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Take this medication by mouth with or without food as directed by your doctor. There are two ways that this drug may be prescribed and taken. It may be taken as needed, or it may be taken once a day every day. Your doctor will determine which is the best way for you to take this drug. Follow your doctor's directions exactly. If used regularly every day, your doctor will prescribe a low dose (usually 2.5 to 5 milligrams per day). When this drug is taken only as needed, the dosing may need to be higher. Never take more of this drug than prescribed because you may experience serious side effects. Your doctor will adjust your dosage based on your response and other medications you may be taking (see also Drug Interactions section). Consult your doctor or pharmacist for more details. When taken as needed, take this drug at least 30 minutes before sexual activity; or use as directed by your doctor. This medication's effect on sexual ability may last up to 36 hours. Therefore, do not take more than once daily as needed. When taken regularly every day, you may attempt sexual activity at any time between your doses. Do not take more than one dose each day. Avoid eating grapefruit or drinking grapefruit juice while being treated with this medication unless your doctor instructs you otherwise. Grapefruit juice can increase the amount of certain medications in your bloodstream. The drug should not be recommended among individuals which are below 18 years old. This is contradincated to patients with experiences to Cialis (Talfadil) hypersensitivity and should never be recommended. Clinical studies provedthat Ciailis can hinder the hypotensive effects of nitrates. Therefore, taking any kind of organic nitrate is prohibited. Before trying this, always consult your doctor.