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    The starting dose is 2. The company that makes Cialis, Lilly USA , LLC proved the effectiveness of tadalafil as the phosphodiesterase type 5 PDE5 inhibitor and the companies that make the generics simply piggyback on the success of the research. In order for a generic to be approved by the FDA, it must simply prove that it is the bioequivalent of the name-brand version, using the same active ingredient. All three drugs have good results, but it may take a little time and patience to get it right. Can erectile dysfunction be reversed? The muscles of the arteries in the walls of the lungs also contain PDE5, which is why the same drug can also help with pulmonary hypertension treatment.

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