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Sebbene questo effetto sia minore, e non sia stato di alcuna rilevanza clinica, dovrebbe essere considerato quando questi medicinali sono somministrati contemporaneamente.
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Il Cialis e il Viagra contengono entrambi un inibitore della PDE5. Il tadalafil ha una durata d’azione superiore a quella del sildenafil e questo sikik permette una sua singola somministrazione giornaliera.