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1 local source card selected. Local card fingerprints checked where supplied. This is not an original-document hash, source-currency guarantee or clinical approval. Record-level cautions below are the current library's cautions, not a frozen prior version.
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Clinical context remains essential
Independent clinical review is pending. Confirm indication, exact formulation/route, population, renal measure and units, kidney-function stability, dialysis prescription, interacting drugs, monitoring and source revision. An RX mirror and its original label are not independent corroboration. Missing disagreement notes do not certify agreement.
As-needed ED source, not daily ED/BPH or pulmonary-hypertension dosing. The missing severe-impairment interval must not be inferred.
Check source scope before reading a dose
Cialis as needed - labeled renal guidance
Product / population
Tadalafil (Cialis), adult oral tablets for as-needed erectile dysfunction
Renal method
Creatinine clearance (CrCl), mL/min; use the product-specific calculation
Source revision
DailyMed SPL version 52, effective 2026-06-03; posted Jun 10, 2026
For as-needed ED at CrCl 30-50 mL/min, start with 5 mg up to once daily; 10 mg is limited to once every 48 hours. Below 30 or on HD, do not exceed 5 mg every 72 hours. Select the intended schedule and indication first. Once-daily ED/BPH and pulmonary hypertension have different instructions.
RDM73-cialis-official-1 · Source locator: Renal guidance: 2.6 and 8.7
This reference does not select a regimen. Complete the indication, measured/estimated renal function and trend, dialysis setting, source rationale, monitoring and reassessment plan in your institution's approved documentation system. Confirm the complete current source before adopting its regimen.
GlobalRPh Renal Dosing Master v7.4. Review the retrieval and revision dates attached to each source. Selecting a reference does not imply clinical verification.
