Your partner can help you remember something that you missed or forgot during the appointment. Tadalafil may not be safe for people with certain medical conditions, including people who have had a stroke , have coronary heart disease or retinitis pigmentosa an eye disease. If you have trouble quitting, get help. There are many other treatments for erectile dysfunction. 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. What to expect from your doctor Your doctor is likely to ask you a number of questions.Best prices for generic cialis on the Internet! The safest way is to ask your physician to try an alternate prescription. Detailed dosage guidelines and administration information for Cialis (tadalafil). Includes dose adjustments, warnings and . A lower dosage of Cialis is recommended in men with mild-to-moderate liver should be avoided with severe liver disease. Not for use in females. Note: In general, seniors or children, people with certain medical conditions (such as liver or kidney problems, heart disease, diabetes, seizures) or people who take other medications.  · limiting or avoiding alcohol. managing any underlying health conditions, such as high blood pressure or diabetes. improving sleep habits. A lack of sexual desire can also influence ED in older.