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What are Cialis and Viagra? Cialis tadalafil and Viagra sildenafil are oral drugs that are used for treating impotence the cialis 40mg to attain or maintain a penile erection and benign prostatic hyperplasia BPH. Penile erection is caused by the engorgement of the penis with blood. Under normal conditions, sexual stimulation leads to the production and release of nitric oxide in the penis. Nitric oxide then activates the enzyme, guanylate cyclase, which causes the production of cyclic guanosine monophosphate cGMP. It is the cGMP that is primarily responsible for the erection by affecting the amount of blood that the blood vessels deliver and remove from the penis.

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