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Tadarise 20is prescribed to men to treat impotence and erectile dysfunction. tadalafil, one of the ingredients in this medication, helps to increase blood flow to the tissues of the penile area. To ensure that you can enjoy sexual activity with your partner, take this medication 30 minutes before engaging in any sexual activity. Meals can be taken with or without this medication. Follow your doctor's instructions when taking this medication. It takes four to six hours for this medication to start working.