Can Cialis be used with other treatments for impotence? Subsequently, the FDA approved both vardenafil [27] and tadalafil in Combined use could lead to additional lowering of blood pressure, possibly to unsafe levels. Ask your pharmacist or doctor for a copy of the manufacturer’s information for the patient. Be sure to mention any of the following: alpha blockers such as alfuzosin Uroxatral , doxazosin Cardura , dutasteride Avodart, in Jalyn , prazosin Minipress , silodosin Rapaflo , tamsulosin Flomax, in Jalyn , and terazosin; amiodarone Cordarone, Pacerone ; certain antifungals such as fluconazole Diflucan , griseofulvin Grifulvin, Gris-PEG , itraconazole Onmel, Sporanox , ketoconazole Extina, Ketozole, Nizoral, Xolegel , and voriconazole Vfend ; aprepitant Emend ; bosentan Tracleer ; carbamazepine Carbatrol, Epitol, Tegretol, Teril, others ; clarithromycin Biaxin, in Prevpac ; diltiazem Cardizem, Cartia,Tiazac, others ; efavirenz Sustiva, in Atripla ; erythromycin E. I consulted their doctor and explained my condition; they suggested me some lifestyle changes and tadalafil 5mg for 3 months. · 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. 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. The most commonly reported side effects in patients treated with Cialis during the testing of the product were: headache. indigestion. back pain. muscle pain. flushing. stuffy nose. Patients who.