In order for the diagnosis of achalasia of the cardia not to be confused with gastroesophageal reflux disease GERD and diaphragmatic hernia, it is necessary to carry out: radiography with contrasting of the esophagus with barium sulfate; manometry, which will allow you to evaluate the motor capabilities of the pharynx by measuring the pressure wave, the walls of the esophagus, as well as its sphincters; endoscopy of the esophagus and stomach, carefully studying the gastroesophageal junction of an unrelaxed lower esophageal sphincter; computed tomography of the chest. If you take a tablet at the hour mark and Cialis is still having an effect on your body from your previous dose you risk side effects. You should only be treated with one of these products at a time. Take all of the tablets for your daily dose at one time each day; do not divide the tablets to take as separate doses. Talk to your doctor if you find this is the case, they may decide a higher dose is the answer or look to alternative therapies.CIALIS for Use as Needed. Creatinine clearance 30 to 50 mL/min: A starting dose of 5 mg not more than once per day is recommended, and the maximum dose is 10 mg not more than once in every 48 hours. Creatinine clearance less than 30 mL/min or on hemodialysis: The maximum dose is 5 mg not more than once in every 72 hours [see . Prescription 5mg tadalafil (Cialis) (30 tablets) edit. Choose your pharmacy. moses lake, WA. Safeway. Walmart. Walgreens. Rite Aid. Target. CVS. With a Goodrx discount, the price for the generic version of Cialis (tadalafil) 5 mg is about $8 for 15 tablets. The brand version costs about $ What is the price of Cialis 20 mg? Cialis comes in several different strengths, including: milligrams (mg) 5 mg. 10 mg. 20 mg. The cost for these different strengths depends on whether you have insurance, your individual plan.