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The research, published in the August 2003 issue of Annals of Internal Medicine, shows that ED is common among older men and sexual function sharply decreases after age 50. Erectile dysfunction is the inability to attain or maintain an erection adequate for the sexual satisfaction of both partners.

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Effects may be felt within 15 to 45 minutes.

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AdvertisementSildenafil (Viagra). This medication is most effective when taken on an empty stomach one hour before sex. ... Vardenafil (Levitra, Staxyn). This medication also is most effective when taken one hour before sex and can be taken with or without food. ... Tadalafil (Cialis). ... Avanafil (Stendra).

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Headache, stomach upset, back pain, muscle pain, stuffy nose, flushing, or dizziness may occur. If any of these effects persist or worsen, tell your doctor or pharmacist promptly. To reduce the risk of dizziness and lightheadedness, get up slowly when rising from a sitting or lying position.

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Their study concluded that approximately 70 percent of men who used Cialis during sexual activity for 12 weeks were able to ejaculate most of the time and to reach orgasm, compared to 30 percent in the placebo group. Also, these benefits from the drug were seen despite the level of a man's ED severity.

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Effectiveness of all PDE5 inhibitors is similar; although reported effectiveness of Viagra, at 84% is slightly higher than that of Cialis at 81%. However, more men prefer Cialis because of its longer duration of effect.

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Peak plasma concentrations of Cialis are reached within 30 minutes to six hours (average time two hours) of a dose. Effects of 'as needed' Cialis last for up to 36 hours. The recommended starting dose for once-daily Cialis for ED is 2.5mg; once daily Cialis for BPH, 5mg; and 'as needed' Cialis, 10mg.

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