Cialis Super Active | 20mg | 10 Pills | 55.64€ 52.99€ | |
| Cialis Generic | 60mg | 270 + 10 Pills | 443.96€ 422.82€ |
Below, we’ll cover what Cialis 20 mg is used for, the benefits and side effects of this dose of Cialis, and how it compares to other strengths.
Ask your doctor what other medications are better options for you. It’s not known if Cialis is safe to take during pregnancy. For more information, please see the “Cialis cheap cialis 80mg and pregnancy” section above. It’s not known if Cialis is safe to take while breastfeeding. For more information, please see the “Cialis and breastfeeding” section above. Cialis is a brand name for tadalafil, a widely prescribed ED medication.
Benign prostatic hyperplasia (BPH) or an enlarged prostate Benign prostatic hyperplasia (BPH) or an enlarged prostate Other forms of tadalafil are used to treat pulmonary arterial hypertension, a type of high blood pressure in the lungs, but Cialis is not prescribed for this condition.
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Cialis doses include 2.5 mg, 5 mg, 10 mg, and 20 mg.
Cialis may increase your risk of bleeding. If you have a history of bleeding problems, such as hemophilia, taking Cialis may further increase your risk for bleeding. Talk with your doctor before taking Cialis if you have a history of bleeding problems. If you have a deformed penis or a history of Peyronie’s disease (a curved penis), tell your doctor before taking Cialis. You may be at an increased risk for developing a long-lasting erection if you take the drug.
Blood may become trapped in the penis and lead to an erection lasting longer than 4 hours, which can be dangerous and cause lasting damage. Your doctor will probably have you take a low dose of Cialis or use the medication with caution. History of erections lasting longer than 4 hours. If you have a history of prolonged erections or priapism, you may be at an increased risk for developing them while taking Cialis. A prolonged erection is one that lasts more than 4 hours.
And priapism is a painful erection that lasts more than 6 hours. Both conditions are considered emergencies and need to be treated right away to prevent long-term damage. So if you’ve had prolonged erections or priapism in the past, tell your doctor before you take Cialis. They may have you carefully monitor your condition after taking Cialis. Blood cell problems can include sickle cell anemia and blood cancers such as multiple myeloma or leukemia. You can take Cialis on an as-needed basis and pop a pill before sex, or you can take a daily dose of Cialis so you’re always ready for action.
If you’re taking it as needed, you’ll likely be prescribed 5 mg, 10 mg, or 20 mg. The 10 mg strength is the typical starting dose, and it can be adjusted up or down depending on efficacy and side effects. But you won’t be taking 20 mg of Cialis daily. The lower doses of 2.5 mg and 5 mg are the daily doses of Cialis. For ED — which is when you struggle to get or keep an erection — Cialis works by dilating the blood vessels in the penis, which leads to a firmer erection. Cialis — 20 mg or otherwise — doesn’t just give you an erection, though. Some form of sexual stimulation is required to get hard. Cialis 20 mg may be a more effective treatment for ED than the 10 mg version. Clinical trials found that 68 to 77 percent of men taking 10 mg Cialis were able to have penetrative sex with their partner. Of those taking 20 mg Cialis, 76 to 85 percent were able to have penetrative sex. But not all research agrees — a smaller daily dose may be just as effective as the as-needed Cialis treatment. A systematic review and meta-analysis examined six randomized controlled trials involving more than 1,500 people and compared an as-needed tadalafil treatment to a once-a-day dose. The results showed that both treatments were about equally effective. While Cialis works similarly to Viagra®, Cialis lasts longer in your body.
They’ll be able to tell you if your heart is healthy enough for you to have sex. And if you have symptoms such as chest pain or an irregular heartbeat while taking Cialis, you should stop any sexual activity and see a doctor as soon as possible. If you have pulmonary hypertension (a type of high blood pressure in your lungs), talk with your doctor before taking Cialis. In some cases, you may be taking a medication called riociguat (Adempas) to treat your pulmonary hypertension. And taking this medication along with Cialis may cause your blood pressure to become dangerously low.
