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Tadalafil should start to take effect within 20 minutes of taking it, and it is recommended that you take a Cialis tablet at least half an hour before sexual intercourse. This eventually leads to pain free and happy sex with your partner. 28Johnston BL, Fletcher GF Dynamic electrocardiographic recording during sexual activity in recent post myocardial infarction and revascularization patients. The initial dose recommended can depend on a lot of factors, featuring your age, severity of your impotence and some safety conditions you have ever been diagnosed with. Stated IR illumination range is based on ideal conditions up to 33ft 10m in total darkness.