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Cialis 20mg is a prescription medication containing the active ingredient tadalafil, and it is primarily used to treat erectile dysfunction (ED). It can also be used to manage the urinary symptoms of benign prostatic hyperplasia (BPH) or to treat both conditions in combination. 

How it works

As a phosphodiesterase-5 (PDE5) inhibitor, tadalafil works by relaxing the blood vessels in the penis to increase blood flow when sexually aroused, which helps achieve and maintain an erection. Its effects can last for up to 36 hours, earning it the nickname "the weekend pill". 

Dosage and administration

The 20mg tablet is not for daily use but is taken as needed before sexual activity. 

• As-needed use: Swallow one whole tablet with water at least 30 minutes before sexual activity. Do not take more than one tablet in any 24-hour period.

• With or without food: The tablets can be taken with or without food, but heavy, fatty meals can delay the onset of the medication's effects.
• Grapefruit juice: Avoid consuming grapefruit products, as they can unpredictably raise the level of tadalafil in your system and increase the risk of side effects.