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One of the drawbacks of Viagra working fast, it doesn't work for long. The effects only last for about four to eight hours. How long does it take Cialis to work? Cialis takes about 1 to 2 hours before it starts working. But the benefit of this drug compared to viagra is that it lasts longer. Cialis can be effective for up to 36 hours when taken. For the tablet to work properly, you'll need to be sexually excited. Dose for benign prostate enlargement. Tadalafil for an enlarged prostate comes as 2.5mg or 5mg tablets. The usual dose is 5mg, taken once a day. If you're being treated for both benign prostate enlargement and erectile dysfunction, the dose is 5mg. Dose for pulmonary hypertension