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The PDE5 class drugs used for erectile dysfunction treatment are viagra (Sildenafil) from Pfizer, levitra (vardenafil) from Bayer, cialis (tadalafil) from Lilly Icos.
These drugs work by relaxing the cc muscles and increase blood flow to the penis and enhancing erection, and inhibiting the formation of PDE5 enzyme which decrease erection in normal course. There are other pills for the treatment of erectile dysfunction also like silagra, kamagra, uprima. Some of generic cialis or cialas are manufactured by cipla, ajanta pharma where as the branded cialis are costly. There are many online pharmacies offering generic drugs that you cay online without prescriptions.
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If you are already taking other medications for for your medical conditions, discuss these issues with your doctor before starting treatment with cialis. Because these drugs can interfere with the activity of cialis.
There are other herbal drugs available for erectile dysfunction treatment like vigrx plus , semenax, provigrax which all works by the same mechanism of PDE5 but their working pathway may be different.
Dosage: Take one 20 mg pill by mouth with water or prescibed by your doctor. If required 20 mg dose can be split into two 10 mg dose and can be used for two days. Since cialis works for more than 72 hours 10 mg dose may be quite sufficient.
Erectile dysfunction is the major sexual problem affecting men at the middle age. In few cases it affects young men too because of harmonal deficiency, organic problems, mental depression etc. These problems should be suitably addressed before starting traetment with PDE5 class drugs.

