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Over-the-counter Tadalafil 20 mg can be purchased without a prescription and is most often used to treat symptoms of erectile dysfunction that may not require the direct supervision of a doctor. Tadalafil is a Men's Health OTC medication available as generic cialis at online pharmacy OverTheCounterPharma.com.

Tadalafil is an oral medicine used for the treatment of erectile dysfunction by improving men's ability to achieve and maintain erections. Improvements in erectile function was observed in some patients at 30 minutes after taking a dose; and improvements can last for up to 36 hours after taking Cialis.

How does Tadalafil work?

Tadalafil, is a type of medication called a Phosphodiesterase Type 5 Inhibitor that works to induce an erection in men who suffer from Impotence by improving blood flow to the penis. Phosphodiesterase Type 5 works to relax muscle tissue, within the blood vessels of the penis allowing them to widen. This causes blood to enter into the penis, filling the spongy cylindrical tubes located in the penis known as the corpora spongiosum and corpora cavernosa, which in turn results in an erection.

What are the side effects of Tadalafil?

Back pain and muscle aches occurred in less than 7% of patients, and usually occurred at 12 to 24 hours after taking tadalafil. The back pain and muscle aches associated with tadalafil were characterized by mild to moderate muscle discomfort in the lower back, buttocks and thighs, often aggravated by lying down. The back and muscle aches resolved in most patients without treatment within 48 hours. There have been rare reports of prolonged and painful erections lasting more than 4 hours with the use of oral PDE5 inhibitors such as vardenafil, sildenafil and tadalafil.

What's the difference between Viagra and Cialis?

Test results have also shown that Cialis has no adverse side effects on vision or the heart. It's believed that Tadalafil is a more selective active ingredient than Sildenafil, the active ingredient of Viagra at targeting PDE-5 receptor sites. Besides controlling blood flow to the penis, PDE-5 enzymes play an essential role in the action of cells in the brain, heart, kidney, and eyes. Cialis comes in smaller doses and produces fewer side effects. This treatment also works much faster than Viagra. In clinical trials, the majority of men who took the drug were able to engage in sexual intercourse within 30 minutes or less.