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Viagra normally starts working 30 to 60 minutes after you take it in oral tablet form. It may take up to 2 hours to work. Viagra doesn't work on its own. You'll still need to feel sexually aroused to get an erection.

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Much like Viagra, Cialis relaxes the smooth muscles and arteries inside the penis. At the same time, it also increases blood flow to the penis. When aroused, this combination of relaxation and increased blood flow allows the penis to fill with blood, which results in an erection.

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Poor control of high blood pressure, high cholesterol, poor control of diabetes, and weight gain are some of the common causes of why tadalafil (Cialis) may stop working well. Addressing underlying problems is important not only for sexual health but also for heart health.

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