Can You Take 60 mg of Tadalafil?

In general, 60 mg is not a standard or recommended dosage of tadalafil for treating erectile dysfunction (ED). The approved and commonly used tadalafil doses are much lower:

• As-needed treatment for ED: 5 mg, 10 mg, or 20 mg taken before sexual activity

• Daily treatment for ED: 2.5 mg or 5 mg once daily

• Treatment for benign prostatic hyperplasia (BPH): 5 mg once daily

A 60 mg dose is three times higher than the usual maximum single dose of 20 mg. Such a high dose may increase the risk of side effects without necessarily providing three times the therapeutic benefit.

Higher doses may increase the risk of side effects, including:

• Severe headache

• Facial flushing

• Dizziness

• Low blood pressure

• Rapid heartbeat or palpitations

• Back pain and muscle aches

• Vision changes

• Prolonged erection (priapism), which requires urgent medical attention

Some products sold online and marketed as “Tadalafil 60 mg” may actually be combination medications (for example, tadalafil combined with another ingredient such as dapoxetine), or the labeled dosage may not accurately reflect the actual contents. Such products should be approached with caution because the actual ingredients and strengths may vary.

For example, in the popular online product Tadalafil 20/60 combination tablets, the “20” generally refers to the amount of tadalafil, while the “60” refers to the amount of dapoxetine.

The standard dosing of dapoxetine is:

• The recommended starting dose is 30 mg, taken 1–3 hours before sexual activity.

• If the effect is insufficient and the medication is well tolerated, the dose may be increased to a maximum of 60 mg.

• It should be taken no more than once within 24 hours.

Therefore, when a product is labeled Tadalafil 20 mg + Dapoxetine 60 mg, it does not mean that the tadalafil dose is 60 mg. It usually indicates a combination of 20 mg tadalafil for erectile dysfunction (ED) and 60 mg dapoxetine for premature ejaculation (PE).