For moderate erectile dysfunction (ED), the dosage of Megalis 20 mg (which contains Tadalafil, the same active ingredient in Cialis) is commonly used as part of a treatment plan, but the exact dosage and frequency should always be determined by a healthcare provider based on individual needs and medical history. Here's how Megalis 20 mg typically works and how it can be used for moderate ED:

1. Typical Starting Dose for Moderate ED:

• Megalis 20 mg is often prescribed for moderate ED, especially if the patient needs a longer window of effectiveness (since Tadalafil works for up to 36 hours).

• The standard starting dose for Tadalafil in cases of moderate ED is usually 10 mg taken about 30 minutes before sexual activity. This dose can be adjusted based on how well the medication works and any side effects the patient may experience.

• For patients who require stronger effects or have more persistent ED symptoms, Megalis 20 mg can be considered. It may be taken as needed, typically no more than once a day.

2. On-Demand vs. Daily Use:

• On-demand dosing: For moderate ED, Megalis 20 mg is often taken as needed, about 30-60 minutes before sexual activity. It lasts up to 36 hours, so you don’t need to plan sexual activity to a precise time. However, you should not exceed one dose in a 24-hour period.

• Daily use: In some cases, for men who engage in sexual activity frequently (2-3 times per week or more), your doctor might prescribe a lower daily dose (typically 2.5 mg or 5 mg per day) to maintain a constant level of the drug in the body. This can help ensure spontaneous erections without needing to plan ahead. However, 20 mg is typically used on-demand, not for daily use.