You should not take Cialis if you’re taking riociguat for pulmonary hypertension. Cialis can cause both high blood pressure and low blood pressure. So if you already have either of these conditions, Cialis may make it worse. If you have a history of blood pressure problems, tell your doctor before you take Cialis. During your treatment, they may have you monitor your blood pressure more often to make sure it doesn’t become too high or too low.
Cialis may increase your risk of stroke, especially if you have a history of stroke. In studies done after Cialis was approved, some people with a history of heart problems had strokes during Cialis treatment. If you have a history of stroke, be sure to talk with your doctor before taking Cialis. They’ll be able to determine whether the medication is safe for you. If you have a history of liver problems, such as hepatitis or liver failure, your body may not break down Cialis quickly enough. In fact, Cialis is known as the “weekend pill” for its long half-life. Because you can pop one pill and have sex whenever you like over the next 36 hours (give or take a few hours), it offers more spontaneity. In comparison, avanafil only lasts up to six hours, and Viagra only lasts up to four hours. Clinical trials show that Cialis is effective for various severities and types of ED, including difficult-to-treat ED.
| Country | Average Price | Price Range | Currency |
|---|---|---|---|
| USA | $20 | $18 - $22 | USD |
| Canada | CAD 25 | CAD 23 - CAD 27 | CAD |
| United Kingdom | £15 | £14 - £16 | GBP |
| Australia | AUD 30 | AUD 28 - AUD 32 | AUD |
| Germany | €18 | €17 - €19 | EUR |
If you find Cialis 10 mg isn’t working, a 20 mg tablet might do the trick.
You don’t need to take it every day. Depending on your preference and lifestyle, you may not want to take Cialis day in and day out. In fact, the 20 mg dose of Cialis should only be taken as needed. Side effects of Cialis are usually mild and should go away on their own — although they may be worse with higher doses. For example, in clinical trials, 11 percent of people taking tadalafil 10 mg got a headache, whereas 15 percent of those taking tadalafil 20 mg got a headache. Some side effects have the same likelihood in both doses, such as flushing and limb pain. If the side effects of Cialis 20 mg are too much, a healthcare provider may reduce your dose. If this is a particularly annoying side effect of other ED medications, switching to Cialis may be the answer. A 2017 systematic review and meta-analysis compared sildenafil (the generic of Viagra) and tadalafil. It found that tadalafil caused lower rates of flushing. Muscle aches and back pain were more common in tadalafil than sildenafil, though. Overall, tadalafil and sildenafil had similar efficacy and safety, but men and their partners preferred tadalafil.
This means that the drug can build up in your system, which may increase your risk of side effects from the medication. If you have liver problems, be sure to talk with your doctor before taking Cialis. They may have you start with a low dose. If you have kidney problems, such as chronic kidney disease, your body may not be able to get rid of Cialis as quickly as it should. This means that the medication may build up in your body, which can cause serious side effects.
If you have kidney problems, tell your doctor before you take Cialis. They may have you start with a low dose of the medication. If you have any history of vision loss, talk with your doctor before taking Cialis. This vision loss may include having vision conditions such as non-arteritic anterior ischemic optic neuropathy (NAION). Taking Cialis when you have vision loss may increase your risk of vision side effects.
Your doctor may recommend a different medication than Cialis. If you have retinitis pigmentosa (a genetic eye condition that may cause vision loss), you should not take Cialis. It’s possible that Cialis may increase your risk of bleeding. So if you have a history of stomach ulcers, taking Cialis may increase your risk of developing bleeding ulcers. (Stomach ulcers are sores in the lining of your stomach or intestine, and they may bleed.) Talk with your doctor before taking Cialis if you have a history of stomach ulcers. You can learn more about the two ED treatments in our Cialis vs. Viagra guide. As with any medication, Cialis comes with possible side effects.