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Yes, because tadalafil (Cialis) works by relaxing your blood vessels, it can lower your blood pressure. But your blood pressure shouldn’t drop by too much. In clinical studies, people who took the 20 mg dose of tadalafil (Cialis) experienced an average drop in blood pressure by about 2 mm Hg. Strengths: 2.5 mg, 5 mg, 10 mg, and 20 mg; Brand: Cialis. Form: oral tablet; Strengths: 2.5 mg, 5 mg, 10 mg, warnings, drug interactions, allergic reactions, or adverse effects. The absence of 20 mg cialis pills interactions Cialis form and strengths (2.5 mg, 5 mg, 10 mg, 20 mg) Cialis comes as oral tablets that are available in four strengths: 2.5 milligrams (mg), 5 mg, 10 mg, and 20 mg. drug interactions Yes. Cialis is approved by the FDA to treat erectile dysfunction (ED). Our medical team can prescribe Cialis 5mg, 10mg, and 20mg. The starting dose we generally recommend is 10mg. Tadalafil is the name for the active chemical ingredient in Cialis. PDE-5 inhibitors is the name of the group of medicines. Cialis is the brand name.