Your doctor may adjust your dose as needed. John’s wort. Before taking tadalafil, tell your doctor and pharmacist if you are allergic to tadalafil, any other medications, or any of the ingredients in tadalafil tablets. You’ll soon start receiving the latest Mayo Clinic health information you requested in your inbox. Tadalafil Adcirca is used to improve the ability to exercise in people with pulmonary arterial hypertension PAH; high blood pressure in the vessels carrying blood to the lungs, causing shortness of breath, dizziness, and tiredness. · Cialis tablets come in four strengths: milligrams (mg), 5 mg, 10 mg, and 20 mg. What are the typical dosages of Cialis? Typically, your doctor will start you on a low dosage. Then. · Cialis tablets come in four strengths: milligrams (mg), 5 mg, 10 mg, and 20 mg. What are the typical dosages of Cialis? Typically, your doctor will start you on a low dosage. 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.