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Cialis has been licensed to cure erectile dysfunction, also known as impotence can be total failure to achieve erection, tendency to sustain only brief erection and inconsistent ability to do so. Essentially, erectile dysfunction is the repeated inability to get an erection enough for sexual activity. This drug works by blocking a chemical that reverses an erection by enabling blood to flow out of the penis. More blood circulates in the penis means an improved erection. The effect of this drug are the following: it achieves and maintains an erection during sexual activity, experiencing greater frequency of orgasm, having a harder erection during sexual activity and having increased satisfaction with enjoyment of intercourse. In the previous studies, up to 78% of men reported that this drug allowed them to have successful intercourse. The medication is said to be effective in men with various health problems and medical conditions. The time it takes for Cialis to take its effect will vary, depending on the individual. In some clinical studies, the medication began to work in as little as 30 minutes. For most men, it begins working within an hour and can work up to 36 hours after you take your dose. As to any other medicine, the adverse effect can occur with this drug. However not everyone who administer this drug will experience side effects. As a matter of fact, most men can tolerate it well. The reported side effects are headache, indigestion, back pain, muscle pain, nasal congestion, facial flushing and pain in the arms or legs. If you have a history of cardiovascular disease or significant heart disease risk factors, there is an increased chance of serious problems related to your brain, heart and blood vessels. These problems can lead to harmful side effects suck as stroke, heart attack and death.