Tadalista Super Active contains tadalafil, the same active ingredient found in Cialis, and it is typically used to treat erectile dysfunction (ED) and, in some cases, benign prostatic hyperplasia (BPH). When you have kidney problems, your body may process medications like tadalafil differently, affecting both safety and dosage. Kidney Conditions That May Affect Tadalista Super Active Dosage: Chronic Kidney Disease (CKD) Mild to Moderate CKD: For men with mild to moderate kidney dysfunction (e.g., glomerular filtration rate [GFR] 30-80 mL/min), the standard dosage of Tadalista Super Active (20 mg) can often be used, but doctors may recommend adjustments or more frequent monitoring for side effects. (drugs.com ) Severe CKD: For severe kidney impairment (e.g., GFR