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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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Official Answer. The maximum recommended dose of Cialis is 20mg daily. Increasing the dose to 40mg might just increase the intensity of side effects and may not actually deal with the erectile dysfunction problem. If 20mg dose is not working you might want to look for an another medicine.

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Sildenafil 100mg is the highest safe dosage you can take – if it is ineffective, you should try another ED treatment. Alternative treatments for ED include tablets such as Cialis and Spedra, which contain different active ingredients but have a similar effect to Sildenafil.

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Premature ejaculation has a number of possible causes, such as performance anxiety, increased sensitivity, and heightened stress levels. However, lack of blood flow to the penis does not cause you to orgasm too quickly, so Viagra isn't an effective treatment for premature ejaculation.

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