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Cialis can help achieve an erection when sexual stimulation occurs. An erection will not occur just by taking a pill. Follow your doctor's instructions.Method of administration

When you are sexually aroused, messages from your brain travel down nerves to your penis. Chemicals called neurotransmitters are then released from the ends of the nerves in the penis. Stimulation of the penis can also cause local nerve endings to release neurotransmitter chemicals.Side effects may include: headache, upset stomach, flushing (skin redness), eyes more sensitive to light, blurred vision, dizziness, decrease in blood pressure cialis 20 mg price Although sildenafil (Viagra), vardenafil (Levitra), and tadalafil (Cialis) all work by inhibiting PDE5, tadalafil's pharmacologic distinction is its longer half-life (17.50 hours) [4] – compared to sildenafil and vardenafil (both 4.0–5.0 hours)[5] – resulting in longer duration of action, and so partly responsible for "The Weekend Pill" sobriquet. Furthermore, the longer half-life is the basis for current investigation of tadalafil's daily therapeutic use in relieving pulmonary arterial hypertension. Sildenafil is approved in several world regions as a thrice-daily therapy for pulmonary arterial hypertension. Other medicines or treatments for ED.Healthy elderly subjects (65 years or over) had a lower oral clearance of tadalafil, resulting in 25% higher exposure (AUC) relative to healthy subjects aged 19 to 45 years. This effect of age is not clinically significant and does not warrant a dose adjustment. Levitra (FDA)

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For Erectile Dysfunction "This is a Miracle drug!!!!!!!!!!! Psychological ED for 25 years. I wasn't too bad with my ex wife as I drank to mask anxiety. Nearly 5 years without sex as couldn't get erection with a woman. Always ok in masturbation. Went to see doctor after 25 years silence for Viagra. Was sceptical. Went on first date and took 50mg pill 45 mins before sex. Hot flush in head watery eyes but ok. I had the most amazing sex I couldn't believe it! Full erection straightaway in stimulation. Had full sex twice orgasming both times in half an hour!! I was overwhelmed. A 25 year problem sorted in 45 mins. I'm so confident now. Thank you Viagra I still can't believe it."

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