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Adults: The usual dosage is 50 milligrams (mg) taken as needed 1 hour before sexual activity. Your doctor may increase the dose to 100 mg or decrease it to 25 mg. Placebo Cialis generic cialis uk That's the beauty of the internet - comparison shopping is very easy.The neurotransmitters which are released in the penis cause another chemical to be made, called cyclic guanosine monophosphate (cGMP). This chemical causes the arteries in the penis to widen (dilate). This allows extra blood to flood into the penis. The rapid inflow of blood causes the penis to swell into an erection. The swollen inner part of the penis also presses on the veins nearer to the skin surface of the penis. These veins normally drain the penis of blood. So, the flow of blood out of the penis is also restricted, which enhances the erection.

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