Cialis Extra Dosage is tadalafil at 40 mg and 60 mg — two and three times the maximum licensed single dose. Before anything else about this page, that is the fact worth knowing, because it is the fact the category name is designed to obscure.
The licensed ceiling, and what sits above it
| Dose | Status | What the evidence supports |
|---|---|---|
| 10–20 mg | Licensed on-demand range | 20 mg is the approved maximum single dose worldwide |
| 40 mg | Above any licensed dose | No approved product information; adverse effects increase |
| 60 mg | Three times the licensed maximum | No approved product information; adverse effects increase further |
Tadalafil's dose-response curve flattens well before these strengths. What continues to climb with dose is the side-effect burden — headache, flushing, indigestion, back and muscle ache — and with a molecule that stays in your system for a day and a half, those effects last correspondingly longer. More milligrams buys more hours of feeling rough far more reliably than it buys a better response.
We sell these strengths because men look for them, and we would rather they read an honest page than an enthusiastic one. If 20 mg is not working under good conditions — enough time, enough arousal, no heavy alcohol — the productive next step is a doctor, not a bigger tablet. Erectile dysfunction that resists a full dose can be an early marker of cardiovascular or hormonal problems, and that is worth finding out about.
Where this sits in Australia
Tadalafil is Schedule 4 — prescription-only in Australia at every strength, and these high-dose presentations are not TGA-registered; they are manufactured for other markets. If you have heart disease, take blood-pressure medication, take nitrates in any form, or have never used tadalafil before, a doctor's involvement is not optional at these doses.
If you are going to take it
One tablet, 30 to 60 minutes before sex, and never more than one dose in 24 hours — a rule that matters more here, not less. Food barely affects tadalafil. Alcohol does: both lower blood pressure, and at these strengths that combination is the most common route to dizziness and a pounding headache.
A sensible way to use a 40 mg tablet is to split it and take 20 mg, which puts you back inside the licensed range at the price advantage that brought you here. Tablets vary in how cleanly they divide, but the arithmetic is worth considering before you swallow a whole one.
Side effects and the one absolute rule
Expect tadalafil's usual profile, more pronounced and longer-lasting: headache, flushing, blocked nose, indigestion, back and muscle ache. Dizziness on standing is more likely here than at licensed doses, particularly with alcohol or blood-pressure medication.
The absolute rule: never combine tadalafil with nitrates (angina medicines such as glyceryl trinitrate) or amyl nitrite "poppers". At these doses the danger window is longer still. Alpha-blockers, some antifungals and certain HIV medicines need medical input first; see ED pills and other medicines. An erection lasting more than four hours, or sudden loss of vision or hearing, means emergency care — priapism is a genuine risk of supra-therapeutic dosing and it damages tissue permanently if left.
The alternatives we would point you to first
Generic Cialis at 10 mg or 20 mg is the licensed on-demand route and is where most men should start. Cialis Daily at 2.5–5 mg removes timing from the equation entirely and is often the better answer for men who feel they need "more" — the problem is frequently planning rather than potency. If tadalafil suits you but swallowing does not, Cialis Oral Jelly is the same molecule in a sachet. Other high-strength products are grouped on strong-dose ED medications.
Why men end up on this page
Almost always for one of four reasons, and only one of them is answered by a larger dose:
- "20 mg stopped working." Usually it did not — tolerance to tadalafil is not a recognised phenomenon. Look first at alcohol, tiredness, a new medicine, or a change in circumstances.
- "I want it to last even longer." It will not. Duration comes from the molecule's half-life, and a bigger dose extends the tail of side effects far more than the useful window.
- "It is cheaper per milligram." True, and the sensible response is to split a 40 mg tablet into two licensed 20 mg doses rather than to take twice as much.
- "Nothing has ever worked." This is the one worth acting on — and the action is a medical assessment, because a full dose failing outright points somewhere other than the pill.
Sources
- TGA — Therapeutic Goods Administration: the Poisons Standard and the register of approved medicines
- Healthdirect — Erectile dysfunction
