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Work up to doing the exercise 10 to 15 times in a row, at least three times a day. Your doctor will help you decide the best time for you to take tadalafil before sexual activity. Resulting smooth muscle relaxation promotes increased blood flow and subsequent erection. When you first start taking sildenafil, it can take a while to adjust, so you may need to try taking it over a few weeks before you see any effects. If you have an erection that lasts more than 4 hours, get medical help right away.

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