In a study using stopwatch methodology, tadalafil 20 mg facilitated an erectile response 16 minutes post-dose (p = 0.012 versus placebo) and tadalafil 10 mg facilitated an erectile response within 30 minutes post-dose (p = 0.042 versus placebo) [30]. These results are similar to those found for vardenafil HCl (16 minutes) and sildenafil citrate (14 minutes) [31,32]. However, it is important to note that the majority of men do not respond at these early time points. In all three studies, about one-third of men respond at these early time points. Most men will require more time to achieve an erection sufficient for vaginal penetration and intercourse.
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