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It works by blocking an enzyme called PDE5 that restricts blood flow to the penis. This allows blood to flow more easily to the pe**is during sexual arousal, enabling you to get and keep a hard erection. You can also use it for long-lasting erections after sexual arousal has already occurred. You should only take it with water. Avoid taking it with other solvents like coffee or tea, as this can slow how fast the medication enters the bloodstream.