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    Which drug is best may depend on your preference for quick onset versus long duration and your individual medical needs. They all work the same way, producing an erection by increasing blood flow to the penis. The Food and Drug Administration has approved four similar drugs for erectile dysfunction, sold under such names as Viagra (sildenafil), Cialis (tadalafil), Levitra (vardenafil) and Stendra (avanafil). The discovery of Viagra is one of the classic stories of serendipity in drug development. In the 1980s, the pharmaceutical company Pfizer began studying sildenafil, the generic name for Viagra, as a treatment for heart disease. It didn’t work, but the men in the study developed unusually strong, long-lasting erections. All four of the currently approved drugs seem to be equally good at producing erections. But it is difficult to be more definitive in evaluatingtheir efficacy, because few studies directly comparing them have been conducted, a common problem with many drugs. cheap propecia online australia Tadalafil is one of the more popular and well know erectile dysfunction medications (after Viagra), and you may recognise the brand name of it; Cialis. It was not long ago when little was known of erectile physiology, and adequate treatment was still “someday” away. Prior to the turn of the century, the pharmacologic treatment options for ED were cumbersome and invasive, limited to intracavernosal injections or intraurethral pellets. Everything changed when oral phosphodiesterase type 5 (PDE5) inhibitors became available, completely revolutionizing the treatment of ED of all severities and etiologies. Pfizer introduced the first PDE5 inhibitor, sildenafil (Viagra; Pfizer, New York, NY, USA), in March of 1998, and over the past years, the new oral pharmacologic therapy together with an unbridled acceptance and newfound candor by the general public has not only dramatically increased the awareness and prevalence of ED but also made treatment of the disease simple and effective. Once one of the most frustrating and refractory diseases for the urologic specialist, ED is now enthusiastically discussed and treated in the primary care setting. (1) Cialis is the brand name for tadalafil and Viagra is the brand name for sildenafil.

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    Notes: In general, seniors or children, people with certain medical conditions (such as liver or kidney problems, heart disease, diabetes, seizures) or people who take other medications are more at risk of developing a wider range of side effects. For a complete list of all side effects, click here. Cialis is used to treat erectile dysfunction (ED) and to reduce symptoms of benign prostatic hyperplasia (BPH). One 'as needed' tablet lasts for 36 hours or Cialis is available as a lower dosage that can be taken on a daily basis, eliminating the need to 'plan for sex'. Medicines that interact with Cialis may either decrease its effect, affect how long it works for, or have less of an effect when taken with Cialis. An interaction between two medications does not always mean that you must stop taking one of the medications; however, sometimes it does. Speak to your doctor about how drug interactions should be managed. I would like to be able to have sex about 3-4 consecutive days each week. By clicking Subscribe, I agree to the Terms & Conditions and Privacy Policy and understand that I may opt out of subscriptions at any time. 20 mg Cialis seems to be effective for me where lesser dosage does not do anything for me.

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  4. Although sildenafil Viagra, vardenafil Levitra, and tadalafil Cialis all work by inhibiting PDE5, tadalafil's pharmacologic distinction is its longer half-life 17.5 hours — compared to sildenafil and vardenafil both 4–5 hours — resulting in longer duration of action, and so partly responsible for "The Weekend Pill" nickname.

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