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Tadalis SX 20 mg is a tadalafil tablet used mainly for erectile dysfunction in men, and it may also be prescribed for benign prostatic hyperplasia in some cases. It works by improving blood flow to the penis during sexual stimulation, which helps a man get and maintain an erection. A common use of Tadalis SX 20 mg is to take it about one hour before sexual activity, although many product pages note it can be taken anywhere from 30 minutes to 4 hours before sex. It does not create an erection on its own; sexual stimulation is still needed. Because tadalafil lasts longer than many other ED medicines, it is often preferred by men who want more flexibility in timing.