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Tadalafil is still under patent by Eli Lilly and a generic version is not available by Ranbaxy Pharmaceuticals.

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Some of them consider Viagra to be an ineffective pill for treating their condition and decide to boost their efficacy by means of adding Cialis. However, combing medications on your own is not a wise thing to do anyway, and it tabs best to consult your physician or healthcare practitioner. A doctor should be the one to carefully examine your condition and then adjust your dosage to an amount best suited for your condition.

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The active ingredient in Viagra is called Sildenafil whilst that in Cialis is known as Tadalafil. Both of these active agents are Levitra 20mg are known as PDE5 inhibitors, which tackle the PDE5 enzyme responsible for controlling the muscle tone supplying the penis.

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Steady-state plasma concentrations are achieved within a period of 5 days following a single daily dosage of the drug. The use pills CYP3A4 inhibitors such as Ritonavir and Ketoconazole results in increased levels of plasma concentration in the normal erection. Cialis comes in various doses such as Cialis 5 mg, Cialis 20 mg, Cialis 40 mgand Cialis 60 mg.

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Therefore, the use of Cialis in patients taking any form of nitrates is contraindicated [see Contraindications Erectile dysfunction. A study was conducted to assess the degree of interaction between nitroglycerin and tadalafil, should nitroglycerin be required in an emergency situation after tadalafil was taken.

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