Tadalafil (cialis) is typically taken as a 10 mg dose about 30 minutes before sexual activity when needed.

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The most important factors of sexual behavior are established in childhood, when a boy observes the system of actions of older men in the family and later follows the path of either imitating the learned models or rejecting them. It is during this period that the origins of youthful insecurity and timidity, fears of "being underestimated" and "not making the expected impression" are often formed. Over time, they can take root and transform into psychological complexes or phobias, having a definite impact on the rest of a man's life.

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Who can use tadalafil? Tadalafil is suitable for adult men diagnosed with erectile dysfunction - the inability to get or maintain an erection firm enough for sex. Tadalafil has been shown to significantly improve the ability of obtaining a hard erect penis suitable for sexual activity. How tadalafil works Tadalafil, like other erectile dysfunction tablet treatments such as Viagra (sildenafil), Levitra (vardenafil), and Spedra (avanafil), works by helping the blood vessels in your penis to relax, allowing the flow of blood into your penis during sexual stimulation. These medicines achieve this effect by blocking an enzyme called PDE5 - they are 'PDE5 inhibitors'. They have very little effect on other parts of the body. Tablet treatments for erectile dysfunction augment and support sexual performance and relationships.

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Hormonal regulation disorders: hypogonadism (insufficient testosterone production by a man's testes), a number of diseases related to disorders of pituitary and adrenal gland function, some tumors (e.g., adenoma of the pituitary gland). For further information read How long does tadalafil last?

Cialis 20 mg Tablet works by relaxing the blood vessels in the penis, increasing the flow of blood to the penis. This medicine also relaxes the muscles present in the prostate gland and bladder thereby, improving the symptoms associated with an enlarged prostate gland.

Cialis 20 mg Tablet may cause side effects such as headache, back pain, muscle aches, pain in the arms and legs, facial flushing (redness of the skin of the face), nasal congestion, and indigestion. Most of these side effects are temporary and may subside with time. If any of these side effects persist or worsen, consult your doctor. Side effects of taking various medications (some hypotensive and antiarrhythmic drugs, corticosteroids, psychotropic drugs and antidepressants, etc.).