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Its results are totally physical, although taking this medication does cause the person to really feel additional self confident without stressing over possible failure while making love. Tadalafil is a prominent drug for impotence treatment offered only by prescription. rx tadalafil is taken before making love, regarding an hour beforehand. If you experience chest pain while having sex look for emergency medical support. This medication is really efficient in the treatment of impotence, however you have to take it to obtain the results desired.