After my intermittently intense muscle and joint pain significantly declined coincidentally with when I stopped taking 5mg tadalafil daily, I was reluctant to try taking it again.

What really finished off all the severe pain symptoms was when I increased my exercise program to 3 times a week, every other day, of 45 minutes to 1 hour of resistance training at the local YMCA, with 30 minutes of cardio on the resistance training days off.

I resumed the 5 mg tadalafil recently. I've experienced no problems at all.