How a letter is dated on this desk

The milligram in the title is a labelled option. The file behind it is DailyMed.

Which milligram this desk prints

The tadalafil letter on this site is the 20 mg tablet taken as needed. The U.S. Cialis file lists 5 mg, 10 mg, and 20 mg for as-needed use. It also lists 2.5 mg and 5 mg for once-daily use. Those are two schedules in the same prescribing information.

Most as-needed starts are 10 mg. The 20 mg tablet is the labelled higher step. Once-daily use opens on 2.5 mg and may move to 5 mg. Store Cialis at 25 C; excursions are permitted to 15 C to 30 C.

DailyMed

DailyMed is the U.S. National Library of Medicine repository for labelled prescribing information. When a manufacturer PDF and the DailyMed record disagree, this desk keeps the DailyMed record. A snapshot date on the letter is the last full read of that file.

1. Open

A draft starts from the live label and the named trials. A number that cannot be traced is cut.

2. Annotate

Each dose, half-life, and contraindication is checked against the current FDA file. If a paper and the label disagree, the letter says so.

3. Countersign

Dr. Nora Lindqvist, MD reads the page and sets the review date under the title.

4. Seal

The letter is dated and published. When the label is revised, the page returns to annotate.