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Viagra works by binding to PDE5 and stopping it from working. This is essentially a different type of Viagra which is used for a different FDA approved indication

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Individuals who take these alpha-blockers should be on a stable dose of the alpha-blocker before tadalafil is started. Sildenafil is approximately 4,000-fold more selective for PDE5 compared to PDE3. Sixty-three percent, 74%, and 82% of the patients on 25 mg, 50 mg and 100 mg of VIAGRA, respectively, reported an improvement in their erections, compared to 24% on placebo

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Sixty-three percent, 74%, and 82% of the patients on 25 mg, 50 mg and 100 mg of VIAGRA, respectively, reported an improvement in their erections, compared to 24% on placebo.

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