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A medication called tadalista 20 Pill is used to treat conditions like impotence and erectile dysfunction. An ingredient in this medication called Tadalafil helps men's penile tissue receive more blood flow. You can take this medication with food or without food and water on an empty stomach. Only men who are at least eighteen years old can use this medication. This medication takes 6 hours to take effect. Avoid taking this medication with cold or fatty foods as they will lessen its effectiveness. You can take this medication with water. Take this medication half an hour before having sex so that you can enjoy having sex with your partner.