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In some cases, it is also medicare part d cialis possible to get an erection that lasts longer than four hours. This medicare part d cialis is known as priapism and requires medical medicare part d cialis attention. A full list of side effects comes in the leaflet included medicare part d cialis with the medication. If you are suffering from erectile dysfunction and unsure which treatment is right for you, read on to learn more about the key similarities and differences between Vitaros and ED tablets like Viagra. Prescription-only Tablet taken orally Enables an erection in 30–60 minutes Lasts 4–6 hours Approximately 74% effective Does not require condom use Cannot be used more than once a day Cannot be taken in combination with certain medicare part d cialis prescription medicines e. Its important to note that Vitaros is not intended for use in combination with Viagra or any other ED tablets. If you have used either, you should wait at least medicare part d cialis 24 hours until using Vitaros or an ED tablet again.