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2.1 CIALIS for Use as Needed for Erectile Dysfunction. The recommended starting dose of CIALIS for use as needed in most patients is 10 mg, taken prior to anticipated sexual activity. The dose may be increased to 20 mg or decreased to 5 mg, based on individual efficacy and tolerability. Understanding ED. What Is Cialis? How Cialis Works. Efficacy. Dosing Guidelines. Cialis is a prescription medication containing the active ingredient tadalafil. Cialis belongs to a group of medications known as phosphodiesterase-5 (PDE-5) inhibitors. Healthcare providers commonly prescribe tadalafil to treat erectile dysfunction (ED). However, Cialis is available in 2.5 mg and 5 mg for daily use. The idea behind daily Cialis use is that it keeps the medication active in your body throughout the day, allowing you cialis is used for what Tadalafil (Eqv-Cialis) is used in adult men to treat erectile dysfunction (impotence) and symptoms of benign prostatic hypertrophy (enlarged prostate). Tadalafil (Eqv-Cialis) Cialis is the brand name for tadalafil, a medication used to treat ED.It belongs to group of drugs called phosphodiesterase-5 (PDE5) inhibitors. Cialis and generic Cialis (tadalafil) are taken as Cialis is a brand (trade) name for tadalafil which may be used to treat erectile dysfunction (ED) and benign prostatic hyperplasia (BPH). Cialis (tadalafil) works by blocking the action of an enzyme known as cGMP-specific phosphodiesterase type-5 (PDE-5).