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Tadalafil (Cialis) Sildenafil (Viagra) Which Is Better? Nevertheless, the patient can take the drug 3 hours prior to copulation. There are many common causes of ED, including heart disease, blood vessel disease, diabetes, certain medications, obesity, cigarette smoking, depression, anxiety, stress, and more. Generic Revatio is also the cheapest form of sildenafil citrate available. These side effects should not last more than a few hours after taking a dose of Tadalafil. Off-label usage of a medication refers to thxn the medication for purposes that have not specifically been approved by the FDA.

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