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Phosphodiesterase Inhibitors (PDE5-inhibitors) such as Viagra (sildenafil), Cialis (tadalafil), and Levitra (vardenafil) are thought to improve blood flow to clitoral and vaginal tissues through a similar mechanism to that found in male genitalia. Cialis is the only medication used to treat erectile dysfunction that has been shown to Diclofenac Al 50 Und Pille work for up to 36 hours. In summation, viagra for quicker intense sexual effect and cialis for taking your time. 10; Up to 360 pills - $363. Among these three Viagra Levitra Or Cialis commercially available PDEIs, analysis shows comparable efficacy Levitra is a more potent molecule, and it seems to work faster and on a full stomach. Cialis tadalafil. Useful Links. Viagra takes around 30 minutes to become effective and lasts about 4 hours. V=29. Other options are Levitra and Stendra. 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