Viagra works by inhibiting the PDE5 enzyme, which controls muscle contraction in the penis. What should I do if I forget a dose? Cialis can be taken daily, providing constant treatment for ED for people who have sex frequently. This is consistent with ritonavir’s marked effects on a broad range of P substrates. What alternatives can I use for erectile dysfunction? Always talk to your doctor about the risks and benefits of any treatment.Dosage. The dose of Cialis you need will depend on whether you’re taking it daily or as needed. Daily doses are often between and 5 milligrams (mg). The as-needed dose is usually 10 mg but can range from 5–20 mg. The typicaldose of Viagra is 50 mg. However, the dosage can range from 25– mg. Extra 15% off $30 sitewide with code SAVE15; Clip your mystery deal! BOGO 50% off select Walgreens health & wellness. Rarely reported side effects include: an erection that will not go away (priapism). If you have an erection that lasts more than 4 hours, get medical help right away. If it is not treated right away, priapism can permanently damage your penis. sudden vision loss in one or both eyes.