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I started taking a low dose of Cialis (Tadalafil) in the last few days.  My prescription was for 2.5 MG per day, but it made me extremely tired.  I cut that dose in half to 1.25 MG per day and have done OK so far.  Even the low dose makes me a little tired/relaxed which isn't what I want when going to the gym.  I do think it increases muscle pumps during workouts, but since it stays in the system for 36 hrs, I may take my dosage after my morning workouts.  I am worried about reports of acid reflux.  I had some acid reflux last night and acid reflux is a chronic problem I have already, so hopefully this medication won't make it worse.