The only problem I have is getting it prescribed. Three years later, my wife and I are enjoying sex as we always did. Ejaculation is delayed with an explosive orgasm with more cum than I have been able to produce in a long time! In patients on hemodialysis taking or mg tadalafil, there were no reported cases of back pain. Finally, I decided to ask my MD for a script for Cialis and he gave me 20 mg. I would certainly recommend trying Cialis for anyone experiencing ED, please remember it is a medical condition lust like many other conditions that we experience, especially as we grow older.While the lower doses of mg and 5mg can be taken daily, the 10mg and 20mg doses are to be taken when needed.” Dr Zenon Andreou. Cialis is a treatment for erectile dysfunction in men. It comes in 4 different doses which are taken in different ways and under different circumstances. Generic Cialis, or Tadalafil, is available in several doses in tablet form: milligrams (mg), 5 mg, 10 mg, and 20 mg. Depending on the dose for ED, you can use it as needed before sexual. Generic Cialis, or Tadalafil, is available in several doses in tablet form: milligrams (mg), 5 mg, 10 mg, and 20 mg. Depending on the dose for ED, you can use it as needed before sexual.