Table 2. Dosage Parameters for Sildenafil, Vardenafil, and Tadalafil 8-10
Parameter Sildenafil Vardenafil Tadalafil
Initial Dose 50 mg 10 mg 10 mg
Dosing Range 25-100 mg 2.5-20 mg 5-20 mg
Maximum Dose 100 mg 20 mg 20 mg
Maximum Dosing Frequency 1 dose/day 1 dose/day 1 dose/day
Dose Adjustments

Age > 65 years, hepatic impairment: 25 mg

Severe renal impairment (CrCl < 30 ml/min): 25 mg

Concomitant medications: See full prescribing information

Age > 65 years: 5 mg

Moderate hepatic impairment: initial 5 mg, max 10 mg

Mild, moderate, severe renal impairment: No adjustment

Concomitant medications: See full prescribing information

Age > 65 years: no dosage adjustment

Mild or moderate hepatic impairment: max 10 mg once daily

Severe hepatic impairment: not recommended

Moderate renal impairment: initial 5 mg once daily, max 10 mg every 48 hours

Severe renal impairment (CrCl < 30 ml/min) on hemodialysis: max 5 mg

Concomitant medications: See full prescribing information

Onset Take 60 minutes prior to sexual activity Take 60 minutes prior to sexual activity Take prior to anticipated sexual activity

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