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Cialis 20 mg is approved by the FDA to treat erectile dysfunction (ED). Our medical team can prescribe Cialis 5mg, 10mg, and 20mg. The starting dose we generally recommend is 10mg. Tadalafil is the name for the active chemical ingredient in Cialis. PDE-5 inhibitors are the name of a group of medicines. Cialis is the brand name. Cialis is only available by prescription because it’s not appropriate or safe for everyone to take it. Certain health conditions and other medicines can make it unsafe to take Cialis.