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Using Vidalista 20 to treat erectile dysfunction. The active ingredient in Vidalista 20 stimulates the penis's blood flow. This helps men maintain and achieve an erection. You should always follow your doctor's instructions. Tadalafil treats erectile dysfunction in men. It belongs to the group of drugs called phosphodiesterase 5 inhibitors. These drugs cause phosphodiesterase type-5 to stop working too soon. The penis is one area where this enzyme is active. Usually, this medicine treats erectile dysfunction within 30 minutes after taking it. It usually loses some of its potency after two hours, but it can last up to 36 hours.