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These three drugs belong to a class of drugs called phosphodiesterase (PDE) inhibitors. They are to be taken 30 minutes to an hour before sexual activity and work by enhancing the effects of nitric oxide, a chemical that relaxes smooth muscles in the penis during stimulation and allows increased blood flow. None of these PDE inhibitors should be used more than once a day. Erectile dysfunction medicine can be taken orally, injected directly into the penis, or inserted into the urethra at the tip of the penis.
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