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    The daily pill stays effective in between doses, but may take 4 to 5 days before it begins working. The “weekender” version of Cialis can start working in as little as 30 minutes for men who take the highest dose of the drug (20mgs); it stays effective in the body for up for 36 hours. Avoid heavy drinking (5 glasses of wine or 5 shots of whiskey); when combined with Cialis, it can lead to headaches, dizziness, an increase in heart rate, and a drop in blood pressure. Take 1 hour before sex, although many men report erections in 20 to 30 minutes. Because Staxyn comes in a sleek black package and is taken as a rapidly dissolving tablet (without water), some men think of it as a more discrete way to treat ED. Prescribing information now recommends taking it 30 minutes before sex. Some men, however, report results in as little as 10 to 12 minutes, depending on the dose. Because of these findings, Auxilium Pharmaceuticals, the Chesterbrook, Pa., company that has U. marketing rights to the drug, has asked the May be taken with or without food, and with a moderate amount of alcohol (3 drinks). When I worked at GNC in my early 20s, I had a regular Friday night crowd of customers: guys looking for what we called “boner pills.” These weren’t middle-aged men with erectile issues—these were usually young, in-their-sexual prime guys, eager to enhance the perfectly normal erections they already had. Now, men like this may have to look no further than the pharmacy aisle at any big-box store for a boost: The drug manufacturer Eli Lilly is vying to make Cialis, a drug presently prescribed for erectile dysfunction, available over the counter. Any man—healthy or otherwise—could soon get his hands on the stuff. This is a good thing for the guys who really need it, whether for E. D., prostate problems, or urinary trouble, says Culley Carson III, M. D., a distinguished professor of urology at the University of North Carolina at Chapel Hill. “If Cialis goes over the counter, more men will have access to it, because, hopefully, the cost will be more affordable,” he says.

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