This is high blood pressure that occurs in the main artery that carries blood from the right side of the heart the ventricle to the lungs. Tadalafil Cialis is used to treat erectile dysfunction ED, impotence; inability to get or keep an erection , and the symptoms of benign prostatic hyperplasia BPH; an enlarged prostate which include difficulty urinating hesitation, dribbling, weak stream, and incomplete bladder emptying , painful urination, and urinary frequency and urgency in adult men. Other uses for this medicine This medication may be prescribed for other uses; ask your doctor or pharmacist for more information. How Quickly Does Cialis Work? How Does Cialis Work? Healthcare providers have experience talking about ED and providing treatment options without any judgment or shame. · Adults—5 milligrams (mg) once a day, taken at the same time each day, without regard for the timing of sexual activity. Children—Use is not recommended. For treatment of pulmonary arterial hypertension: Adults—40 milligrams (mg) (two 20 mg tablets) taken once a day. Take both tablets at the same time each day. Do not divide . As needed for ED: 5 to 20 mg by mouth as a one-time dose, with a maximum of one dose in 24 hours. Effects may last up to 36 hours. Daily dosing for ED: or 5 mg by mouth daily. For daily dosing, the maximum dose is 5 mg per day. The medication should be taken once daily at about the same time every day to maintain a consistent level of.  · But on average, its effects start to lessen 2 to 3 hours after you take a dose. The typical dose for once-daily Cialis for ED is milligrams (mg) to 5 mg. When used as needed for ED, the usual.