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It works by increasing blood flow to the penis when aroused resulting in an erection. Your doctor or other clinician will probably tell you not to take tadalafil if taking nitrates. Monthly Every 90 Days Save Alert. Ships Worldwide from Canada. Ships Worldwide except Canada from Canada, India.

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It increases blood flow to the penis to help men get an erection. In PAH, it relaxes or widens the blood vessels inside the lungs, which reduces blood pressure in the lungs. Cialis 20mg Tablet may be taken on an empty stomach or with a meal. It should be strictly taken as advised by your doctor. The medicine when taken for ED will only help you to get an erection if you are sexually stimulated. You should take it about one hour before you plan to have sex.

But Cialis is a serious drug. Among other things, it works as a vasodilator. That means Cialis can open up your blood vessels and increase blood flow to your penis. You still need sexual stimulation to get hard. A licensed healthcare provider will ask about your overall health.

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