Quick facts
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What it is: Tadalafil, a PDE-5 inhibitor for erectile dysfunction (ED).
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How it works: Increases blood flow to the penis during sexual stimulation.
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Onset & duration: Starts in ~30–60 minutes. Can last up to 36 hours.
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Standard dosing: On-demand 10–20 mg; or daily 2.5–5 mg as prescribed.
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Important: 60 mg is above commonly recommended doses and can raise side-effect risk. Use only if specifically prescribed by a licensed clinician. Do not exceed 1 dose in 24 hours.
Who should not use Generic Cialis 60mg
Avoid use and talk to a clinician if any of the following apply:
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Allergy to tadalafil or any tablet ingredient.
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Under 18 years old or female.
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Kidney or liver disease, especially severe impairment.
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Heart disease or recent heart attack/stroke; uncontrolled high/low blood pressure.
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Use of nitrates (e.g., nitroglycerin) or riociguat.
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Eye disorders such as retinitis pigmentosa or history of sudden vision loss (NAION).
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Blood disorders (e.g., sickle cell anemia, leukemia, multiple myeloma) or conditions predisposing to priapism.
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Anatomical penile deformity (e.g., Peyronie’s disease).
Use with caution / tell your clinician
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If taking alpha-blockers, other antihypertensives, or strong CYP3A4 inhibitors (e.g., ketoconazole, ritonavir, clarithromycin).
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If drinking alcohol or consuming grapefruit, which may increase side effects.
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If you have active stomach ulcers or bleeding problems.
Possible side effects
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Common: Headache, flushing, nasal congestion, indigestion, dizziness; back or muscle pain may occur.
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Serious—seek urgent care: Chest pain, fainting, sudden vision/hearing loss, or an erection lasting >4 hours.
FAQs
Is 60mg of tadalafil safe?
Not for most patients. 60 mg exceeds typical on-demand dosing (10–20 mg). Use only if your clinician specifically prescribes it based on your medical profile.
How should I take it?
With water, about 30–60 minutes before sexual activity. Sexual stimulation is required. Do not exceed one dose per 24 hours.
Can I take it with food or alcohol?
Food has minimal impact. Limit alcohol because it can worsen dizziness and lower blood pressure.
How long does it last?
Up to 36 hours, allowing a wider window for sexual activity—not a continuous erection.
Who is it for?
Adult males 18+ with ED, after medical evaluation. Not for women or anyone under 18.